Evaluation of an Online Sexual Health Program among Adolescent Girls with Emotional and Behavioral Difficulties.
Evaluation of an Online Sexual Health Program among Adolescent Girls with Emotional and Behavioral Difficulties.
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DOI：
10.1007/s10826-019-01685-1
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发表时间：
2020-04
影响因子：
2.1
通讯作者：
Desmarais SL
中科院分区：
文献类型：
--
作者：
Kamke K;Widman L;Desmarais SL
有情绪和行为困难（EBD）的青春期女孩有更高的负面性健康风险，包括艾滋病毒，其他性传播感染（STI）和计划外怀孕。很少有基于证据的性健康干预措施可用于EBD的青春期女孩。这项研究测试了一个简短的在线性健康计划的可行性、可接受性和有效性，该计划被称为HEART（健康教育和关系培训）。从美国东南部社区组织招募的47名参与者（M年龄= 15.79; SD = 1.71; 62%黑人，23%西班牙裔）与接受注意力匹配干预的非等效对照组进行了比较。研究结果支持参与者招募和计划管理在社区为基础的设置的可行性。参与者在44分钟内完成了HEART，并经历了一些技术困难。HEART是高度可接受的：大多数参与者喜欢，学习，并参与该计划。此外，92%的人会向朋友推荐HEART，98%的人会在未来使用他们学到的东西。在后测中，干预参与者的沟通意愿、沟通技巧、STI/HIV知识、性自我效能、安全套态度和安全套规范显著高于对照组（ps < .003;效应量ds = .38-1.65）。仅在干预参与者中比较前后测得分时，观察到安全套使用意愿有显著改善，t（46）= −3.21，d = 0.47。研究结果支持的可行性，可接受性和有效性的心脏与EBD的青春期女孩在社区为基础的设置。这项研究还解决了日益增长的需求，研究性健康干预措施的可转移性，以促进有关计划传播和实施的循证决策。
Adolescent girls with emotional and behavioral difficulties (EBDs) have a heightened risk of negative sexual health, including HIV, other sexually transmitted infections (STIs), and unplanned pregnancy. Few evidence-based sexual health interventions are available for adolescent girls with EBDs. This study tested the feasibility, acceptability, and efficacy of a brief, online sexual health program called HEART (Health Education and Relationship Training). Forty-seven participants (M-age = 15.79; SD = 1.71; 62% Black, 23% Hispanic) recruited from community-based organizations in the southeastern U.S. were compared to a non-equivalent comparison group who received an attention-matched intervention. Findings support the feasibility of participant recruitment and program administration in community-based settings. Participants completed HEART in 44 minutes and experienced few technological difficulties. HEART was highly acceptable: most participants liked, learned from, and were engaged with the program. Further, 92% would recommend HEART to a friend and 98% would use what they learned in the future. At posttest, intervention participants had significantly higher communication intentions, communication skills, STI/HIV knowledge, sexual self-efficacy, condom attitudes, and condom norms than the comparison group (ps < .003; effect size ds = .38-1.65). Significant improvement in condom intentions was observed when comparing pretest to posttest scores among intervention participants only, t(46) = −3.21, d = 0.47. Findings support the feasibility, acceptability, and efficacy of HEART among adolescent girls with EBDs in community-based settings. This study also addresses the growing need for research into the transferability of sexual health interventions to facilitate evidence-based decision-making about program dissemination and implementation.
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DOI：
10.1111/bjep.12192
发表时间：
2018-09
期刊：
The British journal of educational psychology
影响因子：
--
作者：
Burnette JL;Russell MV;Hoyt CL;Orvidas K;Widman L
通讯作者：
Widman L
影响因子：
5.9
作者：
Barrera, Manuel, Jr.;Castro, Felipe G.;Strycker, Lisa A.;Toobert, Deborah J.
通讯作者：
Toobert, Deborah J.
影响因子：
4.4
作者：
Bauermeister JA;Pingel ES;Jadwin-Cakmak L;Harper GW;Horvath K;Weiss G;Dittus P
通讯作者：
Dittus P
影响因子：
3.8
作者：
Brown, Larry K.;Hadley, Wendy;Oster, Danielle
通讯作者：
Oster, Danielle
影响因子：
8
作者：
Gaskin, Gregory L.;Longhurst, Christopher A.;Anoshiravani, Arash
通讯作者：
Anoshiravani, Arash