Son Ji, Miller Willa M, Tossone Krystel, Butcher Fredrick, Kuo Kelly
Case Western Reserve University, School of Medicine, Cleveland, Ohio.
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
J Pediatr Adolesc Gynecol. 2017 Jun;30(3):370-375. doi: 10.1016/j.jpag.2016.11.002. Epub 2016 Nov 18.
To assess the effects of an interprofessional student-led comprehensive sexual education curriculum in improving the reproductive health literacy among at-risk youths in detention.
DESIGN, SETTING, AND PARTICIPANTS: We performed a prospective cohort study involving 134 incarcerated youth and an interprofessional team of 23 medical, nursing, and social work students, who participated in a comprehensive reproductive health curriculum over the course of 3 days.
INTERVENTIONS, AND MAIN OUTCOME MEASURES: Basic reproductive health knowledge, confidence in condom use with a new partner, and self-efficacy with regard to contraception use and sexual autonomy were assessed before and after completion of the curriculum. We also assessed the student teachers' level of comfort with teaching reproductive health to adolescents and their perception of interprofessionalism.
Incarcerated youth showed a statistically significant increase in knowledge regarding sexually transmitted infections as well as self-reported confidence in condom use (P = .002). Self-efficacy in contraception use and sexual autonomy did not show significant improvement. Qualitative analysis of student teachers' surveys revealed theme categories regarding perception of youth, perception of self in teaching youth, perception of interacting with youth, and perception of working in interprofessional teams.
Our program might represent a mutually beneficial community relationship to improve reproductive health literacy in this high-risk youth population.
评估由跨专业学生主导的综合性性教育课程对提高被拘留的高危青少年生殖健康素养的效果。
设计、地点和参与者:我们进行了一项前瞻性队列研究,涉及134名被监禁的青少年以及由23名医学、护理和社会工作专业学生组成的跨专业团队,他们在3天的时间里参与了一门综合性生殖健康课程。
在课程结束前后,评估基本生殖健康知识、与新伴侣使用避孕套的信心以及使用避孕方法和性自主方面的自我效能感。我们还评估了实习教师对向青少年传授生殖健康知识的舒适度以及他们对跨专业合作的看法。
被监禁的青少年在性传播感染知识以及自我报告的使用避孕套信心方面有统计学上的显著提高(P = 0.002)。避孕使用和性自主方面的自我效能感没有显著改善。对实习教师调查问卷的定性分析揭示了关于对青少年的看法、在教导青少年时对自我的看法、与青少年互动的看法以及在跨专业团队中工作的看法等主题类别。
我们的项目可能代表了一种互利的社区关系,以提高这一高危青少年群体的生殖健康素养。