Computer-Aided Counseling to Prevent Teen Pregnancy/STDs

预防青少年怀孕/性病的计算机辅助咨询

• 批准号: 7031014
• 负责人: MELANIE Ariane GOLD
• 金额: $ 34.39万
• 依托单位: CHILDREN'S HOSP PITTSBURGH/UPMC HLTH SYS
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-04-01 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7031014
• 关键词: adolescence (12-20); age at pregnancy; behavioral /social science research tag; computer assisted patient care; computer human interaction; counseling; disease /disorder prevention /control; family planning; female; health care service evaluation; health services research tag; human subject; longitudinal human study; motivation; patient oriented research; safe sex /sex abstinence; sex behavior; sex education; sexually transmitted diseases; urban area; women' s health

DESCRIPTION (provided by investigator): Adolescent unintended pregnancy and STDs remain at epidemic levels in the United States. Healthy People 2010 Objectives set a goal to increase to 90 percent the proportion of sexually active adolescents who use contraception that both effectively prevents pregnancy and provides barrier protection against disease. How to effectively counsel adolescents to reach this goal is unclear. Counseling and feedback based on the Transtheoretical Model (TTM) have demonstrated greater success than standard, action-oriented advice in several domains of behavior change. The effectiveness of this type of counseling to alter female adolescents' sexual and contraceptive behaviors has not been rigorously evaluated. We propose recruiting 660 female adolescents, ages 13 to 21 years, from an inner-city, hospital-based clinic and randomizing them to either an innovative Computer-Assisted Motivational Intervention (CAMI) or a Didactic Educational Control (DEC). The CAM! group will receive three, 30-minute sessions of one-on-one counseling with a counselor that is guided by computer-generated personalized feedback. The CAMI is based on the principles of the TTM and on Motivational Interviewing. The DEC provides three 30-minute sessions of one-on-one didactic information on contraception, STD prevention, and abstinence. The two interventions are identical in length and timing but vary in educational content, counseling style, and the provision of personalized feedback. We will track the two groups of female adolescents in this study through a 6-month intervention phase and a 12-month follow-up phase to assess differences in sexual and contraceptive behaviors by group. The primary specific aim for the study is to evaluate the efficacy of the CAMI as compared to the DEC in reducing sexual behaviors that increase the risks of both unintended pregnancy and STDs. We will examine protective sexual behaviors in three ways: 1) behaviors that protect against pregnancy; 2) behaviors that protect against STDs; and 3) behaviors that protect against both pregnancy and STDs. Our primary hypothesis is that the CAMI will decrease the proportion of subjects who engage in any intercourse that is poorly protected against pregnancy and against STDs. We also predict that among sexually active subjects, the CAMI will increase the percentage of episodes of intercourse that are well protected by the use of both condoms plus another contraceptive. Finally, we also predict that the CAMI will increase the prevalence of abstinence among the entire sample. If proven effective, computer-assisted personalized motivational counseling could be broadly implemented as a method to decrease the incidence of unintended pregnancy and STDs among female adolescents.

描述（调查员提供）：青春期意外怀孕和 在美国，性病仍处于流行性水平。健康人2010 目标设定目标，使性别比例增加到90％ 使用避孕的活跃青少年有效地阻止 怀孕并提供障碍疾病的障碍。如何有效 律师青少年实现这一目标尚不清楚。咨询和反馈 基于跨理论模型（TTM）已显示出更大的成功 比在行为改变的几个领域中的标准，面向动作的建议。 这种类型的咨询以改变女性青少年的有效性 性行为和避孕行为尚未进行严格评估。我们 提议招募660名女性青少年，年龄在13至21岁之间 市中心，基于医院的诊所，并将其随机化为创新性 计算机辅助的动机干预（CAMI）或教学教育 控制（DEC）。凸轮！小组将接受三个，30分钟的会议 由计算机生成的指导的辅导员一对一的咨询 个性化的反馈。 CAMI基于TTM的原理 励志面试。 DEC提供了三个30分钟的课程 关于避孕，预防性病和一对一的教学信息 节制。两种干预措施的长度和时机相同，但有所不同 在教育内容，咨询风格以及提供个性化的 反馈。我们将在本研究中跟踪两组女性青少年 通过6个月的干预阶段和12个月的随访阶段来评估 按小组进行的性和避孕行为差异。 该研究的主要特定目的是评估CAMI的功效 与DEC相比，减少了性行为的性行为 意想不到的怀孕和性病。我们将检查保护性的性行为 通过三种方式：1）预防怀孕的行为； 2）行为 预防性病； 3）可以防止怀孕和 性病。我们的主要假设是CAMI将减少 从事任何受到不利保护的交往的主题 怀孕和反性病。我们还预测，在性活跃中 受试者，CAMI将增加性交发作的百分比 通过两种避孕套以及另一种避孕药的使用得到了很好的保护。 最后，我们还预测CAMI将增加 整个样本中的禁欲。如果被证明有效，计算机辅助 个性化的动机咨询可以广泛地作为一种方法 降低女性意外怀孕和性病的发病率 青少年。

项目成果

Counseling adolescents about abstinence in the office setting.

就办公室环境中的禁欲问题向青少年提供咨询。

• DOI: 10.1016/j.jpag.2006.10.013
• 发表时间: 2007
• 期刊: Journal of pediatric and adolescent gynecology
• 影响因子: 1.8
• 作者: Ott,MaryA;Labbett,RitaLisa;Gold,MelanieA
• 通讯作者: Gold,MelanieA

Associations between depressive symptoms and sexual risk behavior in a diverse sample of female adolescents.

不同女性青少年样本中抑郁症状与性危险行为之间的关联。

• DOI: 10.1016/j.jpag.2008.12.011
• 发表时间: 2009
• 期刊: Journal of pediatric and adolescent gynecology
• 影响因子: 1.8
• 作者: Rubin,AG;Gold,MA;Primack,BrianA
• 通讯作者: Primack,BrianA

A Randomized Controlled Trial to Compare Computer-assisted Motivational Intervention with Didactic Educational Counseling to Reduce Unprotected Sex in Female Adolescents.

• DOI: 10.1016/j.jpag.2015.06.001
• 发表时间: 2016-02
• 期刊: Journal of pediatric and adolescent gynecology
• 影响因子: 1.8
• 作者: Gold MA;Tzilos GK;Stein LA;Anderson BJ;Stein MD;Ryan CM;Zuckoff A;DiClemente C
• 通讯作者: DiClemente C