Efficacy of a Web-Based Intervention (Smart Choices 4 Teens) for Facilitating Parent-Adolescent Communication About Relationships and Sexuality: Randomized Controlled Trial.
Efficacy of a Web-Based Intervention (Smart Choices 4 Teens) for Facilitating Parent-Adolescent Communication About Relationships and Sexuality: Randomized Controlled Trial.
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DOI：
10.2196/19114
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发表时间：
2021-06-15
影响因子：
3.7
通讯作者：
Grube JW
中科院分区：
文献类型：
--
作者：
Bourdeau B;Miller BA;Byrnes HF;Woodall WG;Buller DB;Grube JW
有必要采取干预措施，促进青少年做出健康的决策，并利用父母关系对青少年和青年的持续影响。这些干预措施应最大限度地提高青少年的参与度，并在费用、持续时间和与参与有关的后勤方面方便家庭使用。 本研究旨在测试健康的关系和性决策组件的基于网络的干预大龄青少年及其父母的有效性，确定是否因性别而异的功效，并评估其随着时间的推移的功效。 2014年至2015年，对基于网络的自定进度干预Smart Choices 4 Teens进行了随机对照试验。有16-17岁青少年的家庭（N=411）被随机分配到干预或对照组。在基线和6、12和18个月时进行性交流方面的调查评估。广义估计方程被用来确定暴露于父母的性沟通干预的关系组成部分的影响，青少年报告。 不到一半（88/206，42.7%）的干预组参加了第三次也是最后一次干预，重点是关系和性决策。在考虑了其他重要的青少年特征后，参与关系部分增加了父母性交流的频率，并增加了约会规则的数量。干预措施的影响在性别上差别不大，尽管它确实显示出对后续调查管理的传播报告的影响。Smart Choices 4 Teens在长期增加父母和青少年之间的性交流频率方面表现出有效性。ClinicalTrials.gov NCT03521115; https://clinicaltrials.gov/ct2/show/NCT03521115
There is a need for interventions that promote healthy decision making among adolescents and leverage the ongoing impact of parental relationships through older adolescence and young adulthood. These interventions should maximize adolescent engagement and be easily accessible to families in terms of cost, duration, and logistics related to participation. This study aims to test the efficacy of the healthy relationships and sexual decision-making component of a web-based intervention for older adolescents and their parents, ascertain whether the efficacy varies by gender, and assess its efficacy over time. A randomized controlled trial was conducted for the web-based, self-paced intervention Smart Choices 4 Teens from 2014 to 2015. Families (N=411) with adolescents aged 16-17 years were randomly assigned to the intervention or control condition. Surveys assessing aspects of sexual communication were administered at baseline and at 6, 12, and 18 months. Generalized estimating equations were used to determine the impact of exposure to the relationships component of the intervention on sexual communication by parents, as reported by adolescents. Less than half (88/206, 42.7%) of the intervention group participated in the third and final intervention component, which was focused on relationships and sexual decision making. Participation in the relationships component increased the frequency of parental sexual communication and increased the number of dating rules after accounting for other significant adolescent characteristics. The impact of the intervention varied little by gender, although it did demonstrate an impact on communication reports over the follow-up survey administrations. Smart Choices 4 Teens demonstrated efficacy in increasing the frequency of sexual communication between parents and adolescents in the long term. ClinicalTrials.gov NCT03521115; https://clinicaltrials.gov/ct2/show/NCT03521115
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影响因子：
7.4
作者：
Drost RM;Paulus AT;Jander AF;Mercken L;de Vries H;Ruwaard D;Evers SM
通讯作者：
Evers SM
影响因子：
4.5
作者：
Bayley JE;Brown KE
通讯作者：
Brown KE
影响因子：
8.3
作者：
Certo, S. Trevis;Busenbark, John R.;Semadeni, Matthew
通讯作者：
Semadeni, Matthew
影响因子：
5
作者：
FOSHEE, V;BAUMAN, KE
通讯作者：
BAUMAN, KE
DOI：
10.2307/2673750
发表时间：
2001-03-01
期刊：
FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Blake, SM;Simkin, L;Calabrese, JM
通讯作者：
Calabrese, JM