A Technology-Based Training Tool for a Health Promotion and Sex Education Program for Justice-Involved Youth: Development and Usability Study.
A Technology-Based Training Tool for a Health Promotion and Sex Education Program for Justice-Involved Youth: Development and Usability Study.
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DOI：
10.2196/31185
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发表时间：
2021-09-30
影响因子：
2.2
通讯作者：
Leve C
中科院分区：
文献类型：
--
作者：
Snow-Hill NL;Donenberg G;Feil EG;Smith DR;Floyd BR;Leve C
参与司法的青年特别容易受到心理健康困扰，药物滥用和危险的性活动，扩大了对循证方案（EBP）的需求。然而，在司法系统中采用循证优先事项是一项挑战，因为工作人员培训在时间和精力上都很昂贵。因此，尽管有电子商务方案，但涉及司法的青年的健康差距越来越大。为了应对这些挑战，本研究开发和试点测试的原型技术为基础的培训工具，教导少年司法工作人员提供一个独特的定制EBP司法参与青年PHAT（预防艾滋病毒/艾滋病在青少年）生活。PHAT Life是一个全面的性教育，心理健康和物质使用EBP合作设计和测试与关键利益相关者和社区成员的指导。该培训工具解决了妨碍采用和维持循证业务的执行障碍，包括工作人员培训以及支助和执行费用。来自两个少年司法机构的工作人员（n=11）对基于技术的培训工具进行了试点测试，该工具包括五个模块。参与者完成了艾滋病毒和性传播感染（STI）的知识，性教育的信心和实施成果，如培训满意度，通过，实施，可接受性，适当性和可持续性的措施。PHAT Life的培训师通过两个活动角色扮演来评估参与者在完成培训模块后提交的忠诚度。参与者表现出艾滋病毒和性传播感染知识的增加（t10=3.07; P= 0.01），并非常满意（平均4.42，SD 0.36）与培训工具和PHAT生活课程。他们认为，培训工具和课程可以在其环境中作为适当和可接受的干预和培训加以采用、实施和维持。总的来说，这项试点测试的结果证明了可行性，并支持继续努力完成培训工具，并在一项完全有效的随机对照试验中对其进行评估。最终，这项研究将提供一个可扩展的选择，传播EBP，并提供一个更具成本效益和可持续的方式来培训工作人员在EBP。
Justice-involved youth are especially vulnerable to mental health distress, substance misuse, and risky sexual activity, amplifying the need for evidence-based programs (EBPs). Yet, uptake of EBPs in the justice system is challenging because staff training is costly in time and effort. Hence, justice-involved youth experience increasing health disparities despite the availability of EBPs. To counter these challenges, this study develops and pilot-tests a prototype of a technology-based training tool that teaches juvenile justice staff to deliver a uniquely tailored EBP for justice-involved youth—PHAT (Preventing HIV/AIDS Among Teens) Life. PHAT Life is a comprehensive sex education, mental health, and substance use EBP collaboratively designed and tested with guidance from key stakeholders and community members. The training tool addresses implementation barriers that impede uptake and sustainment of EBPs, including staff training and support and implementation costs. Staff (n=11) from two juvenile justice settings pilot-tested the technology-based training tool, which included five modules. Participants completed measures of HIV and sexually transmitted infection (STI) knowledge, sex education confidence, and implementation outcomes such as training satisfaction, adoption, implementation, acceptability, appropriateness, and sustainability. PHAT Life trainers assessed fidelity through two activity role plays participants submitted upon completing the training modules. Participants demonstrated increases in HIV and STI knowledge (t10=3.07; P=.01), and were very satisfied (mean 4.42, SD 0.36) with the training tool and the PHAT Life curriculum. They believed that the training tool and curriculum could be adopted, implemented, and sustained within their settings as an appropriate and acceptable intervention and training. Overall, the results from this pilot test demonstrate feasibility and support continuing efforts toward completing the training tool and evaluating it within a fully powered randomized controlled trial. Ultimately, this study will provide a scalable option for disseminating an EBP and offers a more cost-effective and sustainable way to train staff in an EBP.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
3.1
作者：
Belenko, Steven;Dembo, Richard;Childs, Kristina
通讯作者：
Childs, Kristina
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：
5.9
作者：
Aalsma, Matthew C.;Wiehe, Sarah E.;Rosenman, Marc B.
通讯作者：
Rosenman, Marc B.