In fall 2011, the South Carolina Campaign to Prevent Teen Pregnancy (SC Campaign), with funding from Office of Adolescent Health, began replicating an evidence-based curriculum, It's Your Game, Keep It Real in 12 middle schools across South Carolina. Fidelity of the curriculum was monitored by the use of lesson fidelity logs completed by curriculum facilitators and lesson observation logs submitted by independent classroom observers. These data were monitored weekly to identify possible threats to fidelity. The innovative model Fidelity Through Informed Technical Assistance and Training was developed by SC Campaign to react to possible fidelity threats in real time, through a variety of technical assistance modalities. Fidelity Through Informed Technical Assistance and Training guided the 55 hours of technical assistance delivered by the SC Campaign during the first year of It's Your Game, Keep It Real implementation to 18 facilitators across 12 SC middle schools, and achieved 98.4% curriculum adherence and a high quality of implementation scores.

The original studies' behavioral effects were not replicated in this population, possibly as a result of this being an effectiveness trial instead of an efficacy trial, counterfactual exposure design issues, or postprogram exposure to evidence-based programming.

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Background: Near-peer teaching is a form of peer-assisted learning with at least 1 year of difference between the groups of students. Method: A near-peer simulation allowed junior nursing students to obtain a focused history and assessment, administer medications, and provide patient education to senior students. Senior students provided performance feedback to the junior students. Faculty gave additional feedback and facilitated a group debriefing session. All students were asked to complete an anonymous online postsurvey. Results: One hundred nine junior and senior students completed the immediate postsurvey. The mean score was 2.14, corresponding to the “agree” response. Nearly three quarters (73%) of the students indicated they agree or strongly agree that “the simulation provided a variety of ways to learn.” Five themes emerged: Improved Confidence in Assessment Skills, Communication, Connecting Nursing Content, Peer Feedback and Interaction, and Awareness of Community Resources. Conclusion: Near-peer simulation is a beneficial teaching strategy for nursing students. [ J Nurs Educ . 2020;59(1):54–56.]

All youth are at risk for adolescent pregnancy, yet some are more at risk than others. Although risk and protective factors paradigms are certainly not new to the field, this research takes a multilevel ecological approach and seeks to specify the relative merit of individual-level factors compared to social environment factors for explaining sexual behavior. This research explores nuanced similarities and differences between youth who abstain from sex, those who are sexually active and report using contraception, and those who are sexually active and report no contraceptive use. Multivariate and logistic regression approaches highlight aspects of youths' individual characteristics and social environments that may have important influence on their sexual behavior. The regression models showed reliably predicted

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