由青少年做，为青少年做：共同创建 "第一步"--改善青少年性与生殖健康服务和教育的信息工具包

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110642

L Gerchow, Y Lanier, A Fayard, A Squires

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引用次数: 0

摘要

目标青少年的性健康和生殖健康状况不佳，而现有的教育和健康服务却不足。本研究旨在根据青少年母亲从怀孕前到养育子女期间的经验，与她们共同创造服务改进方案，从而提高青少年的性健康知识和成果。方法采用以人为本的设计，纽约市的 16 位青少年母亲参加了 47 次访谈，以找出青少年性与生殖健康服务和教育中存在的问题。在两次共同创造研讨会上，参与者（人数=10）设计了解决方案原型，重点是改进避孕咨询。结果参与者强调了性健康教育的不足之处，并强调了医疗服务提供者和家长而非学校在改善性健康教育中的作用。青少年参与者设计了支持青少年、家长和医疗服务提供者之间进行高质量对话的信息，并创建了一份预约前核对表，以帮助年轻患者主动与医疗服务提供者进行对话。青少年参与者强调，工具包涉及的话题不仅限于性传播感染和怀孕，还包括情感健康和人际关系。他们为医疗服务提供者制定了指南，概述了提供尊重、无偏见的护理和避孕咨询的沟通策略，鼓励青少年自主。与会者分享了如何以尊重的态度支持年轻父母的具体建议。医疗保健利益相关者建议增加有关保密护理和支持 LGBTQ 青少年的信息，并提出了传播技巧建议。本研究强调了家长和医疗工作者在青少年性健康教育中所扮演的重要角色。共同创建的工具包为医疗服务提供者、青少年和家长提供了一种实用的方法，使他们能够进行以青少年为中心的对话，从而促进青少年的自主性、安全性和幸福感。

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BY ADOLESCENTS, FOR ADOLESCENTS: CO-CREATING ‘FIRST STEPS,’ A MESSAGING TOOLKIT TO IMPROVE ADOLESCENT SEXUAL AND REPRODUCTIVE HEALTH SERVICES AND EDUCATION

Objectives

Adolescents experience poor sexual and reproductive health outcomes, yet existing education and health services are insufficient. This study aims to improve adolescent sexual health knowledge and outcomes by co-creating service improvements with adolescent mothers based on their experiences from pre-pregnancy through parenting.

Methods

Using human-centered design, 16 adolescent mothers in New York City participated in 47 interviews to identify problems in adolescent sexual and reproductive health services and education. In two co-creation workshops, participants (n=10) designed solution prototypes, with a specific focus on improving contraceptive counseling. Healthcare stakeholders (n=10) informed \ prototype refinement.

Results

Participants highlighted deficiencies in sexual health education and emphasized the roles of healthcare providers and parents, rather than schools, in improving it. Adolescent participants designed messaging to support quality conversations between adolescents, parents, and providers and created a pre-appointment checklist to help young patients initiate conversations with providers. Young participants stressed that the toolkits address topics beyond STIs and pregnancy, like emotional health and relationships. They created guidelines for healthcare providers outlining communication strategies to provide respectful, unbiased care and contraceptive counseling that encourages adolescent autonomy. Participants shared specific suggestions for how to respectfully support young parents. Healthcare stakeholders recommended adding information on confidential care and supporting LGBTQ youth and suggested dissemination techniques. Prototypes were revised based on feedback.

Conclusions

This study highlighted the important roles that parents and healthcare workers play in adolescent sexual health education. Co-created toolkits offer a practical approach for providers, adolescents, and parents to have adolescent-centered conversations that promote adolescent autonomy, safety, and well-being.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.