TY  - JOUR
PY  - 2018//
TI  - Sexual assertiveness skills and sexual decision-making in adolescent girls: randomized controlled trial of an online program
JO  - American journal of public health
A1  - Widman, Laura
A1  - Golin, Carol E.
A1  - Kamke, Kristyn
A1  - Burnette, Jeni L.
A1  - Prinstein, Mitchell J.
SP  - 96
EP  - 102
VL  - 108
IS  - 1
N2  - 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. <br><br>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. <br><br>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. <br><br>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).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2017.304106
ID  - ref1
ER  -