Effectiveness of health education teachers and school nurses teaching sexually transmitted infections/human immunodeficiency virus prevention knowledge and skills in high school.
Effectiveness of health education teachers and school nurses teaching sexually transmitted infections/human immunodeficiency virus prevention knowledge and skills in high school.
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DOI：
10.1111/josh.12234
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发表时间：
2015-03
期刊：
影响因子：
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通讯作者：
Lovegreen LD
中科院分区：
文献类型：
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作者：
Borawski EA;Tufts KA;Trapl ES;Hayman LL;Yoder LD;Lovegreen LD
我们研究了完善的人类免疫缺陷病毒 (HIV)/性传播感染 (STI) 课程“Be Proud!”的不同影响。承担责任！，由学校护士和健康教育课堂教师在高中课程中教授。对10所学校1357名九年级和十年级学生进行的分组随机干预研究。 27 名辅导员（6 名护士、21 名教师）提供了节目安排；护士主导的教室是随机分配的。与由学校护士教的学生相比，由教师教的学生更有可能报告他们的老师做好了准备，对材料感到满意，并要求他们考虑自己的健康。与对照组相比，两组在干预后立即报告了艾滋病毒/性传播感染/安全套知识的显着改善。然而，由学校护士授课的学生报告在态度、信念和功效方面发生了显着且持续的变化（干预后长达 12 个月），而由健康教育教师授课的学生报告的变化要少得多，仅在安全套知识方面持续提高。课堂教师和学校护士都能有效地向高中生传达生殖健康信息；然而，教授减少高风险性行为所需的技术（例如，安全套使用）和人际交往（例如，谈判）技能可能需要健康教育教师通常不具备的一套独特的技能和经验。
We examined the differential impact of a well-established human immunodeficiency virus (HIV)/sexually transmitted infections (STIs) curriculum, Be Proud! Be Responsible!, when taught by school nurses and health education classroom teachers within a high school curricula. Group-randomized intervention study of 1357 ninth and tenth grade students in 10 schools. Twenty-seven facilitators (6 nurses, 21 teachers) provided programming; nurse-led classrooms were randomly assigned. Students taught by teachers were more likely to report their instructor to be prepared, comfortable with the material, and challenged them to think about their health than students taught by a school nurse. Both groups reported significant improvements in HIV/STI/condom knowledge immediately following the intervention, compared to controls. Yet, those taught by school nurses reported significant and sustained changes (up to 12 months after intervention) in attitudes, beliefs, and efficacy, whereas those taught by health education teachers reported far fewer changes, with sustained improvement in condom knowledge only. Both classroom teachers and school nurses are effective in conveying reproductive health information to high school students; however, teaching the technical (eg, condom use) and interpersonal (eg, negotiation) skills needed to reduce high-risk sexual behavior may require a unique set of skills and experiences that health education teachers may not typically have.