Feasibility and acceptability of a father-based intervention to support adolescents reproductive health

以父亲为基础的干预措施支持青少年生殖健康的可行性和可接受性

基本信息

批准号：
10666721
负责人：
Jennifer Grossman
金额：
$ 21.66万
依托单位：
WELLESLEY COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-10 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10666721
关键词：
Address Adolescent Attention Black race Communication Communities Consent Contraceptive Usage Data Daughter Development Elements Enrollment Ethnic Origin Family Fathers Feedback Financial cost Frequencies Future Gender Goals Health Health Promotion Hispanic Intervention Interview Knowledge Measures Methods Multiple Partners National Institute of Child Health and Human Development Needs Assessment Not Hispanic or Latino Outcome Parents Participant Patient Recruitments Persons Pilot Projects Pregnancy in Adolescence Preparation Process Program Acceptability Protocols documentation Public Health Questionnaires Randomized, Controlled Trials Reporting Reproductive Health Research Resources Risk Sampling School-Age Population Self Efficacy Sex Behavior Sexual Health Sexual Transmission Sexually Transmitted Diseases Son Support Groups Surveys Technology Teenagers Testing Translating United States National Institutes of Health Youth acceptability and feasibility aged behavior change community organizations condoms cost design dosage efficacy evaluation ethnic diversity expectation health equity high risk sexual behavior high school innovation intervention mapping novel strategies online intervention outreach participant enrollment peer peer support post intervention programs prototype racial diversity recruit reproductive health of adolescents sex sexual risk behavior skills social social cognitive theory social culture teenage mother theories therapy design transmission process unintended pregnancy

项目摘要

Risky sexual behaviors have high personal, social, and financial costs. Fathers’ talk with teens about sex can protect teens from risky sexual behavior. However, the positive effects are limited, as few fathers talk with their teens about sex and those who do talk report low frequency of talk. Impacts of parent programs to support teen reproductive health are reduced by low participation and retention and lack of attention to father-specific barriers and supports for talk with teens about sex. The proposed intervention will address limitations of existing programs by using an online design with self-paced lessons and engaging both fathers and teens, and add innovative elements identified in father-based needs assessments such as a father-facilitated peer-based support group and identifying multiple approaches to talk with teens. Using Intervention Mapping, a systematic protocol using theory, empirical evidence, and community input to develop health interventions, we will develop an online intervention to support fathers’ health-promoting talk with their teens about sex and relationships, using Social Cognitive Theory, and evaluate the intervention’s acceptability, feasibility, and preliminary efficacy. The short-term goals of the intervention are to increase health-related knowledge, self-efficacy, and outcome expectations as mechanisms to reduce teens’ sexual risk behavior. We plan to use a future R01 to conduct a full-scale randomized control trial to assess the program’s efficacy to address long-term goals identified by NIH of reducing teens’ STI transmission and increasing their contraceptive use. The aims of the current study are 1) To develop a 3-module prototype for a father-teen online program to support health-promoting family communication about sex and relationships, and 2) To evaluate the program’s acceptability, feasibility, and preliminary efficacy. To address Aim 1, we will develop program modules using online lessons and interactive activities for fathers and teens to complete together, with ongoing stakeholder feedback from our Family Advisory Board, which includes 10 fathers and ≈6 teens. Aim 2 will assess the program’s acceptability, feasibility, and preliminary efficacy using a pilot study of 50 pairs of high school-aged teens and fathers. Acceptability and feasibility assessment use data such as pilot enrollment, participant feedback, and survey questionnaires. Given the limited project scope, preliminary efficacy will be explored by assessing initial directionality for correlates of teens’ sexual behavior through pre- and post-intervention surveys, using matched pair t-tests and t-tests to assess effects of teen gender on outcomes. This study is significant as it translates research on father-teen talk about sex into a technology-based and potentially scalable intervention designed to reduce teens’ sexual risk behavior. This study’s innovation lies in developing one of the first interventions to address fathers as an under-utilized resource to support teens’ sexual health, using novel approaches to maximize father-teen communication about sex. This study promotes public health by developing an intervention with potential to reduce teens’ sexual risk behavior.

危险的性行为会带来高昂的个人、社会和经济成本。保护青少年免受危险性行为的影响然而，积极影响有限，因为很少有父亲与孩子交谈。谈论性的青少年和那些谈论性的人表示，支持青少年的家长计划的影响较少。由于参与度和保留率低以及缺乏对父亲特有的关注，生殖健康受到损害拟议的干预措施将解决与青少年谈论性的障碍和支持。通过使用在线设计和自定进度的课程并吸引父亲和青少年参与现有计划，以及添加基于父亲的评估中确定的创新要素，例如由父亲推动的基于同伴的评估支持小组并确定使用干预映射（一种系统的）与青少年交谈的多种方法。使用理论、经验证据和社区投入来制定健康干预措施的协议，我们将制定一项在线干预措施，支持父亲与青少年谈论性和人际关系，促进健康，运用社会认知理论，评估干预措施的可接受性、可行性和初步效果。干预的短期目标是增加健康相关知识、自我效能和结果我们计划使用未来的 R01 来开展一项减少青少年性危险行为的机制。全面随机对照试验，评估该计划实现 NIH 确定的长期目标的功效减少青少年性传播感染并增加其避孕措施当前研究的目的是。 1) 为父亲与青少年在线计划开发一个 3 模块原型，以支持健康促进家庭关于性和关系的沟通，以及 2) 评估该计划的可接受性、可行性和为了实现目标 1，我们将使用在线课程和互动来开发课程模块。父亲和青少年共同完成的活动，以及我们家庭的利益相关者的持续反馈顾问委员会由 10 名父亲和约 6 名青少年组成，目标 2 将评估该计划的可接受性。通过对 50 对高中青少年和父亲进行的试点研究来确定可行性和初步效果。可接受性和可行性评估使用试点注册、参与者反馈和调查等数据鉴于项目范围有限，将通过评估初步效果来探讨初步效果。通过干预前和干预后调查确定青少年性行为相关性的方向性，使用配对 t 检验和 t 检验评估青少年性别对结果的影响。将父亲与青少年谈论性的研究转化为基于技术且具有潜在可扩展性的干预措施这项研究的创新之处在于开发了第一个研究，旨在减少青少年的性危险行为。采取干预措施，利用新颖的方法将父亲视为支持青少年性健康的未充分利用的资源最大限度地提高父亲与青少年关于性的沟通的方法这项研究通过以下方式促进公共健康。开发一种有可能减少青少年危险性行为的干预措施。