Adolescents often make decisions that negatively impact their health and wellness. They do this for many reasons including impulsivity, underdeveloped communication and coping skills, feelings of invincibility, and a perceived lack of support. In adolescents, how does education and training related to risky behaviors compared to no education affect knowledge, skills, and understanding (KSU) of high-risk behaviors three months after instruction? Thirteen peer- reviewed articles were utilized in the body of evidence. A curriculum-based intervention was implemented. Outcomes include an overall increase in KSU in six key concepts including contraception, substances abuse, sexually transmitted diseases/infections, teen pregnancy, peer pressure, and decision making. KSU increased from a mean score of 83 at pre-test up 10.7% to 93 at initial post-test and 5.9% up to 89 at three-month post-test. Sustainment efforts include collaboration between local nursing schools and Boys and Girls Club Big Pines.

Date of publication

Spring 4-27-2022

Document Type

DNP Scholarly Project



Persistent identifier


Committee members

Colleen Marzilli, Cheryl Parker, Lauri John, Jenifer Chilton, Barbara Haas


Doctor of Nursing Practice