Evaluation of Talking Parents, Healthy Teens, a new worksite based parenting programme to promote parent-adolescent communication about sexual health: randomised controlled trial.
Evaluation of Talking Parents, Healthy Teens, a new worksite based parenting programme to promote parent-adolescent communication about sexual health: randomised controlled trial.
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DOI：
10.1136/bmj.39609.657581.25
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发表时间：
2008-07-10
影响因子：
105.7
通讯作者：
Klein, David J.
中科院分区：
文献类型：
--
作者：
Schuster, Mark A.;Corona, Rosalie;Elliott, Marc N.;Kanouse, David E.;Eastman, Karen L.;Zhou, Annie J.;Klein, David J.
目的评价一项以工作场所为基础的亲职教育计划-“健康青少年-家长对话”，旨在帮助家长学习如何与青少年儿童一起解决性健康问题。随机对照试验（2002年4月-2005年12月）。在南加州设置了13个工作地点。参与者569名父母在工作中完成了基线调查，允许将机密调查发布给他们的青少年子女，并随机分配到干预组或对照组。家长和青少年完成了后续调查，在一个星期，三个月，九个月后的方案。干预父母，健康的青少年包括八个每周一小时的会议在工作场所的青少年儿童的父母在6 - 10年级（约11-16岁）。主要观察指标：父母与青少年就一系列性话题进行沟通;父母是否教青少年如何使用安全套;父母/青少年就性问题进行沟通的能力;父母与青少年就性问题进行沟通的开放性。结果干预组和对照组在基线和每次随访期间父母和青少年报告讨论的新的性话题的平均数量上存在显著差异（P<0.001）;与对照组相比，干预组的父母不太可能讨论任何新话题（8%对29%，差异的95%置信区间为16%至24%），更有可能在9个月时讨论7个或更多的新主题（38%对8%，19%至41%）。在项目完成后，一些差异有所增加：在项目结束后一周，干预组中18%的青少年和对照组中3%的青少年（6%至30%）表示，他们的父母自基线以来已经回顾了如何使用避孕套（P<0.001）;在9个月时，这一比例上升到29%对5%（13%至36%）（P<0.001）。与对照组相比，9个月时，干预组的父母和青少年报告了更强的性沟通能力（P<0.001）和更开放的性沟通（P<0.001）。结论工作场所为基础的方案可以有很大的影响，家长和青少年之间的沟通有关性健康。临床试验NCT 00465010的试验注册。
Objective To evaluate a worksite based parenting programme—Talking Parents, Healthy Teens—designed to help parents learn to address sexual health with their adolescent children. Design Randomised controlled trial (April 2002-December 2005). Setting 13 worksites in southern California. Participants 569 parents completed baseline surveys at work, gave permission for confidential surveys to be posted to their adolescent children, and were randomised to intervention or control groups. Parents and adolescents completed follow-up surveys at one week, three months, and nine months after the programme. Intervention Talking Parents, Healthy Teens consists of eight weekly one hour sessions at worksites for parents of adolescent children in 6th-10th grade (about ages 11-16 years). Main outcome measures Parent-adolescent communication about a list of sexual topics; whether parent taught adolescent how to use a condom; ability to communicate with parent/adolescent about sex; openness of parent-adolescent communication about sex. Results Differences between intervention and control groups were significant for the mean number of new sexual topics that parents and adolescents reported discussing between baseline and each follow-up (P<0.001 for each); intervention parents were less likely than controls to discuss no new topics (8% v 29%, 95% confidence interval for difference 16% to 24%) and more likely to discuss seven or more new topics (38% v 8%, 19% to 41%) at nine months. Some differences increased after completion of the programme: at one week after the programme, 18% of adolescents in the intervention group and 3% in the control group (6% to 30%) said that their parents had reviewed how to use a condom since baseline (P<0.001); this grew to 29% v 5% (13% to 36%) at nine months (P<0.001). Compared with controls at nine months, parents and adolescents in the intervention group reported greater ability to communicate with each other about sex (P<0.001) and more openness in communication about sex (P<0.001). Conclusions A worksite based programme can have substantial effects on communication between parents and adolescents about sexual health. Trial registration Clinical Trials NCT00465010.
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影响因子：
2
作者：
JARQUE, CM;BERA, AK
通讯作者：
BERA, AK
影响因子：
7.6
作者：
Kirby, DB;Baumler, E;Banspach, SW
通讯作者：
Banspach, SW
影响因子：
5.8
作者：
Stone, N;Ingham, R
通讯作者：
Ingham, R
影响因子：
7.6
作者：
Hutchinson, MK;Jemmott, JB;Fong, GT
通讯作者：
Fong, GT
影响因子：
2
作者：
Jaccard, J;Dittus, PJ;Gordon, VV
通讯作者：
Gordon, VV