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Sexual assertiveness skills and sexual decision-making in adolescent girls: Randomized controlled trial of an online program

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  • Widman, L.
  • Golin, C.E.
  • Kamke, K.
  • Burnette, J.L.
  • Prinstein, M.J.

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)inthe Southeastern United States who were randomizedinfall 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.

Suggested Citation

  • Widman, L. & Golin, C.E. & Kamke, K. & Burnette, J.L. & Prinstein, M.J., 2018. "Sexual assertiveness skills and sexual decision-making in adolescent girls: Randomized controlled trial of an online program," American Journal of Public Health, American Public Health Association, vol. 108(1), pages 96-102.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.304106_0
    DOI: 10.2105/AJPH.2017.304106
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    Cited by:

    1. Nieves Moyano & Reina Granados & Christian Andrés Durán & Carlos Galarza, 2021. "Self-Esteem, Attitudes toward Love, and Sexual Assertiveness among Pregnant Adolescents," IJERPH, MDPI, vol. 18(3), pages 1-10, January.
    2. Nazeema Isaacs & Xolani Ntinga & Thabo Keetsi & Lindelwa Bhembe & Bongumenzi Mthembu & Allanise Cloete & Candice Groenewald, 2024. "Are mHealth Interventions Effective in Improving the Uptake of Sexual and Reproductive Health Services among Adolescents? A Scoping Review," IJERPH, MDPI, vol. 21(2), pages 1-17, January.

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