The Use of Telehealth to Teach Reproductive Health to Female Rural High School Students
| Autor: | Jennie Yoost, Christina Hensley, Rachael Whitley Starcher, Rebecca Ann King-Mallory, Todd Gress, Nafeeza Hussain |
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| Rok vydání: | 2016 |
| Předmět: |
Rural Population
Safe Sex medicine.medical_specialty Educational measurement Telemedicine Health Knowledge Attitudes Practice Adolescent Sexual Behavior education Psychological intervention Telehealth Sex Education Life skills law.invention 03 medical and health sciences 0302 clinical medicine Condom law Pregnancy medicine Humans 030212 general & internal medicine Prospective Studies Students Reproductive health 030219 obstetrics & reproductive medicine Schools business.industry Obstetrics and Gynecology General Medicine West Virginia Self Efficacy Contraception Reproductive Health Family medicine Pediatrics Perinatology and Child Health Pregnancy in Adolescence Physical therapy Female Educational Measurement Rural area business |
| Zdroj: | Journal of pediatric and adolescent gynecology. 30(2) |
| ISSN: | 1873-4332 |
| Popis: | Study Objective To evaluate the use of telehealth to teach reproductive health to rural areas with high rates of teen pregnancy. Design Prospective cohort study. Setting Two high schools in rural West Virginia. Participants High school female students who attended telehealth sessions. Interventions Teleconferencing equipment connected rural high schools to a distal academic institution. Telehealth sessions included reproductive health and life skills topics. Demographic information, session pre- and post-tests, and 6- month assessment was obtained. Main Outcome Measures Reproductive health knowledge, behavior, and self-efficacy were assessed at intervention and at 6 months, along with Likert scale evaluation of telehealth as an educational tool. Results Fifty-five students participated in the program with an average age of 16.14 (SD 1.24) years. Only 20% (10/50) of subjects' mothers and 12% (6/50) of subjects' fathers had achieved education beyond high school, and 20% (10/50) of subject's mothers had experienced teen pregnancies (age 18 or younger). Sexual activity was reported among 52% (26/50) of subjects, 4/50 (8%) reported desire to become pregnant within the next year, and 4/50 (8%) reported already pregnant. Thirty-seven students completed the 6-month follow-up survey. Reported condom use increased from 20% (10/50) at baseline to 40% (15/37) at 6 months (P = .04) and hormonal contraception use increased from 22% (11/50) to 38% (14/37) (P = .12). Report of human papillomavirus vaccination increased from 38% (10/26) to 70% (26/37) (P = .001) among all subjects. At 6 months, 91.8% (34/37) reported the use of telehealth was “very effective” as a means to teach the material. Conclusions Telehealth is an effective tool to teach reproductive health to rural areas. |
| Databáze: | OpenAIRE |
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