Medical University of South Carolina, Charleston, SC, United States.
Georgia State University, Atlanta, GA, United States.
J Med Internet Res. 2020 Aug 11;22(8):e16725. doi: 10.2196/16725.
Rural African American youth lack access to drug and sexual risk-taking prevention programs available in more urban areas. Recent data indicate that rural youth now use substances at higher rates and at younger ages than their urban peers.
This study aims to evaluate the initial usability and acceptability of a low-cost, technology-based approach to delivering effective, culturally tailored, integrated substance use disorder (SUD) and HIV risk behavior prevention programs to African American female youth to inform the use of this intervention via telemedicine for rural youth.
Effective SUD prevention strategies and emotion regulation skills were integrated into an existing evidence-based HIV risk reduction program culturally tailored for African American female adolescents-Sisters Informing, Healing, Living, and Empowering (SIHLE)-and delivered to 39 African American female youth via group telehealth. The evaluation of the resulting program, 12-session SIHLEplus, was completed by 27 girls who also completed self-report measures that assessed sexual risk behaviors (eg, number of partners and age of sex initiation), substance use, exposure to traumatic events, and emotion regulation.
The descriptive and qualitative results of the pilot study demonstrate the initial usability and acceptability of delivering evidence-based prevention successfully via telehealth to help address health disparities in this vulnerable population.
Although more research is needed, the findings from this study suggest that SIHLEplus has demonstrated initial usability and acceptability.
农村非裔美国青年获得药物和性冒险预防计划的机会较少，这些计划在城市地区更为普遍。最近的数据表明，农村青年现在使用物质的频率更高，开始使用的年龄也比城市同龄人更早。
本研究旨在评估一种低成本、基于技术的方法在向非裔美国女青年提供有效、文化适宜、综合物质使用障碍（SUD）和艾滋病毒风险行为预防方案方面的初步可用性和可接受性，为通过远程医疗向农村青年提供这种干预措施提供信息。
将有效的 SUD 预防策略和情绪调节技能整合到现有的基于证据的艾滋病毒风险降低方案中，该方案针对非裔美国少女进行了文化调整-Sisters Informing, Healing, Living, and Empowering（SIHLE），并通过小组远程医疗向 39 名非裔美国女青年提供。对由此产生的方案 12 节 SIHLEplus 的评估由 27 名女孩完成，她们还完成了自我报告措施，评估了性风险行为（例如，伴侣数量和开始性行为的年龄）、物质使用、创伤事件暴露和情绪调节。
试点研究的描述性和定性结果表明，通过远程医疗成功提供基于证据的预防方案具有初步的可用性和可接受性，有助于解决这一脆弱人群的健康差距。
尽管还需要更多的研究，但本研究的结果表明，SIHLEplus 已经表现出初步的可用性和可接受性。
