Weeks Fiona H, Powell Terrinieka W, Illangasekare Samantha, Rice Eric, Wilson James, Hickman Debra, Blum Robert W
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Health Educ Behav. 2016 Dec;43(6):699-704. doi: 10.1177/1090198116633459. Epub 2016 Mar 8.
Previous studies have documented Black churches' receptivity to implementing adolescent sexual health programs within their congregations. Some authors have argued for new sexual health programs to be designed specifically for churches, similar to the development of school- and community-based interventions. However, strategies and curricula used in secular settings may also be effective in influencing sexual behaviors among youth in churches. The current study examined the ways in which the phases of two theorized intervention adaptation frameworks were reflected in the desired key components of a church-based sexual health program. Participants in this community-based participatory research project were youth, parents, and faith leaders from nine Black churches in Baltimore, Maryland. Our findings suggest that the priorities of church stakeholders are consistent, rather than discordant, with the current paradigms of evidence-based sexual health programs and intervention adaptation. Future research and practical implications are discussed.
以往的研究记录了黑人教会在其会众中实施青少年性健康项目的接受程度。一些作者主张设计专门针对教会的新性健康项目，类似于基于学校和社区的干预措施的开发。然而，世俗环境中使用的策略和课程在影响教会青年的性行为方面也可能有效。当前的研究考察了两个理论化的干预适应框架的阶段在基于教会的性健康项目的期望关键组成部分中是如何体现的。这个基于社区的参与性研究项目的参与者是来自马里兰州巴尔的摩市九个黑人教会的青年、家长和宗教领袖。我们的研究结果表明，教会利益相关者的优先事项与循证性健康项目和干预适应的当前范式是一致的，而非不一致的。文中还讨论了未来的研究和实际意义。
