Randomized trial outcomes of a TTM-tailored condom use and smoking intervention in urban adolescent females.

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 ba...

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Publicado en:Health Education Research Vol. 30; no. 1; pp. 162 - 179
Autores principales: Redding, Colleen A., Prochaska, James O., Armstrong, Kay, Rossi, Joseph S., Hoeppner, Bettina B., Sun, Xiaowu, Kobayashi, Hisanori, Yin, Hui-Qing, Coviello, Donna, Evers, Kerry, Velicer, Wayne F.
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Oxford University Press / USA Feb2015
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Randomized trial outcomes of a TTM-tailored condom use and smoking intervention in urban adolescent females.
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          Redding, Colleen A.
          Prochaska, James O.
          Armstrong, Kay
          Rossi, Joseph S.
          Hoeppner, Bettina B.
          Sun, Xiaowu
          Kobayashi, Hisanori
          Yin, Hui-Qing
          Coviello, Donna
          Evers, Kerry
          Velicer, Wayne F.
        affil: Cancer Prevention Research Center, University of Rhode Island, 130 Flagg Road, Kingston, RI 02881 and Family Planning Council of Pennsylvania, Philadelphia, PA 19103, USA
      sug:
        subj:
          Health Promotion In Adolescence
          Risk Taking Behavior Prevention and Control
          Safe Sex
          Smoking Cessation Programs Evaluation
          Pregnancy in Adolescence
          Condoms Utilization
          Urban Health Services
          Human
          Female
          Adolescence
          Pregnancy
          Power Analysis
          Surveys
          Analysis of Variance
          Funding Source
          Randomized Controlled Trials
          Adolescent: 13-18 years
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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