Loretta E Gavin1, Jessica R Williams2, Maria I Rivera3, Christina R Lachance4. 1. Division of Reproductive Health, CDC, Atlanta, Georgia; Office of Population Affairs, USDHHS, Rockville, Maryland. Electronic address: lorrie.gavin@hhs.gov. 2. University of Miami School of Nursing and Health Studies, Coral Gables, Florida; MANILA Consulting Group, McLean, Virginia. 3. Division of Reproductive Health, CDC, Atlanta, Georgia. 4. Office of Population Affairs, USDHHS, Rockville, Maryland.
Abstract
CONTEXT: When caring for an adolescent client, providers of contraceptive services must consider whether and how to encourage parent/guardian-child communication about the adolescent's reproductive health. The objective of this systematic review was to summarize the evidence on the effectiveness of programs designed to increase parent-child communication about reproductive health. The review was used to inform national recommendations on quality family planning services. Data analysis occurred from mid-2011 through 2012. EVIDENCE ACQUISITION: Several electronic bibliographic databases were used to identify relevant articles, including PubMed, CINAHL, PsycINFO, and Popline, published from January 1985 through February 2011. EVIDENCE SYNTHESIS: Sixteen articles met the inclusion criteria: all studies examined the impact on at least one medium- or short-term outcome, and two studies assessed the impact on teen pregnancy. One study examined the impact of a program conducted in a clinic setting; the remainder examined the impact of programs in community settings. All studies showed a positive impact on at least one short-term outcome, and 12 of 16 studies showed an increase in parent-child communication about reproductive health. Four of seven studies found an impact on sexual risk behavior. CONCLUSIONS: Most programs increased parent-child communication, and several resulted in reduced sexual risk behavior of adolescents. This suggests that delivering a clinic-based program that effectively helps parents/guardians talk to their adolescent child(ren) about reproductive health, or referring parents/guardians to an evidence-based program in the community, may be beneficial. However, further rigorous research on delivery of these programs in clinical settings is needed. Published by Elsevier Inc.
CONTEXT: When caring for an adolescent client, providers of contraceptive services must consider whether and how to encourage parent/guardian-child communication about the adolescent's reproductive health. The objective of this systematic review was to summarize the evidence on the effectiveness of programs designed to increase parent-child communication about reproductive health. The review was used to inform national recommendations on quality family planning services. Data analysis occurred from mid-2011 through 2012. EVIDENCE ACQUISITION: Several electronic bibliographic databases were used to identify relevant articles, including PubMed, CINAHL, PsycINFO, and Popline, published from January 1985 through February 2011. EVIDENCE SYNTHESIS: Sixteen articles met the inclusion criteria: all studies examined the impact on at least one medium- or short-term outcome, and two studies assessed the impact on teen pregnancy. One study examined the impact of a program conducted in a clinic setting; the remainder examined the impact of programs in community settings. All studies showed a positive impact on at least one short-term outcome, and 12 of 16 studies showed an increase in parent-child communication about reproductive health. Four of seven studies found an impact on sexual risk behavior. CONCLUSIONS: Most programs increased parent-child communication, and several resulted in reduced sexual risk behavior of adolescents. This suggests that delivering a clinic-based program that effectively helps parents/guardians talk to their adolescent child(ren) about reproductive health, or referring parents/guardians to an evidence-based program in the community, may be beneficial. However, further rigorous research on delivery of these programs in clinical settings is needed. Published by Elsevier Inc.
Authors: Vincent Guilamo-Ramos; Adam Benzekri; Marco Thimm-Kaiser; Patricia Dittus; Yumary Ruiz; Charles M Cleland; Wanda McCoy Journal: Pediatrics Date: 2020-05 Impact factor: 7.124
Authors: Emily Dansereau; Alexandra Schaefer; Bernardo Hernández; Jennifer Nelson; Erin Palmisano; Diego Ríos-Zertuche; Alex Woldeab; Maria Paola Zúñiga; Emma Margarita Iriarte; Ali H Mokdad; Charbel El Bcheraoui Journal: Reprod Health Date: 2017-10-17 Impact factor: 3.223