Karen Coyle
Biographic Data
| ID | 369822 |
|---|---|
| NAME | Karen Coyle |
| GIVEN NAMES | Karen |
| FAMILY NAME | Coyle |
| SIGNATURE | COYLE K |
| AFFILIATIONS | Bethany University |
| ORCID | 0000-0001-6182-3842 |
| VERIFIED | Yes |
| TOTAL WORKS | 29 |
| TOTAL CITATIONS | 67 |
| AUTHOR COUNT | 29 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1988 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Factors affecting the implementation of a whole-school relationships and sexual health intervention
Whole-school relationships and sexual health interventions represent promising approaches to promoting healthy sexual development. However, data from a randomised controlled trial of the Positive Choices whole-school intervention demonstrate these may be challenging to implement in English secondary schools. We draw on qualitative data to examine staff perspectives on the implementation of the intervention and the factors affecting delivery. Inte…
Understanding the limited effectiveness of a whole-school relationships and sexual-health programme
Previous trials of whole-school relationships and sexual-health programmes have not reported on fidelity, reach or acceptability, despite the importance of these factors for interpreting outcomes. Our trial of the Positive Choices whole-school relationships and sexual-health programme found limited effectiveness in secondary schools in England. We aimed to understand whether sub-optimal fidelity, reach or acceptability might explain the results. …
Effects of a whole-school relationships and sexual health intervention on non-competent sexual debut
BACKGROUND: Relationships and sex education (RSE) impacts some sexual behaviours but could be strengthened by incorporating whole-school approaches (eg, building engagement, providing contraception). These can prevent pregnancies and sexually-transmitted infections but are unevaluated in UK schools. METHODS: A cluster-randomised trial of 'Positive Choices' compared it with usual practice in English secondary schools. Intervention comprised: RSE, …
The mechanisms by which a whole-school intervention might improve sexual health
Whole-school interventions go beyond classroom education, promoting health by modifying school environments. These can be effective in delaying sexual debut and increasing contraception use but mechanisms are poorly understood. Qualitative research within realist evaluation can explore mechanisms via building 'context-mechanism-outcome configurations', describing how interventions trigger mechanisms that interact with context to generate outcomes…
Exploring the Influence of Romantic Relationship Communication on Adolescents’ Self-Efficacy to Ask for Sexual Consent
Adolescence represents a crucial period for sexual and romantic relationship development, and acquisition of skills and confidence essential for effective sexual consent communication. However, various barriers may interfere with adolescents' belief in their ability (i.e., their self-efficacy) to negotiate consent in practice. This study aimed to investigate the state of adolescents' self-efficacy to ask for consent and explore the influence of r…
Building an HIV Learning Health Care Community for Youth in Florida
Monitoring unplanned sexual health curricula adaptations
Using the Exploration-Preparation-Implementation-Sustainment (Epis) Framework to prepare for the implementation of evidence-based practices into adolescent HIV settings
Uncovering withdrawal use among sexually active US adolescents
This paper explores the use of withdrawal as a harm reduction approach to adolescent pregnancy prevention and its association with condom use. Data come from a baseline survey of a randomised controlled trial to test the effectiveness of FLASH, a sexual health education curriculum. Study participants completed electronic self-report surveys in health classes in their first or second year of high school (age range 14.1–17.9, mean 15.3 years). One-…
Socio‐Ecological Factors Associated With Students' Perceived Impact of an Evidence‐Based Sexual Health Education Curriculum
BACKGROUND: Although schools often implement evidence-based sexual health education programs to address sexual and reproductive health disparities, multiple factors may influence program effectiveness. METHODS: Using student-reported perceived impact measures as a proxy for program effectiveness, we employed a socio-ecological approach to examine student, teacher, school, and district factors associated with greater perceived impact of It's Your …
Replication of It’s Your Game…Keep It Real! in Southeast Texas
You-Me-Us
It’s Your Game…Keep It Real in South Carolina
Objectives. To evaluate the effectiveness of an evidence-based HIV/sexually transmitted infection (STI)/pregnancy prevention program for middle schools implemented by school staff in South Carolina. Methods. Twenty-four schools, representing 3143 youths, participated in a randomized trial from 2011 to 2014. Students completed surveys before programming (fall of seventh grade), after completing the 2-year It’s Your Game...Keep It Real program (spr…
Dual Contraceptive Method Use Among Youth in Alternative Schools
Exposure to Violence and Sexual Risk Among Early Adolescents in Urban Middle Schools
