Randomized trial outcomes of a TTM-tailored condom use and smoking intervention in urban adolescent females.
Health Educ Res
; 30(1): 162-78, 2015 Feb.
Article
em En
| MEDLINE
| ID: mdl-24794584
ABSTRACT
Smoking and sexual risk behaviors in urban adolescent females are prevalent and problematic. Family planning clinics reach those who are at most risk. This randomized effectiveness trial evaluated a transtheoretical model (TTM)-tailored intervention to increase condom use and decrease smoking. At baseline, a total of 828 14- to 17-year-old females were recruited and randomized within four urban family planning clinics. Participants received TTM or standard care (SC) computerized feedback and stage-targeted or SC counseling at baseline, 3, 6 and 9 months. Blinded follow-up telephone surveys were conducted at 12 and 18 months. Analyses revealed significantly more consistent condom use in the TTM compared with the SC group at 6 and 12, but not at 18 months. In baseline consistent condom users (40%), significantly less relapse was found in the TTM compared with the SC group at 6 and 12, but not at 18 months. No significant effects for smoking prevention or cessation were found, although cessation rates matched those found previously. This TTM-tailored intervention demonstrated effectiveness for increasing consistent condom use at 6 and 12 months, but not at 18 months, in urban adolescent females. This intervention, if replicated, could be disseminated to promote consistent condom use and additional health behaviors in youth at risk.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Comportamentos Relacionados com a Saúde
/
Abandono do Hábito de Fumar
/
Preservativos
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Prevenção do Hábito de Fumar
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Promoção da Saúde
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
Limite:
Adolescent
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Female
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Humans
Idioma:
En
Revista:
Health Educ Res
Assunto da revista:
EDUCACAO
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Estados Unidos