Adherence to a reproductive health intervention for young adults with sickle cell.
Adherence to a reproductive health intervention for young adults with sickle cell.
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坚持对患有镰状细胞的年轻人进行生殖健康干预。
DOI：
10.1097/jxx.0000000000000997
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发表时间：
2024
影响因子：
1.2
通讯作者：
Wilkie,DianaJ
中科院分区：
文献类型：
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作者：
Eades-Brown,NyemaT;Oguntoye,AnneO;Aldossary,Dalal;Ezenwa,MiriamO;Duckworth,Laurie;Dede,Duane;Johnson-Mallard,Versie;Yao,Yingwei;Gallo,Agatha;Wilkie,DianaJ
背景：CHOICES干预措施专门针对患有镰状细胞病（SCD）或镰状细胞性状（SCT）的年轻人。面对面（F2F）的交付格式是可行的，有效地提高对生殖健康的知识，为那些与SCD或SCT.Purpose：本研究的目的是比较参与者坚持远程在线的选择干预研究（N= 107）和F2F的选择干预研究（N= 234）。方法：在这两项研究中，参与者与SCD或SCT被随机分为实验或常规护理对照组。在两项研究中，按组收集了所有参与者的描述性统计量。在每个数据收集时间点通过保留来测量依从性。进行独立t检验以比较基线后（6、12、18和24个月）F2F和在线研究的平均参与者依从性。005）。结果表明，更多的研究是必要的，适当的在线参与者retention.Conclusion：先进的实践护士，是很好地了解选择可以传输这种基于证据的干预措施，以这个特殊的人群的可用性。特别转介的选择干预，这是专门为年轻的成年人与SCD或SCT，可能会增加坚持干预，如果它来自值得信赖的health care providers.Implications：护士从业者是教育工作者在初级和急性护理设置。在这两种情况下都可能遇到患有SCD或SCT的育龄人群。
Background:The CHOICES intervention is tailored specifically for young adults with sickle cell disease (SCD) or sickle cell trait (SCT). The face-to-face (F2F) delivery format is feasible with efficacy for improving knowledge about reproductive health for those with SCD or SCT.Purpose:The purpose of the study was to compare the participant adherence to a remote online CHOICES intervention study (N= 107) and a F2F CHOICES intervention study (N= 234).Methodology:In both studies, participants with SCD or SCT were randomized into experimental or usual care control groups. Descriptive statistics were collected for all participants by group in both studies. Adherence was measured by retention at each data collection time point. Independent t-tests were conducted to compare mean participant adherence of the F2F and online studies postbaseline (6, 12, 18, and 24 months).Results:There was a significant difference in mean adherence postbaseline between the studies (p=. 005). The results suggest that more research is necessary for proper online participant retention.Conclusion:Advance practice nurses that are well informed on CHOICES can transmit the availability of this evidence-based intervention to this special population. Special referral for the CHOICES intervention, which is tailored specifically for young adults with SCD or SCT, may increase adherence to the intervention if it comes from trusted health care providers.Implications:Nurse practitioners are educators in primary and acute care settings. Encounters with reproductive age populations with SCD or SCT can occur in both settings.