The Effect of a Youth-Centered Sexual Risk Event History Calendar (SREHC) Assessment on Sexual Risk Attitudes, Intentions, and Behavior

Abstract Introduction The purpose of this study was to examine the effect of a youth-centered assessment, the Sexual Risk Event History Calendar (SREHC), compared with the Guidelines for Adolescent Preventive Services (GAPS) assessment, on sexual risk attitudes, intentions, and behaviors. Methods Th...

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Bibliographic Details
Published in:Journal of pediatric health care 2017-05, Vol.31 (3), p.302-313
Main Authors: Munro-Kramer, Michelle L., PhD, CNM, FNP-BC, Fava, Nicole M., PhD, MSW, Banerjee, Tanima, MS, Darling-Fisher, Cynthia S., PhD, FNP-BC, Pardee, Michelle, DNP, FNP-BC, Villarruel, Antonia M., PhD, RN, FAAN, Martyn, Kristy K., PhD, CPNP-PC, FAAN
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Behavior - psychology
Adolescent Health Services
Advanced Practice Nursing
Community-Based Participatory Research
Condoms - utilization
Event history calendars
Female
Health Knowledge, Attitudes, Practice
Humans
Intention
Male
Midwestern United States - epidemiology
Nursing
Pediatrics
Pregnancy
Pregnancy, Unwanted - psychology
Preventive Health Services
Risk Assessment
Sexual Behavior - psychology
sexual health risk assessment
Sexually Transmitted Diseases - psychology
Young Adult
youth-centered
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Summary:Abstract Introduction The purpose of this study was to examine the effect of a youth-centered assessment, the Sexual Risk Event History Calendar (SREHC), compared with the Guidelines for Adolescent Preventive Services (GAPS) assessment, on sexual risk attitudes, intentions, and behaviors. Methods The Interaction Model of Client Health Behavior guided this participatory research-based randomized control trial. Youth participants recruited from university and community clinics in the Midwestern United States were randomized to a health care provider visit using either the SREHC or GAPS and completed surveys at baseline, postintervention, and 3, 6, and 12 months. Results Participants included 181 youth (15–25 years old) and nine providers. Findings showed that youth in the SREHC group reported stronger intentions to use condoms compared with those in the GAPS group. Age and race were also significant predictors of sexual experience. Discussion This study highlights the importance of using a youth-centered, systematic approach in the assessment of sexual risk behaviors.
ISSN:0891-5245
1532-656X
DOI:10.1016/j.pedhc.2016.09.004