A Group Randomized Controlled Trial of Relationships Under Construction Sexual Risk Avoidance Education

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Journal of School Health Pub Date : 2024-02-21 DOI:10.1111/josh.13441

Olivia Ashley DrPH, Stephen R. Shamblen PhD, Andrew Gluck MBA, Catherine Wood BS

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Abstract

BACKGROUND

We analyzed data from a study to evaluate the effectiveness of the Relationships Under Construction (RUC) sexual risk avoidance education program promoting positive youth development and healthy relationships.

METHODS

Twelve schools in the Midwestern region of the United States randomized to the intervention implemented RUC in health or science classes, while control schools collected study measures and implemented the standard curriculum.

RESULTS

Post-randomization analyses revealed significant differences in grade, race/ethnicity, and prior relationship education at baseline between intervention and control students. Subsequent analyses controlled for these differences. We distributed parental notification letters to 641 students, and no parents requested that their adolescent opt out of data collection. We obtained assent and baseline computer-assisted survey interviews or paper-and-pencil instrument forms from 100% of these students. Findings suggest that RUC significantly reduced sexual activity (odds ratio = 0.56, p = .046) at 3-month follow-up, compared to those in the control group. RUC also reduced pornography viewing and improved attitudes about delayed gratification, beliefs, decision making, and negative outcome expectations.

CONCLUSIONS

Our findings suggest that RUC improves sexual attitudes, beliefs, and behaviors among this population of adolescents. Additional research is needed to assess RUC impacts among diverse populations.

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关系构建中的性风险规避教育团体随机对照试验》。

背景：我们分析了一项研究的数据，该研究旨在评估 "构建中的关系（RUC）"性风险规避教育项目在促进青少年积极发展和健康人际关系方面的有效性：美国中西部地区的 12 所学校被随机分配到干预项目中，在健康课或科学课上实施 RUC，而对照学校则收集研究措施并实施标准课程：结果：随机化后的分析表明，干预学校和对照学校的学生在年级、种族/民族和之前的恋爱教育基线上存在显著差异。随后的分析控制了这些差异。我们向 641 名学生发放了家长通知书，没有家长要求其青少年退出数据收集。我们获得了这些学生 100% 的同意和基线计算机辅助调查访谈或纸笔工具表格。调查结果显示，与对照组相比，RUC 在 3 个月的随访中明显减少了性活动（几率比 = 0.56，p = .046）。RUC 还减少了色情观看，改善了对延迟满足、信念、决策和消极结果预期的态度：我们的研究结果表明，RUC 可以改善青少年的性态度、性信念和性行为。还需要进行更多的研究，以评估 RUC 对不同人群的影响。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.