Kamke K, Widman L, Desmarais S L
North Carolina State University, Raleigh, NC.
J Child Fam Stud. 2020 Apr;29(4):1044-1054. doi: 10.1007/s10826-019-01685-1. Epub 2019 Dec 17.
Adolescent girls with emotional and behavioral difficulties (EBDs) have a heightened risk of negative sexual health, including HIV, other sexually transmitted infections (STIs), and unplanned pregnancy. Few evidence-based sexual health interventions are available for adolescent girls with EBDs. This study tested the feasibility, acceptability, and efficacy of a brief, online sexual health program called HEART (Health Education and Relationship Training).
Forty-seven participants (-age = 15.79; = 1.71; 62% Black, 23% Hispanic) recruited from community-based organizations in the southeastern U.S. were compared to a non-equivalent comparison group who received an attention-matched intervention.
Findings support the feasibility of participant recruitment and program administration in community-based settings. Participants completed HEART in 44 minutes and experienced few technological difficulties. HEART was highly acceptable: most participants liked, learned from, and were engaged with the program. Further, 92% would recommend HEART to a friend and 98% would use what they learned in the future. At posttest, intervention participants had significantly higher communication intentions, communication skills, STI/HIV knowledge, sexual self-efficacy, condom attitudes, and condom norms than the comparison group (s < .003; effect size = .38-1.65). Significant improvement in condom intentions was observed when comparing pretest to posttest scores among intervention participants only, (46) = -3.21, = 0.47.
Findings support the feasibility, acceptability, and efficacy of HEART among adolescent girls with EBDs in community-based settings. This study also addresses the growing need for research into the transferability of sexual health interventions to facilitate evidence-based decision-making about program dissemination and implementation.
有情绪和行为障碍（EBD）的青春期女孩出现负面性健康问题的风险更高，包括感染艾滋病毒、其他性传播感染（STIs）以及意外怀孕。针对有EBD的青春期女孩，几乎没有基于证据的性健康干预措施。本研究测试了一个名为HEART（健康教育与关系培训）的简短在线性健康项目的可行性、可接受性和有效性。
从美国东南部的社区组织招募了47名参与者（平均年龄 = 15.79岁；标准差 = 1.71；62%为黑人，23%为西班牙裔），并与接受注意力匹配干预的非等效对照组进行比较。
研究结果支持在社区环境中招募参与者和实施项目的可行性。参与者在44分钟内完成了HEART项目，几乎没有遇到技术困难。HEART项目非常容易被接受：大多数参与者喜欢该项目，从中学习并积极参与。此外，92%的人会向朋友推荐HEART项目，98%的人会在未来运用所学知识。在测试后，干预组参与者在沟通意愿、沟通技巧、性传播感染/艾滋病毒知识、性自我效能感、对避孕套的态度和避孕套规范方面显著高于对照组（p < .003；效应大小 = .38 - 1.65）。仅在干预组参与者中比较测试前和测试后的分数时，观察到避孕套使用意愿有显著改善，(46) = -3.21，p = 0.47。
研究结果支持HEART项目在社区环境中有EBD的青春期女孩中的可行性、可接受性和有效性。本研究还满足了对性健康干预措施可转移性研究的日益增长的需求，以促进关于项目传播和实施的基于证据的决策。
