促进健康的青少年浪漫关系:多站点,两组并行随机临床试验的结果
Arthur H Owora1, Rebecca F Houghton2, John L Ferrand3
1Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana; Department of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, Indiana.
概括
"关于我们"健康关系计划并没有显著改善青少年的性行为或关系技能. 探索性分析表明潜在的学校层面的影响,但实施挑战,包括COVID-19,影响了结果.
科学领域:
- 青少年健康 青少年健康
- 公共卫生干预 公共卫生干预
- 性健康教育 性健康教育
背景情况:
- 积极的青少年恋爱关系和有效的避孕药的使用对性健康至关重要.
- 促进健康关系的干预措施旨在改善青少年的性行为,态度和意图.
- 了解这种干预措施的影响需要严格的评估.
研究的目的:
- 评估"关于我们"健康关系干预对青少年性行为,关系沟通和冲突解决的影响.
- 为了比较干预组与3个月和9个月后的通常服务对照组.
- 评估与性交和避孕药使用有关的行为,态度和意图的变化.
主要方法:
- 一个多站点的随机对照试验,涉及加利福尼亚州七所高中.
- 参与者 (14-18岁) 被分配到"关于我们"的干预或服务中,与往常一样 (3:2比).
- 数据是在基线,3个月和9个月的随访时收集的.
主要成果:
- 与对照组相比,干预组的初级或二级结局没有发现统计学上显著的改善.
- 探索性分析表明,3个月后,对照组与干预组相比,性活动的增加更高.
- 分组分析显示,学校各个地点的干预效果各不相同,参与率更高与积极趋势有关.
结论:
- "关于我们"干预没有显示出对青少年性健康和关系结果的统计学上显著的积极影响.
- 观察到有前途的学校级干预效应,表明需要量身定制的程序组件和交付.
- 研究结果可能受到实施挑战的影响,包括COVID-19大流行和非课堂交付方法.
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