让父母和照顾者参与青少年性健康干预的涉及系统

Engaging Parents and Caregivers of System-Involved Youth in a Sexual Health Intervention

——原载《儿童和青少年服务评论》2022年3月2日网络版——

<Children and Youth Services Review>, March 2, 2022

【摘要】所有青少年都应该获得准确的性健康信息，以便对自己的生活做出明智的选择。涉及系统的青少年通常难以获得优质的性健康教育，并且面临不良性健康结果的风险增加。为父母/照顾者提供计划，以培养他们作为青少年性健康发展的支持者的能力，是改善青少年性健康结果的一种有意义的方法。然而，让父母/看护人参与是一项挑战，需要付出努力。目前的研究旨在加深对让参与系统的青少年的父母/照顾者参与简短的性健康干预，以建立他们支持青少年的能力所需的努力程度的理解。结果表明，研究人员能够让父母/照顾者参与干预，最常见的是让他们参与基于父母-照顾者偏好的基于技能的干预主题。91名父母/看护人中有50名（54.9%）通过接受六个性健康相关主题中的两个完全参与干预，另外2名通过完成一个主题（2.2%）部分参与。此外，研究人员能够通过允许父母/看护人将这些其他人带到干预会谈中，让更多的青少年支持者参与干预。这种参与源于大量的时间和努力，要求研究人员在27.4天内平均联系父母/看护人6次，以使他们充分参与干预。从业者和研究人员都需要考虑并适当规划实现干预参与目标所需的大量时间和精力。

【关键词】父母参与、青少年涉及系统、性健康干预

[Abstract] All youth deserve access to accurate sexual health information to make informed choices about their own lives. System-involved youth often have less access to quality sexual health education and are at an increased risk of adverse sexual health outcomes. Providing programming to parents/caregivers to build their capacity as supportive agents for their youth’s sexual health development is a meaningful approach to improving sexual health outcomes among youth. However, engaging parents/caregivers is challenging and requires effort. The current study aimed to increase understanding of the extent of effort needed to engage parents/ caregivers of system-involved youth in a brief sexual health intervention to build their capacity to support their youth. Results indicate that researchers were able to engage parents/caregivers in the intervention, most commonly engaging them in the skill-based intervention topics based on parent-caregiver preference. Fifty of 91 (54.9%) parents/ caregivers fully engaged in the intervention by receiving two of the six sexual health-related topics and an additional 2 partially engaged by completing one topic (2.2%). Furthermore, researchers were able to involve additional youth-supportive individuals in the intervention by allowing parents/caregivers to bring these other individuals to the intervention sessions. This engagement resulted from extensive time and effort, requiring researchers to contact parents/caregivers, on average, 6 times over 27.4 days to engage them fully in the intervention. Practitioners and researchers alike need to consider and appropriately plan for the substantial time and effort needed to achieve intervention engagement goals.

[Key words] parent engagement, system-involved youth, sexual health intervention

本文强调：

•让父母和看护者参与规划以培养他们支持青少年性健康发展的能力，这是改善涉及系统的青少年的性健康结果的一种有意义的方法。

•研究中55%的父母/照顾者充分参与了干预，并接受了至少两个与性健康相关的主题。