Video-Based Microskills Training Intervention to Improve Health Education to Reduce Risk Behaviors in Youth

摘要：SkillTalk 性风险行为继续使青少年面临感染艾滋病毒的风险， 性传播感染（STI）和意外怀孕。美国青少年约占性病病例的50% 21%的新艾滋病毒病例发生在15-24岁的年轻人中，这并不奇怪，因为只有54%的青少年 报告在最后一次性行为中使用避孕套。为了减少少女怀孕、艾滋病毒和性传播感染，教师和 父母扮演重要角色。在学校：各种各样的性健康教育项目和课程正在进行中。 在美国各地的学校提供，无论课程，无论是基于证据或教师 在课程设计中，指导教师的素质技能对主导课程活动至关重要。不幸的是， 大多数教授性健康教育的人不是性教育者（体育教师 实际上，在提供性教育的人中， 训练在家里：研究反映了父母/青少年关于性的沟通的重要性， 健康，但也面临着各种挑战的父母提出这些问题与舒适和信心， 知识第二阶段项目的目标是充分开发和评估一个强大的 微技能视频培训库（SkillTalk）。图书馆是专为a）教师的性健康为14-18 帮助25岁的儿童提高实施性健康和生殖健康课程的技能和信心; B）青少年的父母帮助提高沟通性健康话题的技能和信心。 该资源将提供视频建模的关键教育家和家长微技能（较小的技能，使 提高有效教育所需的更大技能）， 鼓励重复和持续使用以加强。完成后，该网站将包括500+ Microskill 视频剪辑，按技能组分组，如让青年参与敏感的讨论， 包容性的学习环境，每个模型在30-120秒的Microskill。其他功能包括定制 视频推荐，附带说明/可打印的学习材料，喜欢和评论功能，a 学习社区（仅限教师），允许用户上传视频，并鼓励教育工作者建设性地 评估视频中展示的技能。第二阶段将实现1）视频开发， 网站上增加了约500个视频，这些视频来自性健康和生殖健康的各种群体 从全国各地招聘培训专家、家长和主题专家; 2）网站改进 例如创建用户学习社区，用户提交的Microskill演示视频， 当前的信息资源，以及将学习重点放在最需要的技能上的评估;以及3）随机 控制性评估，以评估技能对话的有效性：提高教育工作者的可证明技能， 教授性健康主题;改善父母沟通;并影响学生的成绩。

Abstract: SkillTalk Sexual risk behaviors continue to place adolescents at risk for HIV infection, other sexually transmitted infections (STIs), and unintended pregnancy. U.S. adolescents account for about 50% of the cases of STIs each year, and 21% of new HIV cases are in youth 15-24, which is unsurprising given that only 54% of teens report using a condom at last sex. In the effort to reduce teen pregnancy, HIV and STIs, both teachers and parents play vital roles. At school: A variety of sexual health education programs and curricula are being provided in schools across the U.S. Regardless of the curriculum, whether evidence-based or teacher designed, the quality of the instructor skills to lead the curriculum activities is vital. Unfortunately, the vast majority of those who teach sexual health education are not sexuality educators (physical education teachers actually account for the largest number of those providing sexuality education) and have not received formal training. At home: research reflects both the importance of parent/adolescent communication about sexual health, but also the varied challenges parents face broaching these topics with comfort and confidence in their knowledge. The goal of this Phase II project is to fully develop and evaluate the effectiveness of a robust Microskills video training library (SkillTalk). The library is designed for a) teachers of sexual health for 14-18 year olds to help improve skills and confidence in implementing sexual and reproductive health curricula; and b) parents of adolescents to help improve skills and confidence in communicating about sexual health topics. The resource will provide video modeling of critical educator and parent Microskills (the smaller skills that make up a larger skill needed for effective education) in a way that is highly engaging, instructionally sound, and encourages repeat and continued use for reinforcement. When complete, the site will include 500+ Microskill video clips, grouped into skill clusters, such as engaging youth in sensitive discussions and creating a safe and inclusive learning environment, that each model a Microskill in 30–120 seconds. Other features include tailored video recommendations, accompanying instructions/printable learning materials, like and comment functions, a learning community (teachers only) that allows user video upload and encourages educators to constructively assess the skills demonstrated in the video. Phase II will enable 1) video development with the creation of approximately 500 videos added to the site with input from a diverse group of sexual and reproductive health training experts, parents and subject matter experts recruited from across the country; 2) site enhancements such as the creation of user learning communities, user submitted videos of Microskill demonstrations, links to current information resources, and assessments to focus learning on most needed skills; and 3) a randomized controlled evaluation to assess the effectiveness of SkillTalk to: enhance educators’ demonstratable skills for teaching sexual health topics; improve parental communication; and impact student outcomes.