This article examines the relationship between exposure to violence, fear of exposure to violence, and sexual risk among a sample of urban middle school youth. The sample included 911 seventh-grade students who completed self-report surveys. Approximately 20% of the sample reported at least one direct threat or injury with a weapon in the past 3 months, and 52% reported ever seeing someone seriously injured or killed. Experiencing a direct threat…
Exploring Alternative Outcome Measures to Improve Pregnancy Prevention Programming in Younger Adolescents
The authors argue that the development of alternative outcome measures to improve pregnancy prevention programming in younger adolescents in America will require curiosity, additional data collection, and the exploration of existing data. According to the article, the efforts to prevent adolescent pregnancy have shifted to include middle school students. Dating relationships, sexual touching, and oral sex involving middle school youth in the U.S.…
Romantic relationships
Romantic relationships are central in the lives of young people. This paper uses data on romantic relationships from urban youth in the USA to illustrate how using a relationships perspective in HIV/STI and pregnancy prevention programmes broadens the skills and content covered, and contextualises the learning to enhance relevance and use. Self-report survey data were collected using electronic handheld devices for a school-based randomised trial…
Mediation analysis of an adolescent HIV/STI/pregnancy prevention intervention
Most interventions designed to prevent HIV/STI/pregnancy risk behaviors in youth have multiple components based on psychosocial theories (e.g., social cognitive theory) dictating sets of mediating variables to influence to achieve desired changes in behaviors. Mediation analysis is a method for investigating the extent to which a variable X (e.g., intervention indicator) influences an outcome variable Y (e.g., unprotected sex) by first influencin…
An Exploratory Study of Adolescent Pimping Relationships
The virtual union catalog
Um catálogo de união Virtual é uma alternativa possível para o banco de dados centralizado de recursos distribuídos encontrados em muitos sistemas de bibliotecas. Este catálogo não seria mantido em um único local, mas seria criada em tempo real, pesquisando cada campus local ou catálogo da biblioteca da filial através do protocolo Z39.50. Isto eliminaria a redundância de armazenamento registro, bem como à custa de carga e manter o acesso para o c…
Boyfriends, Girlfriends and Teenagers' Risk of Sexual Involvement
CONTEXT: Having a boyfriend or girlfriend, especially an older one, is associated with increased sexual risk in early adolescence. The mechanisms underlying this association are unclear. METHODS: Middle school students in Northern California were surveyed annually from 1997 to 2000. For a sample of 1,214 males and 1,308 females who were sexually inexperienced in seventh grade, logistic and linear regression were used to explore associations betwe…
Boyfriends, Girlfriends and Teenagers' Risk of Sexual Involvement
To reduce the risk of adolescent sexual activity, parents and communities should encourage youth in middle school, especially females who experience early menarche, to delay serious romantic relationships
Descriptive metadata for copyright status
The need to express the intellectual property rights of digital materials has focused on access and usage permissions which must be granted by the rights holder. A key set of permissions not acknowledged by these rights expressions is inherent in the legal copyright status of the item. Digital libraries can hold and provide access to many items for which copyright status is the sole governor of use. This article proposes a small set of descriptiv…
Draw the Line/Respect the Line
Objectives. This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. Methods. The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders was tracked for 36 months. Results. The intervention delayed sexual initiation among boys, but not girls. Boys in the intervention …
Behavioural Risk Factors and Protective Factors in Adolescents
These results extend prior research by assessing the health needs of early adolescent youth. The study found important differences within Latinos using a bicultural acculturation model. The use of a bicultural acculturation model, or cultural orientation approach more generally, may have special utility for addressing health issues wherever minority populations interact with a dominant society
Behavioural Risk Factors and Protective Factors in Adolescents
These results extend prior research by assessing the health needs of early adolescent youth. The study found important differences within Latinos using a bicultural acculturation model. The use of a bicultural acculturation model, or cultural orientation approach more generally, may have special utility for addressing health issues wherever minority populations interact with a dominant society
The Protective Role of Social Capital and Cultural Norms in Latino Communities
This study investigates how community characteristics can protect adolescents from the negative effects of poverty. Using economic predictors, eight communities with low or high birthrates for 15- to 17-year-old Latinas were identified. Quantitative data on birth-rates, demographics, and the physical environment were obtained from government, hospital, and local sources. Qualitative data on the physical environment and social processes in the com…
Boyfriends, Girlfriends and Teenagers' Risk of Sexual Involvement
