Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, California; Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, California; Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California.
J Adolesc Health. 2024 May;74(5):1019-1025. doi: 10.1016/j.jadohealth.2023.12.012. Epub 2024 Feb 6.
Integrating digital technologies into sexual health education can offer advantages for connecting with adolescents, particularly populations who may be underserved through common school-based approaches. This study assessed the effectiveness of In the Know, an in-person, group-based sexual health education program integrating digital technologies, codesigned with adolescents.
The study design was a cluster randomized trial with 1,263 adolescents aged 13-19 in 95 cohorts, implemented in community-based organizations and schools throughout Fresno County, California. Participants completed a baseline survey and a follow-up survey 3 months later. Two-level mixed-effects regression models with random intercepts for cohort were used to estimate the intervention's impact on unprotected sex, use of clinical health services, knowledge of local sexual health services, technology use to find or schedule services, and sexual health knowledge at the 3-month follow-up.
The average age of participants was 15.7 years, and the majority identified as Hispanic (71%). In adjusted analyses, intervention group participants were more likely to use clinical services (42.7% vs. 33.2%, p = .009) and reported greater sexual health knowledge at 3 months (57.6% of items answered correctly vs. 50.7%, p = .001). No significant differences were observed in the other outcomes by study group.
In the Know participants demonstrated greater use of clinical health services and sexual health knowledge at 3 months. The study findings show the potential for incorporating user-centered design and technology into sexual health education to better support adolescents who may have limited access to this important information.
将数字技术融入性健康教育中，可以为与青少年建立联系提供优势，尤其是对于那些通过常见的学校为基础的方法可能无法服务到的人群。本研究评估了“In the Know”（一种与青少年共同设计的面对面、小组式性健康教育项目）的效果，该项目整合了数字技术。
该研究设计为一项整群随机试验，共有 95 个群组，每组 1263 名 13-19 岁的青少年，在加利福尼亚州弗雷斯诺县的社区组织和学校中实施。参与者完成基线调查和 3 个月后的随访调查。采用具有群组随机截距的两水平混合效应回归模型，估计干预对无保护性行为、使用临床健康服务、对当地性健康服务的了解、使用技术寻找或安排服务以及 3 个月随访时的性健康知识的影响。
参与者的平均年龄为 15.7 岁，大多数为西班牙裔（71%）。在调整分析中，干预组参与者更有可能使用临床服务（42.7%比 33.2%，p=0.009），且在 3 个月时报告了更高的性健康知识（57.6%的项目回答正确，比 50.7%，p=0.001）。按研究组划分，在其他结果中未观察到显著差异。
“In the Know”参与者在 3 个月时表现出更高的临床健康服务使用和性健康知识水平。研究结果表明，将以用户为中心的设计和技术纳入性健康教育中具有潜力，可以更好地支持那些可能无法获得这些重要信息的青少年。
