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

摘要：Skill Talk 性危险行为继续将青少年置于感染艾滋病毒的风险中，其他性传播 感染(性传播感染)和意外怀孕。美国青少年约占性传播感染病例的50% 每年，21%的新艾滋病毒病例发生在15-24岁的年轻人中，这并不令人惊讶，因为只有54%的青少年 报告在最后一次性行为时使用避孕套。在努力减少青少年怀孕、艾滋病毒和性传播感染的过程中，教师和 父母扮演着至关重要的角色。在学校：各种性健康教育计划和课程正在进行中 在美国各地的学校提供，无论课程是基于证据的还是教师的 在课程设计中，指导课程活动的指导者技能的质量至关重要。不幸的是，广大的 大多数教授性健康教育的人不是性教育者(体育教师 实际上占提供性教育的人数最多的人)，并且没有收到正式的 训练。在家：研究反映了父母/青少年关于性的沟通的重要性 健康，但也是父母面临的各种挑战，带着舒适和自信提出这些话题 知识。该第二阶段项目的目标是充分开发和评估稳健的 微技能视频培训库(Skill Talk)。图书馆是为a)14-18年性健康教师设计的 帮助儿童提高在执行性健康和生殖健康课程方面的技能和信心；以及 B)帮助青少年的父母提高就性健康问题进行沟通的技能和信心。 该资源将提供关键教育者和家长微技能(较小的技能，使 提高有效教育所需的更大技能)以一种高度吸引人、教学合理和 鼓励重复使用和继续使用，以加强。完成后，该网站将包括500+微技能 视频剪辑，分组为技能群，例如让青年参与敏感讨论和创建安全和 包容性学习环境，每个人在30-120秒内模拟一项微技能。其他功能包括定制 视频推荐、附带说明/可打印的学习材料、点赞和评论功能，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。第二阶段将支持1)视频开发，创建 在网站上添加了大约500个视频，内容来自不同的性健康和生殖健康群体 从全国各地招募培训专家、家长和主题专家；2)站点增强 例如创建用户学习社区、用户提交的微技能演示视频、链接到 当前的信息资源和评估，将重点放在学习最需要的技能上；以及3)随机 通过受控评估评估Skill Talk的有效性：增强教育工作者的可演示技能 讲授性健康话题；改善父母沟通；影响学生成绩。

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.