To reduce the risk of adolescent sexual activity, parents and communities should encourage youth in middle school, especially females who experience early menarche, to delay serious romantic relationships
Draw the Line/Respect the Line
Objectives. This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. Methods. The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders was tracked for 36 months. Results. The intervention delayed sexual initiation among boys, but not girls. Boys in the intervention …
School-based Programs to Reduce Sexual Risk-taking Behavior
Exploring Alternative Outcome Measures to Improve Pregnancy Prevention Programming in Younger Adolescents
The authors argue that the development of alternative outcome measures to improve pregnancy prevention programming in younger adolescents in America will require curiosity, additional data collection, and the exploration of existing data. According to the article, the efforts to prevent adolescent pregnancy have shifted to include middle school students. Dating relationships, sexual touching, and oral sex involving middle school youth in the U.S.…
Youth Development Programs
Effects of a whole-school relationships and sexual health intervention on non-competent sexual debut
BACKGROUND: Relationships and sex education (RSE) impacts some sexual behaviours but could be strengthened by incorporating whole-school approaches (eg, building engagement, providing contraception). These can prevent pregnancies and sexually-transmitted infections but are unevaluated in UK schools. METHODS: A cluster-randomised trial of 'Positive Choices' compared it with usual practice in English secondary schools. Intervention comprised: RSE, …
Exploring the Influence of Romantic Relationship Communication on Adolescents’ Self-Efficacy to Ask for Sexual Consent
Adolescence represents a crucial period for sexual and romantic relationship development, and acquisition of skills and confidence essential for effective sexual consent communication. However, various barriers may interfere with adolescents' belief in their ability (i.e., their self-efficacy) to negotiate consent in practice. This study aimed to investigate the state of adolescents' self-efficacy to ask for consent and explore the influence of r…
Exposure to Violence and Sexual Risk Among Early Adolescents in Urban Middle Schools
This article examines the relationship between exposure to violence, fear of exposure to violence, and sexual risk among a sample of urban middle school youth. The sample included 911 seventh-grade students who completed self-report surveys. Approximately 20% of the sample reported at least one direct threat or injury with a weapon in the past 3 months, and 52% reported ever seeing someone seriously injured or killed. Experiencing a direct threat…
Thoughts on evaluation utilization, misutilization and non-utilization
School-based Programs to Reduce Sexual Risk-taking Behavior
Youth Development Programs
The Protective Role of Social Capital and Cultural Norms in Latino Communities
This study investigates how community characteristics can protect adolescents from the negative effects of poverty. Using economic predictors, eight communities with low or high birthrates for 15- to 17-year-old Latinas were identified. Quantitative data on birth-rates, demographics, and the physical environment were obtained from government, hospital, and local sources. Qualitative data on the physical environment and social processes in the com…
Behavioural Risk Factors and Protective Factors in Adolescents
These results extend prior research by assessing the health needs of early adolescent youth. The study found important differences within Latinos using a bicultural acculturation model. The use of a bicultural acculturation model, or cultural orientation approach more generally, may have special utility for addressing health issues wherever minority populations interact with a dominant society
Draw the Line/Respect the Line
Objectives. This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. Methods. The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders was tracked for 36 months. Results. The intervention delayed sexual initiation among boys, but not girls. Boys in the intervention …
Descriptive metadata for copyright status
The need to express the intellectual property rights of digital materials has focused on access and usage permissions which must be granted by the rights holder. A key set of permissions not acknowledged by these rights expressions is inherent in the legal copyright status of the item. Digital libraries can hold and provide access to many items for which copyright status is the sole governor of use. This article proposes a small set of descriptiv…
Boyfriends, Girlfriends and Teenagers' Risk of Sexual Involvement
CONTEXT: Having a boyfriend or girlfriend, especially an older one, is associated with increased sexual risk in early adolescence. The mechanisms underlying this association are unclear. METHODS: Middle school students in Northern California were surveyed annually from 1997 to 2000. For a sample of 1,214 males and 1,308 females who were sexually inexperienced in seventh grade, logistic and linear regression were used to explore associations betwe…
Boyfriends, Girlfriends and Teenagers' Risk of Sexual Involvement
To reduce the risk of adolescent sexual activity, parents and communities should encourage youth in middle school, especially females who experience early menarche, to delay serious romantic relationships
The virtual union catalog
