开发和试验一种干预措施,以增加青少年获得性和生殖健康护理的机会:一种混合方法研究
M K Miller1,2,3, R Barral2,3,4, J Noel-Macdonnell2,5
1Division of Emergency Medicine, Children's Mercy Kansas City, 2401 Gillham Road Kansas City, MO 64108, USA.
Health education research
|September 23, 2025
概括
通过社区外展,远程医疗和移动诊所,AccessKCTeen改善了边缘化的年轻人获得性与生殖健康 (SRH) 的机会. 这种干预是可以接受的,需要进一步研究SRH结果.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 性和生殖健康 性和生殖健康
背景情况:
- 边缘化的青年在获得性与生殖健康 (SRH) 服务方面面临重大障碍.
- 社区参与对于为青少年开发有效的健康干预措施至关重要.
研究的目的:
- 描述AccessKCTeen的开发和试点测试,这是一项旨在加强边缘化的青年获得SRH的干预措施.
- 评估干预措施对SRH利用和对医疗专业的信任的可接受性和初步影响.
主要方法:
- 采用混合方法的方法,将干预设计的社区讨论与外展活动中的试点测试相结合.
- 青少年参与者 (N=96) 完成了基线和一个月的随访评估,测量了人口统计,满意度,信任和SRH利用.
- 通过对SRH资源,远程医疗和移动诊所的反的现场笔记收集了定性数据.
主要成果:
- 这项干预得到了好评,大多数参与者对外展活动表示满意.
- 青少年认为远程医疗是安全的,私人的,方便的,移动诊所是私人的,值得信赖的.
- 在随访时,20%的参与者获得了医疗保健服务,对医疗专业的信任略有增加.
结论:
- 社区综合,多元件的AccessKCTeen干预是被边缘化的青少年可以接受的.
- 这些发现支持进一步评估这种干预措施在改善SRH结果方面的有效性.
- 远程医疗和移动诊所等创新方法可以有效地弥合青少年SRH护理的差距.
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