Promoting Adolescent Healthy Relationships (The About Us Program): Protocol for a Randomized Clinical Trial.
Promoting Adolescent Healthy Relationships (The About Us Program): Protocol for a Randomized Clinical Trial.
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DOI：
10.2196/30499
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发表时间：
2021-09-01
影响因子：
1.7
通讯作者：
Walsh-Buhi E
中科院分区：
文献类型：
--
作者：
Anderson P;Coyle K;Guinosso S;Ferrand JL;Owora A;Houghton RF;Walsh-Buhi E
恋爱关系在青春期的发展中起着至关重要的作用，到青春期中期，大多数年轻人都至少参与了一段浪漫关系，而大多数性行为都发生在这个背景下。研究表明，青少年缺乏与建立健康关系相关的积极模式和技能。该项目旨在通过一项随机对照试验，测试一项名为《关于我们》的创新健康关系干预措施的影响，该干预措施在加利福尼亚州的学校健康中心(SBHCs)实施。正在使用7个地点、2组平行随机对照试验进行测试，治疗与对照分配比为3：2，以评估干预措施对14至18岁青少年护理标准的影响。父母积极同意的青少年在3个调查时间点提供研究同意：基线、干预后3个月和干预后9个月。采用分层随机化程序确保各干预组间关键协变量和筛查标准的平衡。通过基准意向治疗分析，我们将检验这项研究的主要结果--干预结束9个月后，关于我们相对于护理标准对过去3个月未使用避孕套的阴道或肛门性行为流行率的影响。次要结果有四个方面：干预结束后3个月和9个月，与护理标准相比，关于我们的影响是什么，对(1)过去3个月内阴道或肛交禁欲的流行率，(2)基线关系参与者之间的关系沟通和积极冲突解决的综合得分，(3)过去3个月SBHC服务使用或信息接收的流行率，以及(4)避孕套使用意向和对避孕套和其他节育措施的态度的综合得分？此外，作为我们敏感性分析的一部分，将实施两项额外的分析：修改的治疗意图分析和完整的病例分析。该项目(ClinicalTrials.gov#NCT03736876)于2016年由家庭青年服务局资助，作为个人责任教育创新战略计划的一部分。基线数据收集是在2018年2月至2020年3月期间进行的，总共产生了5个队列和533名研究参与者：316人被分配到治疗组，217人被分配到对照组。持续的后续数据收集一直持续到2021年5月。关于我们利用发展科学创建一个与背景和发展相关的计划，解决性决策中的动机和情感影响。这项干预是为在SBHCs内实施而设计的，SBHCs是一个未被充分研究的关系和性健康促进干预的场所。不幸的是，新冠肺炎大流行限制导致学校停课，中断了正在进行的规划和面对面的后续数据收集，这已经影响了研究人员的流失。ClinicalTrials.gov NCT03736876；https://clinicaltrials.gov/ct2/show/NCT03736876 dr1-10.2196/30499
Romantic relationships play a critical role in adolescent development, and by middle adolescence, most young people have been involved in at least one romantic relationship, a context in which most sexual interactions occur. Research suggests adolescents lack positive models and skills related to building healthy relationships. This project aims to test the impact of an innovative healthy relationships intervention, called About Us, implemented in school-based health centers (SBHCs) in California in a randomized controlled trial. About Us is being tested using a 7-site, 2-group, parallel randomized controlled trial with a treatment versus control allocation ratio of 3:2 to assess the impact of the intervention relative to the standard of care among adolescents aged 14 to 18 years. Adolescents with active parental consent provide study assent at each of the 3 survey time points: baseline, 3 months postintervention, and 9 months postintervention. A stratified randomization procedure was used to ensure balance in key covariates and screening criteria across intervention groups. Through benchmark intent-to-treat analyses, we will examine the primary outcome of this study—the impact of About Us relative to the standard of care 9 months following the end of the intervention on the prevalence of vaginal or anal sex without condoms in the past 3 months. The secondary outcomes are four-fold: what is the impact of About Us relative to the standard of care 3 and 9 months following the end of the intervention, on (1) the prevalence of abstinence from vaginal or anal sex in the past 3 months, (2) composite scores of relationship communication and positive conflict resolution among participants involved in a relationship at baseline, (3) the prevalence of SBHC service use or information receipt in the past 3 months, and (4) composite scores of condom use intentions and attitudes regarding condoms and other birth control? Additionally, as part of our sensitivity analyses, two additional analyses will be implemented: modified intent-to-treat and complete case analysis. This project (ClinicalTrials.gov #NCT03736876) was funded in 2016 through the Family Youth Services Bureau as part of the Personal Responsibility Education Innovative Strategies program. Baseline data collection took place between February 2018 and March 2020, yielding a total of 5 cohorts and 533 study participants: 316 assigned to treatment and 217 assigned to control. Ongoing follow-up data collection continued through May 2021. About Us draws on developmental science to create a contextually and developmentally relevant program that addresses motivation and emotional influences in sexual decision-making. The intervention was designed for implementation within SBHCs, an understudied venue for relationship and sexual health promotion interventions. Unfortunately, COVID-19 pandemic restrictions led to school closures, interrupting ongoing programming, and in-person follow-up data collection, which has affected study attrition. ClinicalTrials.gov NCT03736876; https://clinicaltrials.gov/ct2/show/NCT03736876 DERR1-10.2196/30499
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影响因子：
5
作者：
Draper, SW;Brown, MI
通讯作者：
Brown, MI
影响因子：
8
作者：
Finkelhor, David;Turner, Heather;Hamby, Sherry L.
通讯作者：
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影响因子：
2.2
作者：
Fletcher, AC;Hunter, AG
通讯作者：
Hunter, AG
DOI：
10.1177/0002716203260092
发表时间：
2004-01-01
影响因子：
2.8
作者：
Damon, W
通讯作者：
Damon, W
影响因子：
3.6
作者：
Collins, WA
通讯作者：
Collins, WA