Top

Journal of Child and Family Studies

Gepubliceerd in:

17-12-2019 | Original Paper

Evaluation of an Online Sexual Health Program among Adolescent Girls with Emotional and Behavioral Difficulties

Auteurs: Kristyn Kamke, Laura Widman, Sarah L. Desmarais

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 4/2020

Abstract

Objectives

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).

Methods

Forty-seven participants (M-age = 15.79; SD = 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.

Results

Findings support the feasibility of participant recruitment and program administration in community-based settings. Participants completed HEART in 44 min 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 (ps < 0.003; effect size ds= 0.38–1.65). Significant improvement in condom intentions was observed when comparing pretest to posttest scores among intervention participants only, t(46) = −3.21, d= 0.47.

Conclusions

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.

vorige artikel Defining Therapeutic Playgroups: Key Principles of Therapeutic Playgroups from the Perspective of Professionals

volgende artikel Applying a Momentary Parenting Goal-Regulation Model to Discipline Episodes with Toddlers

Alleen toegankelijk voor geautoriseerde gebruikers

Aalsma, M. C., Tong, Y., Wiehe, S. E., & Tu, W. (2010). The impact of delinquency on young adult sexual risk behaviors and sexually transmitted infections. Journal of Adolescent Health, 46, 17–24. https://doi.org/10.1016/j.jadohealth.2009.05.018.CrossRefPubMed

Barrera, Jr., M., Castro, F. G., Strycker, L. A., & Toobert, D. J. (2013). Cultural adaptations of behavioral health interventions: a progress report. Journal of Consulting and Clinical Psychology, 81, 196–205. https://doi.org/10.1037/a0027085.CrossRefPubMed

Basen-Engquist, K., Mâsse, L. C., Coyle, K., Kirby, D., Parcel, G. S., Banspach, S., & Nodora, J. (1999). Validity of scales measuring the psychosocial determinants of HIV/STD-related risk behavior in adolescents. Health Education Research, 14, 25–38. https://doi.org/10.1093/her/14.1.25.CrossRefPubMed

Bauermeister, J. A., Pingel, E. S., Jadwin-Cakmak, L., Harper, G. W., Horvath, K., Weiss, G., & Dittus, P. (2015). Acceptability and preliminary efficacy of a tailored online HIV/STI testing intervention for young men who have sex with men: The Get Connected! Program. AIDS and Behavior, 19, 1860–1874. https://doi.org/10.1007/s10461-015-1009-y.CrossRefPubMedPubMedCentral

Brookhart, M. A., Schneeweiss, S., Rothman, K. J., Glynn, R. J., Avorn, J., & Stürmer, T. (2006). Variable selection for propensity score models. American Journal of Epidemiology, 163, 1149–1156. https://doi.org/10.1093/aje/kwj149.CrossRefPubMedPubMedCentral

Brown, L. K., Hadley, W., Donenberg, G. R., DiClemente, R. J., Lescano, C., Lang, D. M., & Oster, D. (2014). Project style: a multisite RCT for HIV prevention among youths in mental health treatment. Psychiatroatic Services, 65, 338–344. https://doi.org/10.1176/appi.ps.201300095.CrossRef

Brown, L. K., DiClemente, R. J., & Park, T. (1992). Predictors of condom use in sexually active adolescents. Journal of Adolescent Health, 13, 651–657. https://doi.org/10.1016/1054-139x(92)90058-J.CrossRef

Brownson, R. C., Baker, E. A., Deshpande, A. D., & Gillespie, K. N. (2018). Evidence-based public health. 3rd ed. New York, NY: Oxford University Press.

Bull, S. S. (2018). Sexual assertiveness skills and decision-making in adolescent girls: moving to replication, scale, and digital health impact. Am J Public Health, 108, 18–19. https://doi.org/10.2105/AJPH.2017.304170.CrossRefPubMedPubMedCentral

Burnette, J. L., Russell, M. V., Hoyt, C. L., Orvidas, K., & Widman, L. (2017). An online growth mindset intervention in a sample of rural adolescent girls. British Journal of Educational Psychology, 428–445. https://doi.org/10.1111/bjep.12192.CrossRef

Cavazos-Rehg, P. A., Spitznagel, E. L., Bucholz, K. K., Nurnberger, J., Edenberg, H. J., Kramer, J. R., & Bierut, L. J. (2010). Predictors of sexual debut at age 16 or younger. Archives of Sexual Behavior, 39, 664–673. https://doi.org/10.1007/s10508-008-9397-y.CrossRefPubMed

Centers for Disease Control and Prevention. (2013). Incidence, prevalence, and cost of sexually transmitted infections in the United States. http://www.cdc.gov/std/stats/STI-Estimates-Fact-Sheet-Feb-2013.pdf.

