title: The Effect of Interprofessional Student-Led Reproductive Health Education on Youths in Juvenile Detention.
abstract: OBJECTIVE
  To assess the effects of an interprofessional student-led comprehensive sexual education curriculum in improving the reproductive health literacy among at-risk youths in detention.
  
  
  METHODS
  We performed a prospective cohort study involving 134 incarcerated youth and an interprofessional team of 23 medical, nursing, and social work students, who participated in a comprehensive reproductive health curriculum over the course of 3 days.
  Basic reproductive health knowledge, confidence in condom use with a new partner, and self-efficacy with regard to contraception use and sexual autonomy were assessed before and after completion of the curriculum. We also assessed the student teachers' level of comfort with teaching reproductive health to adolescents and their perception of interprofessionalism.
  
  
  RESULTS
  Incarcerated youth showed a statistically significant increase in knowledge regarding sexually transmitted infections as well as self-reported confidence in condom use (P = .002). Self-efficacy in contraception use and sexual autonomy did not show significant improvement. Qualitative analysis of student teachers' surveys revealed theme categories regarding perception of youth, perception of self in teaching youth, perception of interacting with youth, and perception of working in interprofessional teams.
  
  
  CONCLUSIONS
  Our program might represent a mutually beneficial community relationship to improve reproductive health literacy in this high-risk youth population.
authors.affiliation: Case Western Reserve University, School of Medicine, Cleveland, Ohio. Electronic address: ji.y.son@case.edu.
authors.forename: Ji
authors.initials: J
authors.lastname: Son
authors.affiliation: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
authors.forename: Willa M
authors.initials: WM
authors.lastname: Miller
authors.affiliation: Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio.
authors.forename: Krystel
authors.initials: K
authors.lastname: Tossone
authors.affiliation: Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio.
authors.forename: Fredrick
authors.initials: F
authors.lastname: Butcher
authors.affiliation: Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon.
authors.forename: Kelly
authors.initials: K
authors.lastname: Kuo
mesh_terms: D000293:Adolescent; D015331:Cohort Studies; D005260:Female; D006266:Health Education / Q000379:methods*; D057220:Health Literacy; D006801:Humans; D008297:Male; D011329:Prisoners / Q000193:education*; D011446:Prospective Studies; D060728:Reproductive Health / Q000193:education*; D021841:Safe Sex; D020377:Self Efficacy; D012736:Sex Education / Q000379:methods*; D012725:Sexual Behavior; D012747:Sexual Partners; D013334:Students
keywords: Incarcerated youth; Interprofessional education; Juvenile detention; