针对青少年的简短在线性健康计划评估:随机对照试验

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Promotion Practice Pub Date : 2024-07-01 Epub Date: 2023-04-03 DOI:10.1177/15248399231162379
Jordyn McCrimmon, Laura Widman, Hannah Javidi, Julia Brasileiro, Jeffrey Hurst
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引用次数: 0

摘要

青少年感染性传播疾病(STI)和意外怀孕的风险越来越高。尤其是来自边缘化社区的青少年,他们在性健康方面与条件较好的同龄人相比存在很大差距。数字性健康项目,如 HEART(健康教育与关系培训),可以有效降低这些风险并解决这些差异。HEART 是一种基于网络的干预措施,重点在于促进积极的性健康成果,如性决策技能、性交流技能、性健康知识以及性规范和态度。本研究评估了 HEART 的有效性,并考察了其效果是否受性别、社会经济地位(SES)、种族、英语作为第二语言以及性取向的影响,以确保该计划对不同青少年群体有效。参与者为 457 名高中生(平均年龄为 15.06 岁,59% 为女生,35% 为白人,78% 为异性恋,54% 享受免费或减价午餐)。学生被随机分配到 HEART 或注意力匹配对照组,并在测试前和测试后立即进行评估。与对照组相比,HEART 能有效提高性自信、性交流意向、HIV/性传播感染知识、安全套态度和安全性行为自我效能。性别、社会经济地位、种族、英语作为第二语言或性取向之间没有明显的交互作用,这表明该计划对所有青少年群体都同样有效。这项研究结果表明,HEART 可能是促进不同青少年群体获得积极的性健康结果的一个很有前途的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of a Brief Online Sexual Health Program for Adolescents: A Randomized Controlled Trial.

Adolescents are at increased risk of acquiring sexually transmitted infections (STIs) and experiencing unintended pregnancy. In particular, adolescents from marginalized communities experience significant sexual health disparities compared to their more advantaged peers. Digital sexual health programs, such as HEART (Health Education and Relationship Training), may be effective in reducing these risks and addressing these disparities. HEART is a web-based intervention focused on the promotion of positive sexual health outcomes, such as sexual decision-making skills, sexual communication skills, sexual health knowledge, and sexual norms and attitudes. The current study evaluates the efficacy of HEART, and examines whether effects were moderated by gender, socioeconomic status (SES), race, English as a second language, and sexual orientation to ensure the program is effective for diverse groups of adolescents. Participants were 457 high school students (Meanage=15.06, 59% girls, 35% White, 78% heterosexual, 54% receive free or reduced-price lunch). Students were randomized to HEART or an attention matched control and assessed at pretest and immediate posttest. HEART was effective in increasing sexual assertiveness, sexual communication intentions, HIV/STI knowledge, condom attitudes, and safer sex self-efficacy compared to the control condition. There were no significant interactions by gender, SES, race, English as a second language, or sexual orientation, suggesting the program worked equally well for all groups of youth. The findings of this study suggest that HEART may be a promising avenue for the promotion of positive sexual health outcomes for diverse groups of youth.

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来源期刊
Health Promotion Practice
Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
5.30%
发文量
126
期刊介绍: Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.
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