PREP Performance Measures Fact Sheet: 2022–2023

Publication Date: January 28, 2026
Cover page PREP Performance Measures 2022-2023

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  • Published: 2026

Introduction

Research Questions

  1. How did grant recipients operate and support PREP programs?
  2. What were the characteristics of PREP programs?
  3. Whom did PREP programs serve?
  4. How did youth respond to the PREP programs?

The goal of the Personal Responsibility Education Program (PREP) is to educate adolescents on (1) both abstinence and contraception to prevent pregnancy and sexually transmitted infections, including HIV/AIDS, and (2) adulthood preparation subjects. PREP is administered by the Family and Youth Services Bureau (FYSB) in the Administration for Children and Families, U.S. Department of Health and Human Services. 

All PREP grant recipients are required to submit performance measures data to FYSB. The data provide systematic information about program operations and outcomes for all PREP grant recipients, their provider organizations, the programs they operate, and the youth they serve. The performance measures help answer the following questions: 

  1. How did grant recipients operate and support PREP programs?
  2. What were the characteristics of PREP programs?
  3. Whom did PREP programs serve?
  4. How did youth respond to the PREP programs?

Purpose

This fact sheet summarizes findings based on performance measures submitted by PREP grant recipients for 2022—2023.

Key Findings and Highlights

  • In 2022—2023 PREP funded 96 grant recipients and 380 program providers. Providers operated 467 programs with 1,514 facilitators and served 96,444 youth during the period.
  • The program models that served the most youth were Making Proud Choices! and Draw the Line/Respect the Line.
  • PREP grant recipients must address at least three of six adulthood preparation subjects (APSs). Programs most commonly addressed healthy relationships, healthy life skills, and adolescent development.
  • Most participants (82 percent) attended PREP programming during the school day, and just 2 percent attended virtually.
  • More than three-quarters of youth participants completed at least 75 percent of the intended programming hours.
  • PREP programs served diverse populations of youth.
  • Nearly one-third of high-school-age and older youth reported having ever had sex before starting PREP programming.
  • At program exit, half of high-school-age and older youth planned to abstain from sex for at least the next three months as a result of participating in PREP.
  • At program exit, most youth reported positive perceptions of the PREP programs.

Methods

This fact sheet is based on measures PREP grant recipients submitted for 2022—2023. Grant recipients submit data on PREP performance measures at four levels: (1) grant recipient, (2) provider, (3) program, and (4) participant. Participant-level data are collected from surveys administered to individual youth at program entry and exit. Analyses in this fact sheet are based on combined findings across grant recipients, providers, programs, and participants.

Grant recipients use a web-based system to submit performance measures to FYSB. Performance measures on structure, cost, and support for program implementation are submitted annually. Other measures—such as attendance, reach, and dosage, and measures of youth participants’ characteristics and experiences in PREP—are submitted twice a year. 

Citation

Hunter, Katie, and Lara Hulsey (2024). PREP Performance Measures Fact Sheet: 2022—2023 OPRE Report #2024-075, Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.

Glossary

PREP:
Personal Responsibility Education Program
FYSB:
Family and Youth Services Bureau
APS:
Grant recipients were required to incorporate activities related to at least three adulthood preparation subjects (APSs): (1) healthy relationships, (2) adolescent development, (3) healthy life skills, (4) parent-child communication, (5) educational and career success, and (6) financial literacy.
STI:
Sexually transmitted infection