Impact of an Intervention Designed to Reduce Sexual Health Risk Behaviors of African American Adolescents: Results of a Randomized Controlled Trial

Jenner, Eric; Jenner, Lynne W.; Walsh, Sarah; Demby, Hilary; Gregory, Alethia; Davis, Erin

doi:10.2105/ajph.2016.303291

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…Factors that are specific to the lived experiences and realities of Black and Latina women necessitate the development of tailored SRH interventions that address ongoing disparities. To maximize impact, it is critical for SRH interventions to not only increase knowledge but also work to bolster skills and self-efficacy for young women while also targeting attitudes, intentions, and perceptions surrounding SRH (El-Bassel et al, 2009; Jenner et al, 2016). Although traditional SRH programs show effectiveness when tailored toward the needs of Black and Latina women, it has been difficult to implement such effective evidence-based interventions widely due to challenges related to recruitment and retention, financial constraints, ease of access, costs, and lack of personnel/staff (Hendrick & Canfield, 2017; James et al, 2016).…”

mentioning

confidence: 99%

Developing Culturally Tailored mHealth Tools to Address Sexual and Reproductive Health Outcomes Among Black and Latina Women: A Systematic Review

Chandler

Guillaume

Parker

et al. 2021

Health Promotion Practice

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Background In addressing the sexual and reproductive health (SRH) disparities for Black and Latina women, there is a need for the development of innovative programs, framed using theoretical underpinnings that are culturally and contextually tailored so that they align with lived experiences. Mobile health (mHealth) interventions offer considerable potential as a means of providing effective SRH education and services. However, there has been a lack of research assessing culturally and contextually tailored mHealth SRH interventions for Black and Latina women. Method A comprehensive literature search was undertaken using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Literature was reviewed to evaluate whether a culturally and contextually tailored approach was utilized in the development and implementation of mHealth interventions for Black and Latina women. Results A total of 12 articles were included in our synthesis, which encompassed mobile phone–, telephone-, and computer-based mHealth interventions for Black and Latina women. Cultural and/or gender-specific tailoring was included in 10 studies. Reduction of risky sexual behaviors and increased contraception usage were reported in 92% ( n = 11) of the studies. Interventions that incorporated tailored content and fostered interaction reported high rates of follow-up. Conclusions Tailored mHealth interventions can be effective in promoting behavior change and improving SRH outcomes for Black and Latina women. However, there is a need for more research assessing user engagement and retention for Black and Latina women, and whether improvements in SRH outcomes are sustainable over the long term.

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confidence: 99%

Developing Culturally Tailored mHealth Tools to Address Sexual and Reproductive Health Outcomes Among Black and Latina Women: A Systematic Review

Chandler

Guillaume

Parker

et al. 2021

Health Promotion Practice

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“…This program attempts to modify youths’ sexual behaviors under the premise that their risk perception could be modified with improvements in disease-associated knowledge, skills, and self-confidence in condom use. However, after a 6-month trial period in young AAs, no differences in sexual health risk behaviors were noted between the intervention and control groups 13. This finding suggests that knowledge alone is not enough to promote risk perception and protective sexual behaviors in young people 14–16.…”

Section: Introductionmentioning

confidence: 84%

<p>Assessment of sexually transmitted disease/HIV risk among young African Americans: comparison of self-perceived and epidemiological risks utilizing ecodevelopmental theory</p>

Li¹,

Mgbere²,

Abughosh³

et al. 2019

HIV

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Background Recent advances in understanding the developmental processes associated with adolescents warrant new thinking and systematic application of key concepts of risk and protective processes. This study examined the association between epidemiological and self-perceived risks of contracting sexually transmitted diseases (STDs)/HIV among young African Americans (AAs) and the multilevel factors identified using ecodevelopmental theory. Methods A retrospective cross-sectional study was conducted on wave 1 data from the National Longitudinal Study of Adolescent Health comprising 1,619 AA youth aged 14–18 years. Epidemiological and self-perceived HIV-risk indices were developed and their associations with ecodevelopmental system parameters evaluated. Results Significant discordance ( P <0.0001) in the youths’ self-perceived risk and epidemiological risk (the “gold standard”) was recorded with Cohen’s k-coefficient of 0.144 (95% CI 0.104–0.193). Adolescents who felt like talking to their mother had no trouble getting along with schoolteachers, perceived that teachers treated student fairly, experienced mother’s disapproval of their sexual debut, and had close friends who knew how to use condoms correctly, were positively related to low epidemiological risk of contracting STDs/HIV. Being older, male, and a mother’s positive attitude toward their adolescent’s use of birth control (in exosystem) were associated with high epidemiological risk of contracting STDs/HIV. Furthermore, poor connection with the mother (did not feel like talking to mother) and growing older were related to low accuracy of self-risk perception among AA youths. Conclusion The findings demonstrate the strong need to align self-perceived risk with epidemiological risk of acquiring STDs/HIV using the key multilevel ecodevelopmental system factors identified. This will require changes in relevant social attitudes and norms associated with risk measurement, and allow for a rational basis for safe health practices and behaviors among AA youths.

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“…Teen pregnancy prevention programs described as innovative incorporated life planning and goal setting (Barbee, Cunningham, van Zyl, Antle, & Langley, 2016), cultural relevance and sensitivity (Jenner et al, 2016;Abe, Barker, Chan & Eucogco, 2016), technology (Kaufman, Schwinn, Black, Keane & Big Crow, 2016;Markham, et al, 2012;Bull et al, 2016, Downs et al, 2004, and holistic youth development approaches targeting adolescent risk behaviors (Piotrowski & Hedeker, 2016). Lessons learned related to the future implementation of these programs include the cost and time of program implementation, training of facilitators and staff, using hybrid approaches to tailor activities for participants, and incorporating culturally relevant stories/examples and values (Barbee, Cunningham, van Zyl, Antle, & Langley, 2016;Abe, Barker, Chan & Eucogco, 2016;Bull et al, 2016;Piotrowski & Hedeker, 2016;Downs et al, 2004).…”

Section: Innovation and Teen Pregnancy Prevention Programsmentioning

confidence: 99%

Encouraging Innovation in Teen Pregnancy Prevention Programs

Wilson¹,

Garney²,

Hays³

et al. 2017

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While there is widespread support for implementing evidence-based interventions to improve adolescent health, health programs either become out dated and the participants are not engaged or new programs are needed for underserved populations. Innovation receives attention in health care and health systems. However, in health education the focus on innovation surrounds translating programs into practice; there is a lack of information on developing innovative programs which address disparities in teen pregnancy prevention. Given no guidelines exist to support the development of innovative programs in health, this skill is generally lacking and not widely used nor considered especially in content areas like teen pregnancy prevention. This paper discusses the gaps and opportunities for supporting and fostering innovation in adolescent health and teen pregnancy prevention programming.

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Impact of an Intervention Designed to Reduce Sexual Health Risk Behaviors of African American Adolescents: Results of a Randomized Controlled Trial

Cited by 8 publications

References 11 publications

Developing Culturally Tailored mHealth Tools to Address Sexual and Reproductive Health Outcomes Among Black and Latina Women: A Systematic Review

Developing Culturally Tailored mHealth Tools to Address Sexual and Reproductive Health Outcomes Among Black and Latina Women: A Systematic Review

<p>Assessment of sexually transmitted disease/HIV risk among young African Americans: comparison of self-perceived and epidemiological risks utilizing ecodevelopmental theory</p>

Encouraging Innovation in Teen Pregnancy Prevention Programs

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