It's unclear from this summary whether the intervention group's program was in addition to or in lieu of the standard health education curriculum that the contr

It's unclear from this summary whether the intervention group's program was in addition to or in lieu of the standard health education curriculum that the control group had. Either option could be problematic - adding an additional assignment on top of all the regular work would presumably lead to worse academic performance and increased stress; whereas dropping the standard curriculum might mean the girls weren't being as well educated about birth control and related topics. At the end of the day shoving stuff into a curriculum is always going to have issues so it can't be isolated from the rest of the study, but it does raise the question of whether this study has shown infant simulator programs to generally be counterproductive, or just this particular program implementation.