Adherence to a reproductive health intervention for young adults with sickle cell.

Nyema T Eades-Brown, Anne O Oguntoye, Dalal Aldossary, Miriam O Ezenwa, Laurie Duckworth, Duane Dede, Versie Johnson-Mallard, Yingwei Yao, Agatha Gallo, Diana J Wilkie
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Abstract

Background: The CHOICES intervention is tailored specifically for young adults with sickle cell disease (SCD) or sickle cell trait (SCT). The face-to-face (F2F) delivery format is feasible with efficacy for improving knowledge about reproductive health for those with SCD or SCT.

Purpose: The purpose of the study was to compare the participant adherence to a remote online CHOICES intervention study (N = 107) and a F2F CHOICES intervention study (N = 234).

Methodology: In both studies, participants with SCD or SCT were randomized into experimental or usual care control groups. Descriptive statistics were collected for all participants by group in both studies. Adherence was measured by retention at each data collection time point. Independent t-tests were conducted to compare mean participant adherence of the F2F and online studies postbaseline (6, 12, 18, and 24 months).

Results: There was a significant difference in mean adherence postbaseline between the studies (p = .005). The results suggest that more research is necessary for proper online participant retention.

Conclusion: Advance practice nurses that are well informed on CHOICES can transmit the availability of this evidence-based intervention to this special population. Special referral for the CHOICES intervention, which is tailored specifically for young adults with SCD or SCT, may increase adherence to the intervention if it comes from trusted health care providers.

Implications: Nurse practitioners are educators in primary and acute care settings. Encounters with reproductive age populations with SCD or SCT can occur in both settings.

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坚持对患有镰状细胞的年轻成人进行生殖健康干预。
背景:CHOICES干预措施是专门为患有镰状细胞病(SCD)或镰状细胞性状(SCT)的年轻成年人量身定制的。研究目的:本研究旨在比较远程在线 CHOICES 干预研究(N = 107)和 F2F CHOICES 干预研究(N = 234)参与者的坚持情况:在这两项研究中,患有 SCD 或 SCT 的参与者被随机分为实验组或常规护理对照组。两项研究均按组收集了所有参与者的描述性统计资料。根据每个数据收集时间点的保留率来衡量依从性。在基线后(6、12、18 和 24 个月),对 F2F 和在线研究的参与者平均依从性进行了独立 t 检验:结果:两项研究的平均基线后坚持率存在明显差异(p = .005)。结果表明,有必要开展更多研究,以适当保留在线参与者:结论:熟知 CHOICES 的执业护士可以向这一特殊人群传播这一循证干预措施。CHOICES 干预是专为患有 SCD 或 SCT 的年轻成人量身定制的,如果由值得信赖的医疗服务提供者特别转介,可能会提高干预的依从性:启示:执业护士是初级和急症护理环境中的教育者。与患有 SCD 或 SCT 的育龄人群的接触可能发生在这两种环境中。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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