Our findings suggest that the peer-led comprehensive sexual health education approach embodied in Teen PEP can be an important educational mechanism for teaching students information and skills to promote sexual health.

Teen PEP developers have been able to successfully adapt and replicate it in North Carolina, in settings that need sexual health education services for youth both because of the paucity of existing services in many areas and because of the evidence of risk in the form of high rates of pregnancy and sexually transmitted infections, including human immunodeficiency virus or AIDS in youth 15-19 years of age. Youth reported benefits across a range of social and sexual health-related areas.

The Advanced Health Communication (AHC) Simulation models a subdivision of an actual campus organization, the Communication and Health Issues Partnership for Education and Research (CHI). To address dangerous drinking at Rutgers University, CHI created a dangerous-drinking prevention campaign, RU SURE? and designed the AHC simulation for students to participate centrally in the campaign. The simulation was incorporated into an advanced course in health communication. The three major sets of activities in the AHC simulation are (a) the design and pilot testing of campaign messages and materials, (b) the implementation of the campaign, and (c) the evaluation of the campaign. The simulation provides a structure in which students learn about a set of behavioral processes regarding campaign design and organizational behavior on the macrolevel while learning about their drinking-related behaviors on the microlevel. Participants reported learning about working in a complex organization, designing and implementing a prevention campaign, and decreasing their own drinking-related perceptions and behaviors.

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Schools are a logical and important setting for conducting programs aimed at preventing a myriad of problems among youth, including tobacco use (