@article{ref1,
title="Sexual assertiveness skills and sexual decision-making in adolescent girls: randomized controlled trial of an online program",
journal="American journal of public health",
year="2018",
author="Widman, Laura and Golin, Carol E. and Kamke, Kristyn and Burnette, Jeni L. and Prinstein, Mitchell J.",
volume="108",
number="1",
pages="96-102",
abstract="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. (Am J Public Health. Published online ahead of print November 21, 2017: e1-e7. doi:10.2105/AJPH.2017.304106). Language: en
",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2017.304106",
url="http://dx.doi.org/10.2105/AJPH.2017.304106"
}