Um catálogo de união Virtual é uma alternativa possível para o banco de dados centralizado de recursos distribuídos encontrados em muitos sistemas de bibliotecas. Este catálogo não seria mantido em um único local, mas seria criada em tempo real, pesquisando cada campus local ou catálogo da biblioteca da filial através do protocolo Z39.50. Isto eliminaria a redundância de armazenamento registro, bem como à custa de carga e manter o acesso para o c…
Romantic relationships
Romantic relationships are central in the lives of young people. This paper uses data on romantic relationships from urban youth in the USA to illustrate how using a relationships perspective in HIV/STI and pregnancy prevention programmes broadens the skills and content covered, and contextualises the learning to enhance relevance and use. Self-report survey data were collected using electronic handheld devices for a school-based randomised trial…
Mediation analysis of an adolescent HIV/STI/pregnancy prevention intervention
Most interventions designed to prevent HIV/STI/pregnancy risk behaviors in youth have multiple components based on psychosocial theories (e.g., social cognitive theory) dictating sets of mediating variables to influence to achieve desired changes in behaviors. Mediation analysis is a method for investigating the extent to which a variable X (e.g., intervention indicator) influences an outcome variable Y (e.g., unprotected sex) by first influencin…
An Exploratory Study of Adolescent Pimping Relationships
It’s Your Game…Keep It Real in South Carolina
Objectives. To evaluate the effectiveness of an evidence-based HIV/sexually transmitted infection (STI)/pregnancy prevention program for middle schools implemented by school staff in South Carolina. Methods. Twenty-four schools, representing 3143 youths, participated in a randomized trial from 2011 to 2014. Students completed surveys before programming (fall of seventh grade), after completing the 2-year It’s Your Game...Keep It Real program (spr…
Dual Contraceptive Method Use Among Youth in Alternative Schools
Exposure to Violence and Sexual Risk Among Early Adolescents in Urban Middle Schools
This article examines the relationship between exposure to violence, fear of exposure to violence, and sexual risk among a sample of urban middle school youth. The sample included 911 seventh-grade students who completed self-report surveys. Approximately 20% of the sample reported at least one direct threat or injury with a weapon in the past 3 months, and 52% reported ever seeing someone seriously injured or killed. Experiencing a direct threat…
Exploring Alternative Outcome Measures to Improve Pregnancy Prevention Programming in Younger Adolescents
The authors argue that the development of alternative outcome measures to improve pregnancy prevention programming in younger adolescents in America will require curiosity, additional data collection, and the exploration of existing data. According to the article, the efforts to prevent adolescent pregnancy have shifted to include middle school students. Dating relationships, sexual touching, and oral sex involving middle school youth in the U.S.…
Replication of It’s Your Game…Keep It Real! in Southeast Texas
You-Me-Us
Socio‐Ecological Factors Associated With Students' Perceived Impact of an Evidence‐Based Sexual Health Education Curriculum
BACKGROUND: Although schools often implement evidence-based sexual health education programs to address sexual and reproductive health disparities, multiple factors may influence program effectiveness. METHODS: Using student-reported perceived impact measures as a proxy for program effectiveness, we employed a socio-ecological approach to examine student, teacher, school, and district factors associated with greater perceived impact of It's Your …
Uncovering withdrawal use among sexually active US adolescents
This paper explores the use of withdrawal as a harm reduction approach to adolescent pregnancy prevention and its association with condom use. Data come from a baseline survey of a randomised controlled trial to test the effectiveness of FLASH, a sexual health education curriculum. Study participants completed electronic self-report surveys in health classes in their first or second year of high school (age range 14.1–17.9, mean 15.3 years). One-…
Monitoring unplanned sexual health curricula adaptations
Using the Exploration-Preparation-Implementation-Sustainment (Epis) Framework to prepare for the implementation of evidence-based practices into adolescent HIV settings
Building an HIV Learning Health Care Community for Youth in Florida
Exploring the Influence of Romantic Relationship Communication on Adolescents’ Self-Efficacy to Ask for Sexual Consent
Adolescence represents a crucial period for sexual and romantic relationship development, and acquisition of skills and confidence essential for effective sexual consent communication. However, various barriers may interfere with adolescents' belief in their ability (i.e., their self-efficacy) to negotiate consent in practice. This study aimed to investigate the state of adolescents' self-efficacy to ask for consent and explore the influence of r…
Medicine (22 works) · Psychology (22 works) · Adolescent Sexual and Reproductive Health (20 works) · Demography (13 works) · Developmental psychology (10 works) · Sociology (10 works) · Family medicine (9 works) · Public health (9 works) · Clinical Psychology (8 works) · Environmental health (8 works)