Centers for Disease Control and Prevention. (2018). Sexually transmitted disease surveillance 2017. Atlanta, GA: Author. https://www.cdc.gov/std/stats17/default.htm.

Chesney-Lind, M., & Eliason, M. (2006). From invisible to incorrigible: the demonization of marginalized women and girls. Crime, Media, Culture, 2, 29–47. https://doi.org/10.1177/1741659006061709.CrossRef

Connell, M. E., Boat, T. & Warner, K. E. (Eds) (2009). Preventing mental, emotional, and behavioral disorders among young people: progress and possibilities. Washington, DC: The National Academies Press.

Cross, M. (2011). Children with social, emotional and behavioural difficulties and communication problems: there is always a reason. London, UK: Jessica Kingsley Publishers.

Donenberg, G. R., Emerson, E., Bryant, F. B., Wilson, H., & Weber-Shifrin, E. (2001). Understanding AIDS-risk behavior among adolescents in psychiatric care: links to psychopathology and peer relationships. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 642–653. https://doi.org/10.1097/00004583-200106000-00008.CrossRefPubMedPubMedCentral

Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior: the reasoned action approach. New York, NY: Psychology Press.

Forhan, S. E., Gottlieb, S. L., Sternberg, M. R., Xu, F., Datta, S. D., McQuillan, G. M., & Markowitz, L. E. (2009). Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States. Pediatrics, 124, 1505–1512. https://doi.org/10.1542/peds.2009-0674.CrossRefPubMed

Forsyth, K., Lai, J.-S., & Kielhofner, G. (2016). The assessment of communication and interaction skills (ACIS): measurement properties. British Journal of Occupational Therapy, 62, 69–74. https://doi.org/10.1177/030802269906200208.CrossRef

Garner, P., James, K. & Julian, E. (Eds) (2013). The sage handbook of emotional and behavioral difficulties. 2nd ed. London, England: SAGE.

Gaskin, G. L., Longhurst, C. A., & Anoshiravani, A. (2012). Internet access and attitudes toward online personal health information among detained youth. Pediatrics, 130, 914–917. https://doi.org/10.1542/peds.2012-1653.CrossRefPubMed

Goodman, R., Meltzer, H., & Bailey, V. (1998). The strengths and difficulties questionnaire: a pilot study on the validity of the self-report version. European Child and Adolescent Psychiatry, 7, 125–130. https://doi.org/10.1007/s007870050057.CrossRefPubMed

Graham, J. W., Olchowski, A. E., & Gilreath, T. D. (2007). How many imputations are really needed? Some practical clarifications of multiple imputation theory. Prevention Science, 8, 206–213. https://doi.org/10.1007/s11121-007-0070-9.CrossRefPubMed

Ho, D. E., Imai, K., King, G., & Stuart, E. A. (2011). Matchit: nonparametric preprocessing for parametric causal inference. Journal of Statistical Software, 42, 1–28. https://r.iq.harvard.edu/docs/matchit/2.4-20/matchit.pdf.

Jemmott, III, J. B., Jemmott, L., Braverman, P. K., & Fong, G. T. (2005). HIV/STD risk reduction interventions for African American and Latino adolescent girls at an adolescent medicine clinic: a randomized controlled trial. Archives of Pediatrics & Adolescent Medicine, 159, 440–449. https://doi.org/10.1001/archpedi.159.5.440.CrossRef

Johnson, B. T., Scott-Sheldon, L. J., Huedo-Medina, T. B., & Carey, M. P. (2011). Interventions to reduce sexual risk for human immunodeficiency virus in adolescents: a meta-analysis of trials, 1985–2008. Archives of Pediatrics & Adolescent Medicine, 165, 77–84. https://doi.org/10.1001/archpediatrics.2010.251.CrossRef

Kano, L., McManus, T., Harris, W., Shanklin, S., Flint, K., Hawkins, J., … Zaza, S. (2016). Youth risk behavior surveillance—United States, 2015. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2015/ss6506_updated.pdf.

