Health‐E You/Salud iTu: Pre-visit mobile health app for male adolescents to promote adolescent‐centered sexual & reproductive healthcare receipt

Health – E You/Salud iTu：男性青少年预先访问移动健康应用程序，以促进以青少年为中心的性行为

• 批准号: 10708026
• 负责人: Arik V Marcell
• 金额: $ 76.32万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-21 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10708026
• 关键词: Address; Adolescent; Age; Area; Behavior; Behavioral Model; Belief; Black race; Caring; Cities; Clinic; Clinic Visits; Clinical; Cluster randomized trial; Communities; Computers; Contraceptive Agents; Contraceptive Usage; Counseling; Decision Making; Enrollment; Ensure; Ethnic Origin; Family Planning; Female; Female Adolescents; Funding; Gender Identity; Grant; Guidelines; HIV; Health; Health Promotion; Healthcare; Individual; Infertility; Infrastructure; Intervention; Knowledge; Language; Latino; Life; Male Adolescents; Malignant Neoplasms; Methods; Mobile Health Application; Online Systems; Outcome; Patients; Population; Preconception Care; Pregnancy; Preventive care; Primary Care; Privacy; Process; Provider; Race; Recommendation; Reproductive Health; Reproductive Health Services; Risk Behaviors; STI prevention; Schools; Self Efficacy; Sex Behavior; Sex Orientation; Sexual Development; Sexual Health; Sexually Transmitted Diseases; Technology; Teenagers; Testing; Time; Visit; Voice; Work; Youth; adolescent patient; adolescent sexual health; arm; assigned female at birth; cancer prevention; condoms; design; diversity and inclusion; efficacy testing; ethnic minority; evidence base; follow-up; improved; improved outcome; iterative design; male; men who have sex with men; men' s group; mobile application; neglect; pre-exposure prophylaxis; pregnancy prevention; primary care provider; provider-level barriers; racial minority; reproductive; satisfaction; school based health center; sex; sexual minority male; sexual relationship; sexually active; tool; treatment as usual; unintended pregnancy; usability

ABSTRACT While preventive care guidance recommends primary care providers deliver sexual and reproductive health (SRH) care to male adolescents (ages 12 and older), males’ SRH care receipt is poor. Clinic-based interventions can be valuable SRH promotion tools for adolescents. However, they have mainly focused on pregnancy prevention for females, single topics (STIs, HIV) rather than the recommended SRH care package, or specific male groups (e.g., men who have sex with men) rather than inclusive of the diversity of males encompassing the full range of gender identities, sexual orientation, race/ethnicity, and risk behaviors. Computer-based approaches make it easier to consistently provide evidence-based SRH, in multiple languages, tailored to the diverse needs of all adolescents. Using such approaches before the clinic visit can also help overcome providers’ barriers, such as time constraints, to improve SRH care. Yet, we are not aware of any computer-based strategy to promote recommended SRH care for diverse groups of males. Neglecting males in evidence-based SRH care fails to meet their own needs, and compromises their partners’ health. Health-E You/Salud iTu is a pre-visit, individually tailored, interactive, web-based mobile intervention shown to improve contraceptive knowledge and use among adolescent females 6 months later and prime and extend providers’ ability to deliver individually tailored contraceptive care to female patients. We will adapt the current Health-E You for male adolescents to assess their SRH needs; provide interactive, individually tailored, evidence-based SRH information; support SRH decision-making and visit priorities; and support providers’ ability to individually tailor recommended SRH care. We will then evaluate its acceptability, usability, satisfaction, and efficacy on SRH care receipt and method use among diverse groups of male adolescents presenting for care at school-based health centers (SBHCs), by leveraging the infrastructure of a current PCORI-funded trial with 28 SBHCs in 11 states focused on assigned females sex at birth. It will also support providers in delivering the recommended SRH care package for males. In this R01 proposal, we propose to (1) adapt Health-E You as a pre-visit, individually tailored, interactive, SRH care tool for use with diverse groups of male adolescents employing a Youth-Centered Health Design Process with input from an advisory board of male adolescents and providers; (2) ensure its acceptability, usability, and satisfaction among male adolescent patients and providers in SBHCs using an iterative design approach; and (3) test its efficacy to improve sexually active male adolescent patients’ knowledge, self-efficacy, beliefs, and behaviors related to SRH care after the visit and method use 2 months later. The current proposal would be the first to examine the acceptability, usability, satisfaction, and efficacy of a pre-visit, computer-based intervention to engage sexually active male adolescent patients in SRH care and method use, where currently no such strategy exists.

抽象的 虽然预防保健指南建议初级保健提供者提供性健康和生殖健康 (SRH) 男性青少年（12 岁及以上）护理，男性的 SRH 护理接受情况较差。 干预措施对于青少年来说是有价值的性健康和生殖健康促进工具，但它们主要集中于以下方面。 女性怀孕预防、单一主题（性传播感染、艾滋病毒）而不是推荐的性健康与生殖健康护理包， 或特定男性群体（例如男男性行为者），而不是包容男性的多样性 涵盖全方位的性别认同、性取向、种族/民族和危险行为。 基于计算机的方法可以更轻松地在多个方面一致地提供基于证据的性健康和生殖健康 在就诊之前使用此类方法可以满足所有青少年的不同需求。 还有助于克服服务提供者的障碍，例如时间限制，以改善性健康和生殖健康护理。然而，我们并没有意识到。 任何基于计算机的策略来促进对不同男性群体的建议性性健康和生殖健康护理。 接受基于证据的性健康与生殖健康护理的男性无法满足自己的需求，并损害了伴侣的健康。 Health-E You/Salud iTu 是一种访问前、个性化、交互式、基于网络的移动干预 显示可提高青春期女性的避孕知识和使用 6 个月后和黄金期 扩大医疗服务提供者为女性患者提供个性化避孕护理的能力。 目前的 Health-E You 为男性青少年评估他们的 SRH 需求提供互动、个性化定制、 基于证据的 SRH 信息；支持 SRH 决策和访问优先事项并支持提供者的 然后，我们将评估其可接受性、可用性、个性化定制建议的 SRH 护理的能力。 不同群体的男性青少年对性健康和生殖健康护理接受和方法使用的满意度和效果 通过利用现有的基础设施，在校内健康中心 (SBHC) 提供护理服务 PCORI 资助了 11 个州 28 个 SBHC 进行的试验，重点关注指定的女性出生性别。 提供者为男性提供建议的 SRH 护理包。 在本 R01 提案中，我们建议 (1) 将 Health-E You 改编为预访、个性化定制、交互式 SRH 护理工具，供不同群体使用 男性青少年采用以青年为中心的健康设计流程，并听取了咨询委员会的意见 (2) 确保男性青少年的可接受性、可用性和满意度 使用迭代设计方法对 SBHC 中的患者和提供者进行测试；(3) 测试其改进效果； 性活跃男性青少年患者与 SRH 护理相关的知识、自我效能、信念和行为 在访问和方法使用2个月后，当前的提案将首先进行审查。 访问前基于计算机的性行为干预的可接受性、可用性、满意度和有效性 积极参与 SRH 护理和方法使用的男性青少年患者，但目前尚无此类策略。