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Sexual Assertiveness Skills and Sexual Decision-Making in Adolescent Girls: Randomized Controlled Trial of an Online Program.

Sexual Assertiveness Skills and Sexual Decision-Making in Adolescent Girls: Randomized Controlled Trial of an Online Program.
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Widman L, Golin CE, Kamke K, Burnette JL, Prinstein MJ,


Widman L, Golin CE, Kamke K, Burnette JL, Prinstein MJ, (click to view)

Widman L, Golin CE, Kamke K, Burnette JL, Prinstein MJ,

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American journal of public health 2017 11 21() e1-e7 doi 10.2105/AJPH.2017.304106

Abstract
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.

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.

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.

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).

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