Health‐E You/Salud iTu: Pre-visit mobile health app for male adolescents to promote adolescent‐centered sexual & reproductive healthcare receipt

Health – E You/Salud iTu：男性青少年预先访问移动健康应用程序，以促进以青少年为中心的性行为

• 批准号: 10708026
• 负责人: Arik V Marcell
• 金额: $ 76.32万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-21 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10708026
• 关键词: Address; Adolescent; Age; Area; Behavior; Behavioral Model; Belief; Black race; Caring; Cities; Clinic; Clinic Visits; Clinical; Cluster randomized trial; Communities; Computers; Contraceptive Agents; Contraceptive Usage; Counseling; Decision Making; Enrollment; Ensure; Ethnic Origin; Family Planning; Female; Female Adolescents; Funding; Gender Identity; Grant; Guidelines; HIV; Health; Health Promotion; Healthcare; Individual; Infertility; Infrastructure; Intervention; Knowledge; Language; Latino; Life; Male Adolescents; Malignant Neoplasms; Methods; Mobile Health Application; Online Systems; Outcome; Patients; Population; Preconception Care; Pregnancy; Preventive care; Primary Care; Privacy; Process; Provider; Race; Recommendation; Reproductive Health; Reproductive Health Services; Risk Behaviors; STI prevention; Schools; Self Efficacy; Sex Behavior; Sex Orientation; Sexual Development; Sexual Health; Sexually Transmitted Diseases; Technology; Teenagers; Testing; Time; Visit; Voice; Work; Youth; adolescent patient; adolescent sexual health; arm; assigned female at birth; cancer prevention; condoms; design; diversity and inclusion; efficacy testing; ethnic minority; evidence base; follow-up; improved; improved outcome; iterative design; male; men who have sex with men; men' s group; mobile application; neglect; pre-exposure prophylaxis; pregnancy prevention; primary care provider; provider-level barriers; racial minority; reproductive; satisfaction; school based health center; sex; sexual minority male; sexual relationship; sexually active; tool; treatment as usual; unintended pregnancy; usability

ABSTRACT While preventive care guidance recommends primary care providers deliver sexual and reproductive health (SRH) care to male adolescents (ages 12 and older), males’ SRH care receipt is poor. Clinic-based interventions can be valuable SRH promotion tools for adolescents. However, they have mainly focused on pregnancy prevention for females, single topics (STIs, HIV) rather than the recommended SRH care package, or specific male groups (e.g., men who have sex with men) rather than inclusive of the diversity of males encompassing the full range of gender identities, sexual orientation, race/ethnicity, and risk behaviors. Computer-based approaches make it easier to consistently provide evidence-based SRH, in multiple languages, tailored to the diverse needs of all adolescents. Using such approaches before the clinic visit can also help overcome providers’ barriers, such as time constraints, to improve SRH care. Yet, we are not aware of any computer-based strategy to promote recommended SRH care for diverse groups of males. Neglecting males in evidence-based SRH care fails to meet their own needs, and compromises their partners’ health. Health-E You/Salud iTu is a pre-visit, individually tailored, interactive, web-based mobile intervention shown to improve contraceptive knowledge and use among adolescent females 6 months later and prime and extend providers’ ability to deliver individually tailored contraceptive care to female patients. We will adapt the current Health-E You for male adolescents to assess their SRH needs; provide interactive, individually tailored, evidence-based SRH information; support SRH decision-making and visit priorities; and support providers’ ability to individually tailor recommended SRH care. We will then evaluate its acceptability, usability, satisfaction, and efficacy on SRH care receipt and method use among diverse groups of male adolescents presenting for care at school-based health centers (SBHCs), by leveraging the infrastructure of a current PCORI-funded trial with 28 SBHCs in 11 states focused on assigned females sex at birth. It will also support providers in delivering the recommended SRH care package for males. In this R01 proposal, we propose to (1) adapt Health-E You as a pre-visit, individually tailored, interactive, SRH care tool for use with diverse groups of male adolescents employing a Youth-Centered Health Design Process with input from an advisory board of male adolescents and providers; (2) ensure its acceptability, usability, and satisfaction among male adolescent patients and providers in SBHCs using an iterative design approach; and (3) test its efficacy to improve sexually active male adolescent patients’ knowledge, self-efficacy, beliefs, and behaviors related to SRH care after the visit and method use 2 months later. The current proposal would be the first to examine the acceptability, usability, satisfaction, and efficacy of a pre-visit, computer-based intervention to engage sexually active male adolescent patients in SRH care and method use, where currently no such strategy exists.

摘要 虽然预防保健指南建议初级保健提供者提供性健康和生殖健康， (SRH)在男性青少年（12岁及以上）的保健方面，男性的性健康和生殖健康保健接受情况较差。基于门诊 干预措施可以成为促进青少年性健康和生殖健康的宝贵工具。然而，他们主要集中在 女性怀孕预防，单一主题（性传播感染、艾滋病毒），而不是建议的性健康和生殖健康一揽子护理， 或特定的男性群体（例如，而不是包容男性的多样性 涵盖全方位的性别认同、性取向、种族/民族和风险行为。 基于计算机的方法更容易以多种方式始终如一地提供基于证据的性健康和生殖健康。 语言，适合所有青少年的不同需求。在诊所就诊前使用这些方法可以 还有助于克服提供者的障碍，如时间限制，以改善性健康和生殖健康护理。然而，我们不知道 * 任何基于计算机的战略，以促进向不同男性群体推荐的性健康和生殖健康护理。忽视 接受循证性健康和生殖健康护理的男性不能满足自己的需求，并损害其伴侣的健康。 Health-E You/Salud iTu是一种访视前、个性化定制、交互式、基于网络的移动的干预 表明6个月后和壮年期的青春期女性的避孕知识和使用有所提高， 扩大提供者向女性患者提供个性化避孕护理的能力。我们将调整 目前的健康-E你为男性青少年评估他们的性健康和生殖健康的需求，提供互动，个性化定制， 基于证据的性健康和生殖健康信息;支持性健康和生殖健康决策和访问优先事项;支持提供者 有能力为个人量身定制推荐的性健康和生殖健康护理。然后我们将评估其可接受性，可用性， 不同男性青少年群体对性健康和生殖健康护理接受和方法使用的满意度和功效 在学校为基础的健康中心（SBHC）提供护理，通过利用现有的基础设施， PCORI资助的试验在11个州的28个SBHC中进行，重点是出生时指定的女性性别。它还将支持 提供者在为男性提供推荐的性健康和生殖健康一揽子护理方面的作用。在此R 01提案中，我们建议（1） 将Health-E You作为一种访视前、个性化定制、互动式的性健康和生殖健康护理工具，供不同群体使用， 男性青少年采用以青年为中心的健康设计过程， 男性青少年和提供者;（2）确保其可接受性，可用性和男性青少年的满意度 患者和供应商在SBHC使用迭代设计方法;（3）测试其有效性，以提高 性活跃男性青少年患者对性生殖健康护理的知识、自我效能、信念和行为 访视和方法使用后2个月。目前的提案将是第一个审查 接受性，可用性，满意度和有效性的访视前，基于计算机的干预，以从事性 积极参与性健康和生殖健康护理和方法使用的男性青少年患者，目前没有这种战略。