Evaluating the Effectiveness of an Intervention Integrating Technology and In-Person Sexual Health Education for Adolescents (In the Know): Protocol for a Cluster Randomized Controlled Trial
Evaluating the Effectiveness of an Intervention Integrating Technology and In-Person Sexual Health Education for Adolescents (In the Know): Protocol for a Cluster Randomized Controlled Trial
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DOI：
10.2196/18060
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发表时间：
2020-08-01
影响因子：
1.7
通讯作者：
Yarger, Jennifer
中科院分区：
文献类型：
--
作者：
Decker, Martha J.;Gutmann-Gonzalez, Abigail;Yarger, Jennifer
在美国青少年中，使用智能手机几乎是普遍的，他们中的大多数人都使用互联网来寻求健康信息。将数字技术整合到健康计划的交付可能会扩大机会，为青年人接收重要的健康信息，但很少有严格的研究评估这种类型的intervention.Objective的有效性：本研究的目的是评估的有效性，在知道（ITK），一个程序集成在人和技术为基础的性健康教育服务不足的青少年。方法：以青少年为研究对象，进行数字化技术的设计和课程内容的开发。干预措施侧重于三个主要领域：性健康和避孕药具的使用，健康的关系，以及教育和职业成功。它包括一个面对面的课堂部分，沿着一个基于网络的部分，以补充和加强关键内容。一项在加州弗雷斯诺县13-19岁青少年中进行的随机对照试验正在进行中。它旨在检查干预组和对照组中3个月和9个月的青少年自我报告的健康和行为结果的差异。主要结果是在过去3个月内使用避孕套和避孕药具或没有性行为，以及在过去3个月内使用任何临床卫生服务。次要结果包括过去3个月的性伴侣数量和对当地临床性健康服务的了解。我们将使用混合效应线性和逻辑回归模型来评估干预组和对照组之间的差异。结果：试验招募于2017年10月开始，于2020年3月结束，共有1260名参与者。参与者的平均年龄为15.73（SD 1.83）岁，69.98%（867/1239）的参与者报告为西班牙裔或拉丁裔。研究结果将于2021年公布。结论：ITK有潜力改善服务不足青年的避孕和诊所使用。这项试验将为未来考虑采用技术的以青年为重点的健康干预措施提供信息。
Background: Access to a smartphone is nearly universal among American adolescents, and most of them have used the internet to seek health information. Integrating digital technologies into health program delivery may expand opportunities for youth to receive important health information, yet there are few rigorous studies assessing the effectiveness of this type of intervention.Objective: The purpose of this study is to assess the effectiveness of In the Know (ITK), a program integrating in-person and technology-based sexual health education for underserved adolescents. Methods: Youth were engaged in the development of the intervention, including the design of the digital technology and the curriculum content. The intervention focuses on 3 main areas: sexual health and contraceptive use, healthy relationships, and educational and career success. It includes an in-person, classroom component, along with a web-based component to complement and reinforce key content. A cluster randomized controlled trial is in progress among adolescents aged 13-19 years living in Fresno County, California. It is designed to examine the differences in self-reported health and behavioral outcomes among youth in the intervention and control groups at 3 and 9 months. Primary outcomes are condom and contraceptive use or no sex in the past 3 months and use of any clinical health services in the past 3 months. Secondary outcomes include the number of sexual partners in the past 3 months and knowledge of local clinical sexual health services. We will use mixed-effects linear and logistic regression models to assess differences between the intervention and control groups.Results: Trial enrollment began in October 2017 and ended in March 2020 with a total of 1260 participants. The mean age of the participants is 15.73 (SD 1.83) years, and 69.98% (867/1239) of the participants report being Hispanic or Latino. Study results will be available in 2021.Conclusions: ITK has the potential to improve contraceptive and clinic use among underserved youth. This trial will inform future youth-focused health interventions that are considering incorporating technology.