为有智力和发育障碍的青少年制定性同意干预措施。

IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL
Alison Greene, Mika Baugh, Catherine Sherwood-Laughlin, Lisa Greathouse, Jordyn Galyan, Ivanka Simic Stanjovic, Dechen Sangmo, Kristen Jozkowski, Melissa Dubie, Angela Chow
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引用次数: 0

摘要

背景:对智力和发育障碍青少年进行有针对性的性教育是一项至关重要但尚未得到满足的需求,因为这类人群尤其容易受到性虐待和性侵害。然而,目前还没有专门针对这一需求的循证干预措施。本文介绍了一个干预框架的发展情况,该框架旨在解决性教育中的公平问题,并支持有智力和发育障碍的青少年理解和提供性同意,这是性教育和性健康的一个基本方面:性健康公平项目团队采用社区参与式研究方法,为有智力和发育障碍的青少年制定了一个包含四个模块的性同意干预方案。我们在中西部郊区的一个校区组建了一个多元化、跨学科的团队,并利用 "后向设计"(Backward Design)来创建目标和评估,这些目标和评估均以特殊教育教师的定性数据调查结果为基础:由此产生的性同意干预措施 "先问我-选择 "由四个模块组成,涵盖的主题包括性同意的定义、决策策略和实践、同意和拒绝的沟通、同意和不同意情况的识别以及与同意有关的法律问题。每个模块的内容都分为五个部分:(1) 引言,(2) 讲座,(3) 补充活动,(4) 评估,(5) 总结。我们详细介绍了该干预措施的独特之处,强调了我们在哪些方面使用了通用学习设计原则,以支持教师的教学和学生的学习:结论:我们为创建 "性同意 "干预措施所做的努力直接解决了性教育公平问题。我们对自己的设计过程和决策进行了评述,并为今后希望在类似情况下为智力和发育障碍学生开发性健康干预措施的团体提供了建议。下一步工作包括进一步测试和验证性同意干预措施,以建立针对智力和发育障碍青少年的性教育证据库。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Development of a sexual consent intervention for adolescents with intellectual and developmental disabilities

Development of a sexual consent intervention for adolescents with intellectual and developmental disabilities

Background

Tailored sexuality education for adolescents with intellectual and developmental disabilities is a crucial, yet unmet, need as this population is particularly at risk for sexual abuse and victimisation. However, there are no evidence-based interventions to specifically address this need. This paper presents the development of an intervention framework to address equity in sexuality education and support adolescents with intellectual and developmental disabilities to understand and provide sexual consent, a foundational aspect of sexuality education and sexual health.

Methods

The Sexual Health Equity Project team used a Community-Based Participatory Research approach to develop a four-module sexual consent intervention for adolescents with intellectual and developmental disabilities. We leveraged a diverse, interdisciplinary team in a suburban Midwestern school district, and used Backward Design to create objectives and assessments which were rooted in findings from qualitative data by special education teachers.

Results

The resulting sexual consent intervention, Ask Me First—Choices, is comprised of four modules covering topics including definition of sexual consent; decision-making strategies and practice; communicating consent and refusal, identifying situations of consent and non-consent; and legal issues surrounding consent. Each module is divided into five components for content delivery: (1) introduction, (2) lecture, (3) supplemental activity, (4) assessment, and (5) conclusion. We detail the intervention's unique aspects, emphasising areas where we used Universal Design for Learning principles to support teachers' instruction and students' learning.

Conclusion

Our efforts to create a sexual consent intervention directly address sexuality education equity issues. We offer commentary on our design process and decisions, as well as recommendations for future groups who want to develop sexual health interventions in similar contexts for students with intellectual and developmental disabilities. Next steps include further testing and validation of the sexual consent intervention to build the evidence-base of sexuality education for adolescents with intellectual and developmental disabilities.

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来源期刊
CiteScore
4.70
自引率
12.50%
发文量
79
期刊介绍: JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.
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