The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
Pilot Study of a Digital Health Intervention to Increase HIV and Sexually Transmitted Infection Testing Uptake and Reduce Condomless Sex and Substance Use Among Adolescents.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Cordova David, Bauermeister Jose A, Warner Sydni, Jiang Zhuoxun, Mendoza Lua Frania, Khreizat Sarah, MacLeod Jennifer, Wells Patricia, Neilands Torsten B, Ovadje Lauretta, Delva Jorge, Fessler Kathryn B, Smith Versell A, Boyer Cherrie B
Аннотация
PURPOSE: Enhancing HIV/sexually transmitted infection testing and reducing unsafe sexual behaviors and substance use are crucial for public health, particularly among youth. This pilot study examines the Storytelling 4 Empowerment (S4E) intervention's preliminary efficacy in these areas.
METHODS: Using a community-engaged research approach, we conducted a randomized controlled trial with 100 adolescents and young adults (mean age = 19.27, standard deviation = 1.62) at a youth-focused clinic in Southeast Michigan. Participants were randomized to S4E, a brief digital health intervention, or usual care. Assessments occurred at baseline, postintervention, 3 and 6 months, with statistical analyses estimating effect sizes.
RESULTS: S4E participants demonstrated higher HIV (52% vs. 12%; h = 0.95) and sexually transmitted infection (52% vs. 20.4%; h = 0.74) testing at 6-month follow-up. Reductions in condomless sex (12.9% vs. 1%; h = 0.35) and binge drinking (11.2% vs. 1.6%; h = 0.02) were reported at 3 months. Both youth and providers in the S4E group reported better clinician-youth communication than controls, and youth showed increased improvement over time (Cohen's d = 1.19 at 6 months).
DISCUSSION: The S4E intervention demonstrated significant improvements in testing, risk behaviors, and communication. These findings suggest the need for larger-scaled randomized controlled trials to confirm the intervention's efficacy for youth in clinical settings.
METHODS: Using a community-engaged research approach, we conducted a randomized controlled trial with 100 adolescents and young adults (mean age = 19.27, standard deviation = 1.62) at a youth-focused clinic in Southeast Michigan. Participants were randomized to S4E, a brief digital health intervention, or usual care. Assessments occurred at baseline, postintervention, 3 and 6 months, with statistical analyses estimating effect sizes.
RESULTS: S4E participants demonstrated higher HIV (52% vs. 12%; h = 0.95) and sexually transmitted infection (52% vs. 20.4%; h = 0.74) testing at 6-month follow-up. Reductions in condomless sex (12.9% vs. 1%; h = 0.35) and binge drinking (11.2% vs. 1.6%; h = 0.02) were reported at 3 months. Both youth and providers in the S4E group reported better clinician-youth communication than controls, and youth showed increased improvement over time (Cohen's d = 1.19 at 6 months).
DISCUSSION: The S4E intervention demonstrated significant improvements in testing, risk behaviors, and communication. These findings suggest the need for larger-scaled randomized controlled trials to confirm the intervention's efficacy for youth in clinical settings.