Sexual Assertiveness Skills and Decision-Making in Adolescent Girls: Moving to Replication, Scale, and Digital Health Impact

摘要

HEART was shown to have a significant effect on the study's primary outcomes of sexual assertiveness skills and intentions to communicate about safer sex behavior, and the authors reference research linking such intentions to improved sexual health behaviors. The secondary outcomes included evidence that HEART helped adolescent girls improve their sexual health knowledge as well as attitudes and norms about condoms and self-efficacy for condom use; these improvements were sustained at the four-month postintervention follow-up. [...]the HEART study is one of a small number of studies that show that digital health effects can last beyond the very short term; some of their secondary outcomes were sustained for four months after intervention, suggesting immediate decay is not inevitable.