Testing a Proof of Concept of an Online Simulator-Based Training for Facilitators of Evidence-Based Sexual Health Education Interventions: A Small Randomized Trial Involving Making Proud Choices

Lisa Sontag-Padilla, Feifei Ye, Regina Firpo-Triplett, Brittany Lucas, Amanda Meyer, Serafina Lanna, Elie Ohana, Matthew Chinman
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Abstract

Well-trained facilitators are critical for prevention programs. However, in-person facilitator training can be expensive and inconvenient. To make facilitator training affordable and accessible, we tested a prototype of online simulator-based training for Making Proud Choices! (MPC) facilitators using a mixed-method approach of survey assessments and observations of teaching. MPC is a leading evidence-based human immunodeficiency virus (HIV), sexually transmitted infection (STI), and teen pregnancy risk-reduction program. A convenience sample of 53 adults was randomly assigned to receive facilitator training on one MPC activity either via an online simulation or via in-person. Participants completed pre–post-surveys and role-played the activity to demonstrate both fidelity and quality of instruction post-training. Pre–post-survey findings demonstrated that the online simulation group was no different compared to the in-person group for improvement in creating a safe and inclusive environment and for engagement of students. This was not the case for knowledge of the curriculum and steps of proper condom use, self-efficacy, and self-reported handling of some sensitive questions and student whispering. However, we did find comparable pre–post-change between the two groups on these measures. Role-play observation results showed that the online simulation group was no different, and in many cases better, than the in-person group on fidelity and quality indicators. Participants reported high levels of acceptability, likability, and applicability to teach youth about sexual health and safety using the prototype. Findings suggest online simulation training can replicate the learning experience from in-person methods, which, in turn, increases access to effective educator training.
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对基于证据的性健康教育干预促进者在线模拟器培训的概念验证进行测试:涉及 "做出自豪的选择 "的小型随机试验
训练有素的主持人对预防计划至关重要。然而,面对面的主持人培训既昂贵又不方便。为了使主持人培训既经济又方便,我们对 "做出自豪的选择 "在线模拟器培训原型进行了测试!(MPC) 主持人的在线模拟器培训原型进行了测试,采用了调查评估和教学观察相结合的方法。MPC 是一项领先的循证人类免疫缺陷病毒(HIV)、性传播感染(STI)和少女怀孕风险降低项目。我们随机抽取了 53 名成人,让他们通过在线模拟或面对面的方式接受一项 MPC 活动的主持人培训。受训者完成训前训后调查,并进行角色扮演,以展示培训后教学的忠实度和质量。前后调查结果表明,在线模拟组与现场组相比,在营造安全、包容的环境和学生参与度方面没有区别。但在对课程和正确使用安全套的步骤的了解、自我效能以及对一些敏感问题和学生窃窃私语的自我报告处理方面,情况并非如此。不过,我们确实发现两组学生在这些方面的前后变化情况相当。角色扮演观察结果表明,在线模拟组在真实性和质量指标方面与现场模拟组没有区别,在许多情况下甚至更好。参与者对使用原型向青少年传授性健康和性安全知识的接受度、喜爱度和适用性都很高。研究结果表明,在线模拟培训可以复制现场教学方法的学习体验,从而增加教育者接受有效培训的机会。
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