Sexual Assertiveness Skills and Sexual Decision-Making in Adolescent Girls

Randomized Controlled Trial of an Online Program

Datos Bibliográficos

ID11031708
AutoresLaura Widman (0000-0001-8117-5467, Laura Widman, Kristyn Kamke, and Jeni L. Burnette are with North Carolina State University, Raleigh. Carol E. Golin and Mitchell J. Prinstein are with the University of North Carolina at Chapel Hill.), Carol E Golin (0000-0002-5546-3163, Laura Widman, Kristyn Kamke, and Jeni L. Burnette are with North Carolina State University, Raleigh. Carol E. Golin and Mitchell J. Prinstein are with the University of North Carolina at Chapel Hill.), Kristyn Kamke (0000-0002-3075-6381, Laura Widman, Kristyn Kamke, and Jeni L. Burnette are with North Carolina State University, Raleigh. Carol E. Golin and Mitchell J. Prinstein are with the University of North Carolina at Chapel Hill.), Jeni L Burnette (0000-0001-7548-8782, Laura Widman, Kristyn Kamke, and Jeni L. Burnette are with North Carolina State University, Raleigh. Carol E. Golin and Mitchell J. Prinstein are with the University of North Carolina at Chapel Hill.), Mitchell J Prinstein (0000-0002-7587-8665, Laura Widman, Kristyn Kamke, and Jeni L. Burnette are with North Carolina State University, Raleigh. Carol E. Golin and Mitchell J. Prinstein are with the University of North Carolina at Chapel Hill.)
Año2018
Volumen108
Número1
Páginas96-102
Fecha de publicación2018-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2017.304106
PMID29161072
OpenAlexW2769386088
IdiomaEN
Citas recibidas24
Referencias citadas27

Objectives. To evaluate the efficacy of an interactive, Web-based sexual health program (Health Education and Relationship Training [HEART]) for developing sexual assertiveness skills and enhancing sexual decision-making in adolescent girls. Methods. Participants were 222 tenth-grade girls (mean age = 15.2; 38% White, 29% Hispanic, 25% Black) in the Southeastern United States who were randomized in fall 2015 to the HEART intervention or an attention-matched control. We assessed participants at pretest, immediate posttest, and 4-month follow-up. Results. Both groups had similar demographic and sexual behavior characteristics at pretest. At immediate posttest, girls who completed the HEART program demonstrated better sexual assertiveness skills measured with a behavioral task, higher self-reported assertiveness, intentions to communicate about sexual health, knowledge regarding HIV and other sexually transmitted diseases (STDs), safer sex norms and attitudes, and condom self-efficacy compared with the control condition. At 4-month follow-up, group differences remained in knowledge regarding HIV and other STDs, condom attitudes, and condom self-efficacy. Conclusions. This brief online sexual health program can improve short-term outcomes among adolescent girls and offers an exciting new option in the growing array of digital health interventions available to youths. Trial Registration Number. NCT02579135

Assertiveness · Condom · Environmental health · Family medicine · Health education · Human immunodeficiency virus (HIV) · Population · Psychiatry · Psychological intervention · Public health · Randomized controlled trial · Reproductive health · Adolescent Sexual and Reproductive Health · Clinical Psychology · Medicine · Nursing · Psychology · Sexual function and dysfunction studies · Sexuality, Behavior, and Technology · Social Psychology