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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >A Cluster-Randomized Trial of Getting To Outcomes' Impact on Sexual Health Outcomes in Community-Based Settings
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A Cluster-Randomized Trial of Getting To Outcomes' Impact on Sexual Health Outcomes in Community-Based Settings

机译：在社区为基础的环境中恢复成果对性健康结果的影响的集群随机试验

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The USA has high teen pregnancy rates compared to other developed nations. Many community-based organizations need assistance conducting evidence-based teen pregnancy prevention programs (EBPs) appropriately. This study evaluated the impact of an implementation support intervention called Getting To Outcomes (GTO) designed to help such organizations. This cluster randomized controlled trial compared 16 Boys and Girls Clubs (BGCs) implementing a teen pregnancy prevention EBP called Making Proud Choices for two years, with 16 BGCs implementing MPC augmented with GTO training, tools, and technical assistance. Participating middle school youth were compared on proximal outcomes (knowledge, attitudes, and intentions about sex and condoms from baseline to post) and sexual behaviors (frequency of sex and condom use, from baseline to 6-month follow-up). In year 1, there were no significant effects of GTO for any proximal outcome. After GTO-stimulated quality improvement in year 2, the GTO group improved significantly more on condom attitudes and use intentions. Frequency of sex and condom use did not differ between the two groups in either year; however, base rates of these behaviors in the sample were very low. Findings suggest that in typical community-based settings, detailed manuals and training common to structured EBPs may be sufficient to yield some improvement in key proximal outcomes, but that more systematic implementation support is needed to achieve greater improvement in these outcomes. Using GTO with many communities, as currently supported by various federal agencies, could yield public health impact via improvements in condom attitudes and use intentions.
机译：与其他发达国家相比，美国具有高青少年妊娠率。许多基于社区的组织需要援助进行依据进行循证的青少年妊娠预防计划（EBPS）。本研究评估了实施支持干预所谓的结果（GTO）的影响，旨在帮助这些组织。该集群随机控制试验比较16名男孩和女孩俱乐部（BGCS）实施青少年妊娠预防EBP称为自豪选择两年，拥有16个BGC，实施MPC增强了GTO培训，工具和技术援助。将参与中学青年进行比较（知识，态度以及从基线的基线对性和避孕套的意图）和性行为（性行为和避孕套使用的频率，从基线到6个月的随访）。在1年，GTO对于任何近端结果没有显着影响。在GTO刺激的质量改善之后，GTO集团在安全套态度和使用意图中得到了更大的提高。两年的两组之间的性和避孕套使用的频率没有差异;然而，样品中这些行为的基本速率非常低。调查结果表明，在典型的基于社区的设置中，结构化EBP的详细手册和培训可能足以在关键的近端结果中产生一些改进，而是需要更系统的实施支持来实现这些结果的更大改善。与各种联邦机构目前支持的众多社区使用GTO可以通过避孕套态度的改进产生公共卫生影响，并使用意图。

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