Kar, S. K., Choudhury, A., & Singh, A. P. (2015). Understanding normal development of adolescent sexuality: A bumpy ride. Journal of Human Reproductive Sciences, 8, 70–74. https://doi.org/10.4103/0974-1208.158594.CrossRef

Lenhart, A., Duggan, M., Perrin, A., Stepler, R., Rainie, H., & Parker, K. (2015). Teens, social media & technology overview 2015. http://www.pewinternet.org/files/2015/04/PI_TeensandTech_Update2015_0409151.pdf.

Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202. https://doi.org/10.2307/2290157.CrossRef

Liu, C., Cox, R. B., Washburn, I. J., Croff, J. M., & Crethar, H. C. (2017). The effects of requiring parental consent for research on adolescents’ risk behaviors: a meta-analysis. Journal of Adolescent Health, 61, 45–52. https://doi.org/10.1016/j.jadohealth.2017.01.015.CrossRefPubMed

Martin, J. A., Hamilton, B. E., Osterman, M. J. K., Driscoll, A. K., & Drake, P. (2018). Births: final data for 2016. National vital statistics reports, 67. https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_01.pdf.

Morton, M., Nelson, L., Walsh, C., Zimmerman, S., & Coe, R. M. (1996). Evaluation of a HIV/AIDS education program for adolescents. Journal of Community Health, 21, 23–35. https://doi.org/10.1007/bf01682761.CrossRef

Office of Adolescent Health. (2016). Evidence-based programs at-a-glance. http://www.hhs.gov/ash/oah/oah-initiatives/teen_pregnancy/training/Assests/ebp-table.pdf.

Paiva, A. L., Lipschitz, J. M., Fernandez, A. C., Redding, C. A., & Prochaska, J. O. (2014). Evaluation of the acceptability and feasibility of a computer-tailored intervention to increase human papillomavirus vaccination among young adult women. Journal of American College Health, 62, 32–38. https://doi.org/10.1080/07448481.2013.843534.CrossRefPubMed

Roberto, A. J., Zimmerman, R. S., Carlyle, K. E., & Abner, E. L. (2007). A computer-based approach to preventing pregnancy, STD, and HIV in rural adolescents. Journal of Health Communication, 12, 53–76. https://doi.org/10.1080/10810730601096622.CrossRefPubMed

Rubin, D. B., & Thomas, N. (2000). Combining propensity score matching with additional adjustments for prognostic covariates. Journal of the American Statistical Association, 95, 573–585. https://doi.org/10.1080/01621459.2000.10474233.CrossRef

Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. The Lancet Child & Adolescent Health, 2, 223–228. https://doi.org/10.1016/s2352-4642(18)30022-1.CrossRef

Schafer, J. L., & Kang, J. (2008). Average causal effects from nonrandomized studies: a practical guide and simulated example. Psychological Methods, 13, 279–313. https://doi.org/10.1037/a0014268.CrossRefPubMed

Schloemer, T., & Schroder-Back, P. (2018). Criteria for evaluating transferability of health interventions: a systematic review and thematic synthesis. Implementation Science, 13, 88. https://doi.org/10.1186/s13012-018-0751-8.CrossRefPubMed

Schmid, A., Leonard, N. R., Ritchie, A. S., & Gwadz, M. V. (2015). Assertive communication in condom negotiation: insights from late adolescent couples’ subjective ratings of self and partner. Journal of Adolescent Health, 57, 94–99. https://doi.org/10.1016/j.jadohealth.2015.03.005.CrossRefPubMed

Schuster, R., Mermelstein, R., & Wakschlag, L. (2013). Gender-specific relationships between depressive symptoms, marijuana use, parental communication and risky sexual behavior in adolescence. Journal of Youth and Adolescence, 42, 1194–1209. https://doi.org/10.1007/s10964-012-9809-0.CrossRefPubMed

Shegog, R., Peskin, M. F., Markham, C., Thiel, M., Karny, E., Addy, R. C., & Tortolero, S. (2014). It’s your game-tech: toward sexual health in the digital age. Creative Education, 5, 1428–1447. https://doi.org/10.4236/ce.2014.515161.CrossRefPubMedPubMedCentral

Sloboda, Z., & Petra, H. (2014). Defining prevention science. New York, NY: Springer. https://doi.org/10.1007/978-1-4899-7424-2 CrossRef

Sonfield, A., & Kost, K. (2015). Public costs from unintended pregnancies and the role of public insurance programs in paying for pregnancy-related care: national and state estimates for 2010. New York, NY: Guttmacher Institute. https://www.guttmacher.org/report/public-costs-unintended-pregnancies-and-role-public-insurance-programs-paying-pregnancy.

