Social network recruitment for Yo Puedo: an innovative sexual health intervention in an underserved urban neighborhood—sample and design implications.
Social network recruitment for Yo Puedo: an innovative sexual health intervention in an underserved urban neighborhood—sample and design implications.
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Yo Puedo 的社交网络招募：在服务不足的城市社区中进行创新性健康干预——样本和设计意义。
DOI：
10.1007/s10935-014-0375-y
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Padian,NancyS
中科院分区：
文献类型：
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作者：
Minnis,AlexandraM;vanDommelen-Gonzalez,Evan;Luecke,Ellen;Cheng,Helen;Dow,William;Bautista-Arredondo,Sergio;Padian,NancyS
大多数现有的基于证据的性健康干预措施都侧重于个人层面的行为，尽管有大量证据强调社会环境在塑造青少年行为和生殖健康结果方面的影响作用。我们开发了 Yo Puedo，这是一项针对青少年的有条件现金转移和生活技能干预相结合的项目，旨在提高教育程度、职业培训和生殖健康，然后我们在加利福尼亚州旧金山一个以拉丁裔为主的社区的 162 名 16-21 岁青少年中评估了该项目的可行性。该干预措施针对青年的社交网络，涉及小型社交网络集群的招募和随机化。在本文中，我们描述了可行性研究的设计并报告了参与者的基线特征。此外，我们还研究了招募社交网络集群作为随机化单位的样本和设计含义。基线数据证明我们在社区和学校环境中使用社交网络招募方法成功招募了高风险青少年。根据社会经济地位低下 (81%) 和/或报告的高风险行为（例如，加入帮派、既往怀孕、近期无保护性行为、频繁吸毒；62%）的多种衡量标准，几乎所有参与者 (95%) 都存在不良教育和生殖健康结果的高风险。我们通过招募指标参与者的异质性实现了研究样本的可变性，而亲密朋友的小型社交网络中的个体在社会人口统计学和风险概况特征方面表现出实质性的同质性。社交网络招募是可行的，并且产生了愿意参加随机研究以评估新型性健康干预措施的高风险青少年样本。
Most existing evidence-based sexual health interventions focus on individual-level behavior, even though there is substantial evidence that highlights the influential role of social environments in shaping adolescents’ behaviors and reproductive health outcomes. We developedYo Puedo, a combined conditional cash transfer and life skills intervention for youth to promote educational attainment, job training, and reproductive health wellness that we then evaluated for feasibility among 162 youth aged 16–21 years in a predominantly Latino community in San Francisco, CA. The intervention targeted youth’s social networks and involved recruitment and randomization of small social network clusters. In this paper we describe the design of the feasibility study and report participants’ baseline characteristics. Furthermore, we examined the sample and design implications of recruiting social network clusters as the unit of randomization. Baseline data provide evidence that we successfully enrolled high risk youth using a social network recruitment approach in community and school-based settings. Nearly all participants (95 %) were high risk for adverse educational and reproductive health outcomes based on multiple measures of low socioeconomic status (81 %) and/or reported high risk behaviors (e.g., gang affiliation, past pregnancy, recent unprotected sex, frequent substance use; 62 %). We achieved variability in the study sample through heterogeneity in recruitment of the index participants, whereas the individuals within the small social networks of close friends demonstrated substantial homogeneity across sociodemographic and risk profile characteristics. Social networks recruitment was feasible and yielded a sample of high risk youth willing to enroll in a randomized study to evaluate a novel sexual health intervention.