MOBILE-izing Adolescent Sexual and Reproductive Health Care: A Pilot Study Using A Mobile Health Unit in Chicago

Autor/inn/en	Stefansson, Lilja S.; Webb, M. Elizabeth; Hebert, Luciana E.; Masinter, Lisa; Gilliam, Melissa L.
Titel	MOBILE-izing Adolescent Sexual and Reproductive Health Care: A Pilot Study Using A Mobile Health Unit in Chicago
Quelle	In: Journal of School Health, 88 (2018) 3, S.208-216 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Stefansson, Lilja S.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12598
Schlagwörter	Clinics; Health Promotion; Sex Education; Health Services; Adolescents; Access to Health Care; Pilot Projects; Mixed Methods Research; Interviews; Needs Assessment; Surveys; Contraception; Patient Education; Pregnancy; Drug Therapy; Prevention; Sexuality; Satisfaction; Illinois (Chicago) + Suchen Sie Ihr Suchwort? Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Sex instruction; Sexualaufklärung; Sexualerziehung; Sexualkunde; Health service; Gesundheitsdienst; Gesundheitswesen; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Pilot project; Modellversuch; Pilotprojekt; Interviewing; Interviewtechnik; Bedarfsermittlung; Survey; Umfrage; Befragung; Empfängnisverhütung; Schwangerschaft; Prävention; Vorbeugung; Sexualität; Zufriedenheit
Abstract	Background: Adolescents experience numerous barriers to obtaining sexual and reproductive health care (SRHC). Mobile Health Units (MHUs) can remove some barriers by traveling to the community. This pilot study developed Mobile SRHC through an iterative process on an existing MHU and evaluated it among adolescents and providers. Methods: Mobile SRHC was developed through a mixed-method, multiphase study. Three key informant interviews with MHU providers, an adolescent needs assessment survey, and a Youth Model Development Session informed model development. Emergency contraception (EC), oral contraceptive pills (OCPs), and depot-medroxyprogesterone acetate (DMPA) were sequentially incorporated into MHU services. Administrative data assessed method distribution and surveys assessed patient satisfaction. Results: Key informants held positive attitudes toward implementing Mobile SRHC into their practice. Needs assessment surveys (N = 103) indicated a majority was interested in learning about sexual health (66.0%) and obtaining birth control (54.4%) on an MHU. Over 3 months, 123 adolescents participated in Mobile SRHC. Seven packs and 9 prescriptions of EC, 8 3-month packs and 10 prescriptions of OCPs, and 5 injections and 5 prescriptions of DMPA were distributed. Ninety-two percent of adolescent participants reported they would recommend Mobile SRHC to friends. Conclusions: Mobile SRHC is a feasible approach for reproductive health care among adolescents. (As Provided).
Anmerkungen	Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01