@article{ref1,
title="Sexual health and relationship abuse interventions in pediatric primary care: a systematic review",
journal="Journal of Adolescent Health",
year="2023",
author="Khetarpal, Susheel Kant and Tiffany-Appleton, Sarah and Mickievicz, Erin E. and Barral, Romina L. and Randell, Kimberly A. and Temple, Jeff R. and Miller, Elizabeth and Ragavan, Maya I.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: Supporting adolescents in developing healthy relationships and promoting sexual and reproductive health (SRH) is an important responsibility of pediatric primary care providers. Less is known about evidence-based interventions in pediatric settings focused on healthy relationships and SRH. <br><br>METHODS: We conducted a systematic review to describe SRH and healthy relationship/adolescent relationship abuse (ARA) interventions for pediatric primary care over the past 20 years. Eligible articles were original research on an SRH-focused or ARA-focused intervention, conducted in-person within pediatric primary care or school-based health centers specifically for middle or high school-aged adolescents. Data abstracted from included articles included intervention description, content, delivery, evaluation design, and effectiveness of primary outcomes. Heterogeneous outcomes and evidence levels made conducting a meta-analysis infeasible. <br><br>RESULTS: Nineteen studies described 17 interventions targeting a variety of SRH and ARA topics (e.g., sexually transmitted infections, contraception, ARA). Interventions largely focused on screening/counseling adolescents (89%). Interventions generally were reported as being effective in changing adolescent health or practice-level outcomes. <br><br>DISCUSSION: This review provides preliminary evidence that SRH and ARA interventions in pediatric primary care settings can be effective in promoting adolescent health. Future work should consider ARA-specific prevention interventions, including parents in interventions, and strategies for implementation, dissemination, and scaling.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2022.11.011",
url="http://dx.doi.org/10.1016/j.jadohealth.2022.11.011"
}