PDF(Pubmed)
Abstract：
UNASSIGNED: Entertainment-education interventions remain underutilized in sexual and reproductive health (SRH) despite evidence that they can be effective and place a low burden on staff. This study explores perceived facilitators and barriers for implementing an entertainment-education video intervention for 18- to 19-year-old African American and Latina women in SRH clinics.
UNASSIGNED: Cross-sectional online survey (n=100) and telephone interviews (n=19) were completed May through August 2018.
UNASSIGNED: SRH clinics were located across 32 US states and 1 Canadian province.
UNASSIGNED: SRH clinic staff were diverse in type of clinic, role, and geography and were recruited using purposive sampling.
UNASSIGNED: Bivariate analyses were used for quantitative data, and thematic analysis was used for qualitative data.
UNASSIGNED: Intervention acceptability, perceived feasibility, and likely uptake were assessed using agreement statements (survey) and open-ended questions (interviews and survey).
UNASSIGNED: Interviewed clinic staff described the intervention as engaging, educational, and promising for improving client SRH knowledge and behaviors. Nearly all (95%) survey respondents said showing the video would be feasible. Most (56%) indicated likely uptake, which was significantly associated with perceived feasibility (P=.000), acceptability (P≤.001), and working at a public health clinic (P=.023). Implementation barriers included the video\'s potential relevance to only certain clients and the need for additional information or staff and/or management buy-in.
UNASSIGNED: This is the first study to assess perceived implementation facilitators and barriers of an entertainment-education video intervention among SRH clinic staff. The intervention was well received, with certain barriers potentially alleviated by offering information about entertainment-education and multiple implementation methods. These findings can help improve dissemination efforts for video-based entertainment-education interventions in clinics serving young women of color.
UNASSIGNED: Cross-sectional online survey (n=100) and telephone interviews (n=19) were completed May through August 2018.
UNASSIGNED: SRH clinics were located across 32 US states and 1 Canadian province.
UNASSIGNED: SRH clinic staff were diverse in type of clinic, role, and geography and were recruited using purposive sampling.
UNASSIGNED: Bivariate analyses were used for quantitative data, and thematic analysis was used for qualitative data.
UNASSIGNED: Intervention acceptability, perceived feasibility, and likely uptake were assessed using agreement statements (survey) and open-ended questions (interviews and survey).
UNASSIGNED: Interviewed clinic staff described the intervention as engaging, educational, and promising for improving client SRH knowledge and behaviors. Nearly all (95%) survey respondents said showing the video would be feasible. Most (56%) indicated likely uptake, which was significantly associated with perceived feasibility (P=.000), acceptability (P≤.001), and working at a public health clinic (P=.023). Implementation barriers included the video\'s potential relevance to only certain clients and the need for additional information or staff and/or management buy-in.
UNASSIGNED: This is the first study to assess perceived implementation facilitators and barriers of an entertainment-education video intervention among SRH clinic staff. The intervention was well received, with certain barriers potentially alleviated by offering information about entertainment-education and multiple implementation methods. These findings can help improve dissemination efforts for video-based entertainment-education interventions in clinics serving young women of color.
摘要：
■娱乐教育干预措施在性健康和生殖健康（SRH）方面仍未得到充分利用，尽管有证据表明它们可以有效并减轻员工负担。这项研究探讨了在SRH诊所对18至19岁的非洲裔美国人和拉丁裔妇女实施娱乐教育视频干预的感知促进者和障碍。
■横断面在线调查（n=100）和电话访谈（n=19）于2018年5月至8月完成。
■SRH诊所位于美国32个州和加拿大1个省。
■SRH诊所的工作人员种类繁多，角色,和地理，并使用目的抽样招募。
■双变量分析用于定量数据，定性数据采用专题分析。
■干预可接受性，感知的可行性，和可能的吸收使用协议声明（调查）和开放式问题（访谈和调查）进行评估。
■接受采访的诊所工作人员将干预描述为引人入胜，教育,并有望改善客户SRH知识和行为。几乎所有（95％）的受访者表示，显示该视频是可行的。大多数（56%）表示可能摄取，这与感知的可行性显著相关(P=.000)，可接受性(P≤.001)，并在公共卫生诊所工作（P=0.023）。实施障碍包括视频仅与某些客户潜在相关，以及需要额外信息或员工和/或管理层支持。
■这是第一项评估SRH诊所工作人员中娱乐教育视频干预的实施促进者和障碍的研究。干预得到了好评，通过提供有关娱乐教育和多种实施方法的信息，可以缓解某些障碍。这些发现可以帮助改善为有色人种年轻女性服务的诊所中基于视频的娱乐教育干预措施的传播工作。
■横断面在线调查（n=100）和电话访谈（n=19）于2018年5月至8月完成。
■SRH诊所位于美国32个州和加拿大1个省。
■SRH诊所的工作人员种类繁多，角色,和地理，并使用目的抽样招募。
■双变量分析用于定量数据，定性数据采用专题分析。
■干预可接受性，感知的可行性，和可能的吸收使用协议声明（调查）和开放式问题（访谈和调查）进行评估。
■接受采访的诊所工作人员将干预描述为引人入胜，教育,并有望改善客户SRH知识和行为。几乎所有（95％）的受访者表示，显示该视频是可行的。大多数（56%）表示可能摄取，这与感知的可行性显著相关(P=.000)，可接受性(P≤.001)，并在公共卫生诊所工作（P=0.023）。实施障碍包括视频仅与某些客户潜在相关，以及需要额外信息或员工和/或管理层支持。
■这是第一项评估SRH诊所工作人员中娱乐教育视频干预的实施促进者和障碍的研究。干预得到了好评，通过提供有关娱乐教育和多种实施方法的信息，可以缓解某些障碍。这些发现可以帮助改善为有色人种年轻女性服务的诊所中基于视频的娱乐教育干预措施的传播工作。
