Participation is also associated with positive changes in the participants’ behavioral intentions and self-efficacy regarding condom use and the refusal of sex. Results of the big decisions program and the making proud choices program are similar (Realini et al.). Although Big Decisions was implemented in a high-risk, predominantly Hispanic, youth population, it was effective in improving attitudes about abstinence STDs, Sexual pressure, and contraception just like the Making Proud Choices program (Realini et al.). Similar to MPC, Participation in the Big Decision Program appeared to increase intentions to abstain and to use condoms if sexually active (Realini et