Formative mixed-method multicase study research to inform the development of a safer sex and healthy relationships intervention in further education (FE) settings: the SaFE Project.
Formative mixed-method multicase study research to inform the development of a safer sex and healthy relationships intervention in further education (FE) settings: the SaFE Project.
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形成性混合方法多案例研究，旨在为继续教育 (FE) 环境中安全性行为和健康关系干预的发展提供信息：SaFE 项目。
DOI：
10.1136/bmjopen-2018-024692
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发表时间：
2019
期刊：
影响因子：
2.9
通讯作者：
Young H
中科院分区：
文献类型：
--
作者：
Young H
目的性健康包括愉快、安全、没有强迫、歧视和暴力的性体验。在英国，许多年轻人的经历不符合这一定义。本研究旨在为那些在继续教育（FE）环境中学习的16-19岁的人提供更安全的性行为和健康关系干预的信息。方法多病例研究探讨了是否以及如何在一个单一的干预措施中实施四个组成部分。设置英格兰和威尔士的六个FE设置和一个性健康慈善机构在2015年10月至7月期间参加。134 FE学生和44 FE工作人员，11 FE经理和12性健康慈善工作人员的采访，首先探讨了四个候选干预组件是否可以接受，并可以持续实施。然后，对2105名学生和163名工作人员进行了一项电子调查，研究了第一阶段入围的组件的潜在吸收和可接受性。通过对其他环境中有效干预措施的回顾，确定了四个候选干预措施组成部分，可以促进16-19岁人群的安全性行为和健康关系：1）学生领导的性健康行动小组; 2）现场性健康和关系服务; 3）工作人员保障培训有关性健康和关系和4）性和关系education.ResultsOn-site性健康和关系服务和工作人员保障培训有关性健康和关系的关键差距，目前FE提供和欢迎的工作人员，学生和卫生专业人员。性和关系的教育和学生为主导的性健康行动组被认为是不可接受的。ConclusionsThe安全的干预，包括现场性健康和关系的服务和工作人员保障培训在FE设置，可能有潜在的促进FE学生的性健康。在通过整群随机对照试验进行试点之前，需要与关键利益相关者进行进一步优化和完善。
ObjectivesSexual health includes pleasurable, safe, sexual experiences free from coercion, discrimination and violence. In the UK, many young people’s experiences fall short of this definition. This study aimed to inform the development of a safer sex and healthy relationships intervention for those aged 16–19 years studying in further education (FE) settings.DesignA formative mixed-method multicase study explored if and how to implement four components within a single intervention.SettingSix FE settings in England and Wales and one sexual health charity participated between October and July 2015.ParticipantsFocus groups with 134 FE students and 44 FE staff, and interviews with 11 FE managers and 12 sexual health charity staff, first explored whether four candidate intervention components were acceptable and could have sustained implementation. An e-survey with 2105 students and 163 staff then examined potential uptake and acceptability of components shortlisted in the first stage. Stakeholder consultation was then used to refine the intervention.InterventionInformed by a review of evidence of effective interventions delivered in other settings, four candidate intervention components were identified which could promote safer sex and healthy relationships among those aged 16–19 years: 1) student-led sexual health action groups; 2) on-site sexual health and relationships services; 3) staff safeguarding training about sexual health and relationships and 4) sex and relationships education.ResultsOn-site sexual health and relationships services and staff safeguarding training about sexual health and relationships were key gaps in current FE provision and welcomed by staff, students and health professionals. Sex and relationships education and student-led sexual health action groups were not considered acceptable.ConclusionsThe SaFE intervention, comprising on-site sexual health and relationships services and staff safeguarding training in FE settings, may have potential promoting sexual health among FE students. Further optimisation and refinement with key stakeholders is required before piloting via cluster randomised controlled trial.