Faculty and Staff Publications
Publication Date
4-1-2023
Journal
Journal of Adolescent Health
Abstract
PURPOSE: Supporting adolescents in developing healthy relationships and promoting sexual and reproductive health (SRH) is an important responsibility of pediatric primary care providers. Less is known about evidence-based interventions in pediatric settings focused on healthy relationships and SRH.
METHODS: We conducted a systematic review to describe SRH and healthy relationship/adolescent relationship abuse (ARA) interventions for pediatric primary care over the past 20 years. Eligible articles were original research on an SRH-focused or ARA-focused intervention, conducted in-person within pediatric primary care or school-based health centers specifically for middle or high school-aged adolescents. Data abstracted from included articles included intervention description, content, delivery, evaluation design, and effectiveness of primary outcomes. Heterogeneous outcomes and evidence levels made conducting a meta-analysis infeasible.
RESULTS: Nineteen studies described 17 interventions targeting a variety of SRH and ARA topics (e.g., sexually transmitted infections, contraception, ARA). Interventions largely focused on screening/counseling adolescents (89%). Interventions generally were reported as being effective in changing adolescent health or practice-level outcomes.
DISCUSSION: This review provides preliminary evidence that SRH and ARA interventions in pediatric primary care settings can be effective in promoting adolescent health. Future work should consider ARA-specific prevention interventions, including parents in interventions, and strategies for implementation, dissemination, and scaling.
Keywords
Adolescent, Child, Humans, Contraception, Primary Health Care, Reproductive Health, Sexual Behavior, Sexual Health, Sexually Transmitted Diseases
Included in
Clinical and Medical Social Work Commons, Family Medicine Commons, Marriage and Family Therapy and Counseling Commons, Medical Sciences Commons, Other Mental and Social Health Commons, Pediatrics Commons, Psychiatry and Psychology Commons, Psychology Commons, Substance Abuse and Addiction Commons
Comments
PMID: 36623966