Reducing substance use and risky sexual behavior among young, low-income, Mexican-American women: Comparison of two interventions

Lindenberg, Cathy Strachan; Solórzano, Rosa M.; Bear, Deborah; Strickland, Ora L.; Galvis, Cecilia; Pittman, Kathy

doi:10.1053/apnr.2002.34141

Cited by 43 publications

(18 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hand searches yielded an additional 12 studies for possible inclusion. Five 33–37 of these studies met our inclusion criteria, for a total of 17 included studies (Figure 2). Common reasons for exclusion were as follows: the intervention could not feasibly be carried out in a clinic setting (e.g., multisession course series), and the effect of the educational intervention could not be separated from a broader counseling intervention.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Of the 17 included studies, 15 20–22,24–27,29–31,33–37 examined the impact of educational interventions on knowledge of contraceptive risks and benefits, including side effects and method effectiveness, or correct method use (Q1 and Q2). Three 23,26,31 examined level of comfort with the decision-making process (Q4), and three 21,29,32 examined attitudes related to contraceptive methods (Q5).…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Of these studies, seven 21,23–25,30,31,33 included at least one group that received only written materials, five 21,22,26–29 used audiotapes or videotapes alone or in combination with written materials, and three 34,36,37 used only interactive computer games. Two studies 25,31 provided different written materials to each of the study groups to assess the effect of different complexities of information.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Four were interventions that included a control group, two 20,34 of which were classified as having a moderate risk for bias and two 23,37 of which were classified as having a high risk for bias. The remaining five 30,32,33,35,36 used a pre-/post-test design and were classified as having a high risk for bias.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Among the studies with statistically significant findings, six 21,22,24,25,27,29 were RCTs with a low risk for bias. The one study 33 that did not find significant improvement was based on pre-/post-test study design and had a high risk for bias.…”

Section: Evidence Synthesismentioning

confidence: 99%

See 4 more Smart Citations

Impact of Contraceptive Education on Contraceptive Knowledge and Decision Making

Pazol¹,

Zapata²,

Tregear

et al. 2015

American Journal of Preventive Medicine

View full text Add to dashboard Cite

Context Educational interventions can help increase knowledge of available contraceptive methods, enabling individuals to make informed decisions and use contraception more effectively. This systematic review evaluated contraceptive education interventions to guide national recommendations on quality family planning services. Evidence acquisition Three databases (CINAHL, PubMed, and PsycINFO) were searched from 1985 through 2012 for peer-reviewed articles on educational interventions, with supplemental searches conducted through 2015. Primary outcomes were knowledge, participation in and comfort with decision making, and attitudes toward contraception. Secondary outcomes included contraceptive use behaviors and unintended pregnancy. Evidence synthesis Database searches in 2011 identified 5,830 articles; 17 met inclusion criteria and were abstracted into evidence tables. Searches in 2012 and 2015 identified four additional studies. Studies used a wide range of tools (decision aids, written materials, audio/videotapes, and interactive games), with and without input from a healthcare provider or educator. Of 15 studies that examined the impact of educational interventions on knowledge, 14 found significant improvement using a range of tools, with and without input from a healthcare provider or educator. Fewer studies evaluated outcomes related to decision making, attitudes toward contraception, contraceptive use behaviors, or unintended pregnancy. Conclusions Results from this systematic review are consistent with evidence from the broader healthcare field suggesting that a range of educational interventions can increase knowledge. Future studies should assess what aspects of educational interventions are most effective, the extent to which it is necessary to include a healthcare provider or educator, and the extent to which educational interventions can impact behaviors.

show abstract

Section: Evidence Synthesismentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 99%

See 3 more Smart Citations

Impact of Contraceptive Education on Contraceptive Knowledge and Decision Making

Pazol¹,

Zapata²,

Tregear

et al. 2015

American Journal of Preventive Medicine

View full text Add to dashboard Cite

show abstract

Interventions for encouraging sexual behaviours intended to prevent cervical cancer

Shepherd

Frampton

Harris

2011

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background Human papillomavirus (HPV) is the key risk factor for cervical cancer. Continuing high rates of HPV and other sexually transmitted infections (STIs) in young people demonstrate the need for effective behavioural interventions. Objectives To assess the effectiveness of behavioural interventions for young women to encourage safer sexual behaviours to prevent transmission of STIs (including HPV) and cervical cancer. Search methods Systematic literature searches were performed on the following databases: Cochrane Central Register of Controlled Trials (CENTRAL Issue 4, 2009) Cochrane Gynaecological Cancer Review Group (CGCRG) Specialised Register, MEDLINE, EMBASE, CINAHL, PsychINFO, Social Science Citation Index and Trials Register of Promoting Health Interventions (TRoPHI) up to the end of 2009. All references were screened for inclusion against selection criteria. Selection criteria Randomised controlled trials (RCTs) of behavioural interventions for young women up to the age of 25 years that included, amongst other things, information provision about the transmission and prevention of STIs. Trials had to measure behavioural outcomes (e.g. condom use) and/or biological outcomes (e.g. incidence of STIs, cervical cancer). Data collection and analysis A narrative synthesis was conducted. Meta-analysis was not considered appropriate due to heterogeneity between the interventions and trial populations. Main results A total of 5271 references were screened and of these 23 RCTs met the inclusion criteria. Most were conducted in the USA and in health-care clinics (e.g. family planning). The majority of interventions provided information about STIs and taught safer sex skills (e.g. communication), occasionally supplemented with provision of resources (e.g. free sexual health services). They were heterogeneous in duration, contact time, provider, behavioural aims and outcomes. A variety of STIs were addressed including HIV and chlamydia. None of the trials explicitly mentioned HPV or cervical cancer prevention. Statistically significant effects for behavioural outcomes (e.g. increasing condom use) were common, though not universal and varied according to the type of outcome. There were no statistically significant effects of abstaining from or reducing sexual activity. There were few statistically significant effects on biological (STI) outcomes. Considerable uncertainty exists in the risk of bias due to incomplete or ambiguous reporting. Authors’ conclusions Behavioural interventions for young women which aim to promote sexual behaviours protective of STI transmission can be effective, primarily at encouraging condom use. Future evaluations should include a greater focus on HPV and its link to cervical cancer, with long-term follow-up to assess impact on behaviour change, rates of HPV infection and progression to cervical cancer. Studies should use an RCT design where possible with integral process evaluation and cost-effectiveness analysis where appropriate. Given the predominance of USA studies in t...

show abstract

Interventions for prevention of drug use by young people delivered in non-school settings

Gates

McCambridge

Smith

et al. 2006

Cochrane Database of Systematic Reviews

126

View full text Add to dashboard Cite

show abstract

Reducing substance use and risky sexual behavior among young, low-income, Mexican-American women: Comparison of two interventions

Cited by 43 publications

References 15 publications

Impact of Contraceptive Education on Contraceptive Knowledge and Decision Making

Impact of Contraceptive Education on Contraceptive Knowledge and Decision Making

Interventions for encouraging sexual behaviours intended to prevent cervical cancer

Interventions for prevention of drug use by young people delivered in non-school settings

Contact Info

Product

Resources

About