Griner Stacey B, Akpan Idara, Johnson Kaeli C, Maynard Grace, Alkhatib Sarah A, Webb Nathaniel J, Galvin Annalynn, Kline Nolan, Litt Dana M, Lewis Melissa A, Thompson Erika L
The University of North Texas Health Science Center, Fort Worth, TX, USA.
UT Health Houston, Houston, TX, USA.
Health Promot Pract. 2025 Sep;26(5):946-955. doi: 10.1177/15248399241291866. Epub 2024 Nov 18.
Compared to other age groups, 18- to 25-year olds (young adults) are more likely to engage in heavy alcohol use and inconsistent contraceptive use, increasing their susceptibility to sexually transmitted infections (STIs) and unintended pregnancy. The Studying Alcohol and Related Risks (STARR) intervention was efficacious in reducing young adult alcohol-related risky sexual behavior, including reducing the number of casual sexual partners and alcohol use prior to sex. We conducted a qualitative study to guide the adaptation of the STARR intervention to include additional content on contraceptive use and prepare for dissemination of the intervention to a community audience. We conducted 10 focus groups with young adults (n = 16) and semistructured interviews with local community stakeholders (n = 12) to examine: (a) intervention characteristics, such as compatibility, adaptability, and design and packaging and (b) dissemination and communication channels. Focus groups and interviews were audio-recorded, transcribed, and thematically analyzed. Participants found the proposed intervention acceptable and highlighted the need to promote STI prevention among young adults. Participants viewed text-based interventions as accessible and effective. Key considerations included developing personalized messages from credible sources, using gender-inclusive language, and sending messages at strategic timepoints. Social media (Instagram, Twitter, Snapchat, TikTok), events, and campus resources were described as avenues to create awareness and disseminate information about the proposed intervention. Findings demonstrate the need for innovative and tailored young adult health programs that incorporate multilevel dissemination strategies. This study highlights the need for implementation activities that will improve the adoption and dissemination of evidence-based programs, particularly among young adults.
与其他年龄组相比，18至25岁的年轻人更有可能大量饮酒且不规律使用避孕药具，这增加了他们感染性传播感染（STIs）和意外怀孕的易感性。“研究酒精及相关风险”（STARR）干预措施在减少年轻人与酒精相关的危险性行为方面是有效的，包括减少随意性伴侣的数量以及性行为前的饮酒量。我们进行了一项定性研究，以指导对STARR干预措施进行调整，使其纳入有关避孕药具使用的更多内容，并为将该干预措施传播给社区受众做好准备。我们与年轻人（n = 16）进行了10次焦点小组讨论，并与当地社区利益相关者（n = 12）进行了半结构化访谈，以研究：（a）干预措施的特征，如兼容性、适应性以及设计和包装；（b）传播和沟通渠道。焦点小组讨论和访谈进行了录音、转录并进行了主题分析。参与者认为拟议的干预措施是可以接受的，并强调了在年轻人中促进性传播感染预防的必要性。参与者认为基于文本的干预措施易于获取且有效。关键考虑因素包括从可靠来源制定个性化信息、使用性别包容性语言以及在战略时间点发送信息。社交媒体（照片墙、推特、阅后即焚、抖音）、活动和校园资源被描述为提高对拟议干预措施的认识并传播相关信息的途径。研究结果表明需要创新且量身定制的年轻人健康项目，这些项目应纳入多层次传播策略。这项研究强调了开展实施活动的必要性，这些活动将改善基于证据的项目的采用和传播情况，尤其是在年轻人中。
