计算机辅助动机性访谈干预以促进青少年怀孕预防和健身行为改变：一项针对年轻男性的随机试验。

Computer-Assisted Motivational Interviewing Intervention to Facilitate Teen Pregnancy Prevention and Fitness Behavior Changes: A Randomized Trial for Young Men.

机构信息

Department of Pediatrics, Columbia University Medical Center, New York, New York; Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York; New York-Presbyterian Hospital, New York, New York.

Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York.

出版信息

J Adolesc Health. 2018 Mar;62(3S):S72-S80. doi: 10.1016/j.jadohealth.2017.06.015.

DOI:10.1016/j.jadohealth.2017.06.015

PMID:29455722

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6518409/

Abstract

PURPOSE

Despite recent declines, teen unintended pregnancy and sexually transmitted infections in the United States remain at levels higher than comparable nations. Initiatives to prevent teen pregnancy have focused primarily on female adolescents; how to effectively engage young men to reduce their risk of fathering a teen pregnancy has not been well studied. We proposed to adapt an innovative computer-assisted motivational interviewing (CAMI) intervention, originally designed and tested with young women, for use with young men, aged 15-24 years, to reduce their risk of fathering a teen pregnancy. This manuscript describes the design of a CAMI intervention for young men aimed at preventing teen pregnancy and improving fitness.

METHODS

This randomized controlled trial will recruit 945 sexually active young men between the ages of 15 and 24 years from three health centers in New York City. Participants will be assigned by permuted block randomization to two study arms: one aimed at reducing involvement in unintended teen pregnancy (CAMI-teen pregnancy prevention) and the other at improving overall fitness (CAMI-Fitness). Except for topic, both intervention arms will provide four sessions of Motivational Interviewing coaching and use a mobile app to track behavior and set goals. We will assess young men's sexual and reproductive health behaviors and fitness at baseline, 12, 24, 36, and 64 weeks using a mobile device app created for the study.

RESULTS

Pending ongoing study.

CONCLUSIONS

Results from the study are expected to enhance our understanding of the efficacy of CAMI to enhance young men's reproductive health and fitness behaviors.

摘要

目的

尽管近年来有所下降，美国青少年意外怀孕和性传播感染的发生率仍高于其他可比国家。预防青少年怀孕的举措主要集中在少女身上；如何有效地让年轻男性参与进来，降低他们意外怀孕的风险，这方面的研究还不够充分。我们提议对一种创新的计算机辅助动机访谈（CAMI）干预措施进行改编，该措施最初是为年轻女性设计和测试的，现在将用于年龄在 15-24 岁的年轻男性，以降低他们意外怀孕的风险。本文描述了为年轻男性设计的 CAMI 干预措施，旨在预防青少年怀孕和提高健康水平。

方法

这项随机对照试验将从纽约市的三个健康中心招募 945 名年龄在 15 至 24 岁之间的有性行为的年轻男性。参与者将通过随机分组分为两个研究组：一组旨在减少意外青少年怀孕的参与（CAMI-青少年预防怀孕），另一组旨在提高整体健康水平（CAMI-健身）。除了主题外，两个干预组都将提供四次动机访谈辅导，并使用移动应用程序来跟踪行为和设定目标。我们将使用专为该研究开发的移动设备应用程序，在基线、12、24、36 和 64 周时评估年轻男性的性和生殖健康行为以及健康水平。