Riese Alison, Houck Christopher, Abdullahi Najma, Davies Abigail C, Baird Janette, Alverson Brian
Departments of Pediatrics and
Lifespan Injury Prevention Center, Rhode Island Hospital, Providence, Rhode Island.
Hosp Pediatr. 2019 Nov;9(11):880-887. doi: 10.1542/hpeds.2018-0276. Epub 2019 Oct 9.
To evaluate the acceptability and feasibility of an electronic sexual health module for inpatient adolescent girls and assess the preliminary effect on uptake of sexual health services.
We recruited girls 14 to 18 years old admitted to the hospitalist service of 1 academic children's hospital from January 2016 to October 2016. Participants completed an electronic sexual health module that included a sexual health assessment, tailored feedback (randomized for half of the participants only), and a questionnaire to request sexual health services. Participation and completion rates, along with effects of tailored feedback, risk perception, age group, and sexual activity on uptake of services, were examined.
Seventy-seven percent of eligible participants who were approached enrolled in the study ( = 66 of 86). The completion rate was 100%. Fifty-three percent ( = 35) requested some form of sexual health service; of these, 83% ( = 29) requested to watch a contraception video. There was no statistically significant difference in the frequency of requests for those who received tailored feedback and for those who did not (57% vs 48%; = .48). Younger teens and those without sexual experience made requests similar to older and sexually experienced girls except regarding sexually transmitted infection testing, which was significantly higher in the latter populations.
This pilot study demonstrated reasonable feasibility and acceptability of a standardized sexual health module for adolescent girls admitted to the general pediatric wards. Videos focused on adolescent health were of particular interest to this population. Further study should examine the impact of such a module on long-term sexual health behaviors.
评估针对住院青少年女孩的电子性健康模块的可接受性和可行性，并评估其对性健康服务接受情况的初步影响。
我们招募了2016年1月至2016年10月入住一家学术儿童医院住院部的14至18岁女孩。参与者完成了一个电子性健康模块，该模块包括性健康评估、个性化反馈（仅对一半参与者随机提供）以及一份请求性健康服务的问卷。我们考察了参与率和完成率，以及个性化反馈、风险认知、年龄组和性活动对服务接受情况的影响。
被邀请的符合条件的参与者中有77%（86人中66人）参加了该研究。完成率为100%。53%（35人）请求了某种形式的性健康服务；其中，83%（29人）请求观看避孕视频。接受个性化反馈的参与者和未接受个性化反馈的参与者在请求频率上没有统计学显著差异（57%对48%；P = 0.48）。除了性传播感染检测方面，年轻青少年和没有性经验的青少年提出的请求与年龄较大和有性经验的女孩相似，而性传播感染检测在后者人群中显著更高。
这项试点研究表明，针对入住普通儿科病房的青少年女孩的标准化性健康模块具有合理的可行性和可接受性。关注青少年健康的视频对这一人群特别有吸引力。进一步的研究应考察这样一个模块对长期性健康行为的影响。
