Improving Sexual Risk Communication With Adolescents Using Event History Calendars

Kristy K. Martyn, Cynthia Darling-Fisher, Michelle Pardee, David L. Ronis, Irene L. Felicetti, Melissa A. Saftner

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


This study was conducted to explore the effects of an event history calendar (EHC) approach on adolescent sexual risk communication and sexual activity. Adolescent school-linked health clinic patients (n = 30) who reported sexual activity self-administered the EHC that was used by nurse practitioners (NPs; n = 2) during a clinic visit. Immediately pre- and post-visit, and at 1 and 3 months, adolescents reported sexual risk behaviors and perceptions about EHC communication on questionnaires and by interview. NPs reported their perceptions of EHCs by questionnaire after the visit and poststudy interview. The EHC approach facilitated communication and adolescent awareness of their risk behaviors. Scores increased on Amount of Communication, t(29) = 8.174, p < .001; Satisfaction with Communication, t(29) = 3.112, p = .004; Client Involvement in Decision Making, t(29) = 3.901, p = .001, and Client Satisfaction with Interpersonal Style, t(29) = 3.763, p = .001. Adolescents reported decreased sexual intercourse at 1 month, p = .031. School nurses could use the EHC approach to facilitate adolescent communication and tailoring of interventions.

Original languageEnglish (US)
Pages (from-to)108-115
Number of pages8
JournalJournal of School Nursing
Issue number2
StatePublished - Apr 2012
Externally publishedYes

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: National Institutes of Health and National Institute of Nursing Research, The Michigan Center for Health Intervention, P30 NR009000.


  • adolescent
  • school-based clinics
  • screening/risk identification
  • sexual risk prevention


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