The Teen PEP model is grounded in a multitheoretical
approach and draws upon tenets of social learning theory [5], the
health belief model [6], and principles of positive youth development
[7]. Guided by the social learning perspective, Teen PEP
peer educators model positive attitudes and reinforce the benefits
of healthy behaviors as a way of directing and changing
behavior of younger peers while offering opportunities for
practicing skills to support behavioral change.
The health belief model is based on the understanding that a
person will participate in health-related behaviors if he or she (1)
feels that an undesirable consequence (e.g., unintended pregnancy)
can be avoided; (2) expects that by taking a recommended
action, he or she can avoid the negative health
The positive youth development approach is grounded in the
belief that all students have the capacity to succeed, but in order
for students to recognize and attain their potential, they need
safety, structure, supportive relationships, opportunities to
belong, skill building, and self-efficacy. A core premise of youth
development programming is that young people gain more from
an experience when they are actively involved [8]. Opportunities
are continually provided for participants to develop and practice
new skills as they learn to work together as a cohesive group. The
skills taught in Teen PEP are not only essential for successfully
navigating adolescence but are skills that will become lifetime
assets. Participants articulate and clarify their values, learn how
to make informed decisions, and learn how to set and achieve