St. Lawrence, J. S., Reitman, D., Jefferson, K. W., Alleyne, E., Brasfield, T. L., & Shirley, A. (1994). Factor structure and validation of an adolescent version of the condom attitude scale: an instrument for measuring adolescents’ attitudes toward condoms. Psychological Assessment, 6, 352–359. https://doi.org/10.1037/1040-3590.6.4.352.CrossRef

Thabane, L., Ma, J., Chu, R., Cheng, J., Ismaila, A., Rios, L. P., & Goldsmith, C. H. (2010). A tutorial on pilot studies: the what, why and how. BMC Medical Research Methodology, 10, 1 https://doi.org/10.1186/1471-2288-10-1.CrossRefPubMedPubMedCentral

The Henry J. Kaiser Family Foundation. (2014). Sexual health of adolescents and young adults in the United States. Menlo Park, CA: Author. https://www.kff.org/womens-health-policy/fact-sheet/sexual-health-of-adolescents-and-young-adults-in-the-united-states/.

Thornberry, T., Krohn, M., Lizotte, A., Smith, C., & Tobin, K. (2003). Gangs and delinquency in developmental perspective. Cambridge, England: Cambridge University.

Valentine, J. C., Biglan, A., Boruch, R. F., Castro, F. G., Collins, L. M., Flay, B. R., & Schinke, S. P. (2011). Replication in prevention science. Prevention Science, 12, 103–117. https://doi.org/10.1007/s11121-011-0217-6.CrossRefPubMed

Widman, L., Noar, S. M., Choukas-Bradley, S., & Francis, D. B. (2014). Adolescent sexual health communication and condom use: a meta-analysis. Health Psychology, 33, 1113–1124. https://doi.org/10.1037/hea0000112.CrossRefPubMedPubMedCentral

Widman, L., Golin, C. E., Noar, S. M., Massey, J., & Prinstein, M. J. (2016). Projectheartforgirls.Com: Development of a web-based HIV/STD prevention program for adolescent girls emphasizing sexual communication skills. AIDS Education & Prevention, 28, 365–377. https://doi.org/10.1521/aeap.2016.28.5.365.CrossRef

Widman, L., Golin, C. E., Kamke, K., Massey, J., & Prinstein, M. P. (2017). Feasibility and acceptability of a web-based HIV/STD prevention program for adolescent girls targeting sexual communication skills. Health Education Research, 32, 343–352. https://doi.org/10.1093/her/cyx048.CrossRef

Widman, L., Golin, C. E., Kamke, K., Burnette, J. L., & Prinstein, M. J. (2018). Sexual assertiveness skills and sexual decision-making in adolescent girls: Randomized controlled trial of an online program. American Journal of Public Health, 108, 96–102. https://doi.org/10.2105/AJPH.2017.304106.CrossRef

Titel: Evaluation of an Online Sexual Health Program among Adolescent Girls with Emotional and Behavioral Difficulties
Auteurs: Kristyn Kamke
Laura Widman
Sarah L. Desmarais
Publicatiedatum: 17-12-2019
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 4/2020
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-019-01685-1

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2020

A Pilot Study of One-Session Treatment for Specific Phobias in Children with ASD Traits

A Systematic Review of Psychological and Pharmacological Interventions for the Management of Trichotillomania in Children and Adolescents

Cross-Cultural Validity of the Emotion Matching Task

Providers’ Perspectives on Implementing a Multiple Family Group for Children with Disruptive Behavior

Severity and Frequency of Antisocial Behaviors: Late Adolescence/Young Adulthood Antisocial Behavior Index

Development and Validation of the Guilt and Shame Questionnaire for Adolescents of Parents with a Mental Illness (GSQ-APMI)