A Cluster-Randomized Trial of Getting To Outcomes' Impact on Sexual Health Outcomes in Community-Based Settings.
A Cluster-Randomized Trial of Getting To Outcomes' Impact on Sexual Health Outcomes in Community-Based Settings.
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DOI：
10.1007/s11121-017-0845-6
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发表时间：
2018-05
期刊：
影响因子：
--
通讯作者：
Slaughter ME
中科院分区：
文献类型：
--
作者：
Chinman M;Acosta J;Ebener P;Malone PS;Slaughter ME
与其他发达国家相比，美国的青少年怀孕率很高。许多以社区为基础的组织需要帮助，适当地开展以证据为基础的青少年怀孕预防计划（EBP）。这项研究评估了旨在帮助这些组织的实施支持干预措施的影响，称为取得成果（GTO）。这项随机对照试验比较了16个男孩和女孩俱乐部（BGC）实施为期两年的青少年怀孕预防EBP，称为“做出自豪的选择”，16个BGC实施MPC，并通过GTO培训，工具和技术援助进行增强。比较了参与的中学生的近端结果（从基线到后的性和安全套的知识，态度和意图）和性行为（从基线到6个月随访的性和安全套使用频率）。在第1年，GTO对任何近端结局均无显著影响。在GTO刺激的质量改进后，在第二年，GTO组的安全套态度和使用意愿的改善显着。在这两年内，两组之间的性行为和安全套使用频率没有差异;然而，样本中这些行为的基本比率非常低。研究结果表明，在典型的社区为基础的设置，详细的手册和培训常见的结构化EBP可能足以产生一些关键的近端结果的改善，但需要更系统的实施支持，以实现更大的改善这些结果。在许多社区使用GTO，目前得到各联邦机构的支持，可以通过改善安全套态度和使用意愿来产生公共卫生影响。
The U.S. has high teen pregnancy rates compared to other developed nations. Many community-based organizations need assistance conducting evidence-based teen pregnancy prevention programs (EBPs) appropriately. This study evaluated the impact of an implementation support intervention called Getting To Outcomes (GTO) designed to help such organizations. This cluster randomized controlled trial compared 16 Boys & Girls Clubs (BGCs) implementing a teen pregnancy prevention EBP called Making Proud Choices for two years, with 16 BGCs implementing MPC augmented with GTO training, tools, and technical assistance. Participating middle school youth were compared on proximal outcomes (knowledge, attitudes, and intentions about sex and condoms from Baseline to Post) and sexual behaviors (frequency of sex and condom use, from Baseline to 6-month Follow-up). In Year 1, there were no significant effects of GTO for any proximal outcome. After GTO-stimulated quality improvement in Year 2, the GTO group improved significantly more on condom attitudes and use intentions. Frequency of sex and condom use did not differ between the two groups in either year; however base rates of these behaviors in the sample were very low. Findings suggest that in typical community-based settings, detailed manuals and training common to structured EBPs may be sufficient to yield some improvement in key proximal outcomes, but that more systematic implementation support is needed to achieve greater improvement in these outcomes. Using GTO with many communities, as currently supported by various federal agencies, could yield public health impact via improvements in condom attitudes and use intentions.
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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
作者：
Kuklinski MR;Fagan AA;Hawkins JD;Briney JS;Catalano RF
通讯作者：
Catalano RF
DOI：
10.1097/01.qai.0000019980.12814.df
发表时间：
2002-07-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Mullen, PD;Ramírez, G;Sogolow, E
通讯作者：
Sogolow, E
影响因子：
12.7
作者：
Glasgow, Russell E.;Vinson, Cynthia;Hunter, Christine
通讯作者：
Hunter, Christine
影响因子：
3.1
作者：
Lewis, Kelly M.;Lesesne, Catherine A.;Green, Diane C.
通讯作者：
Green, Diane C.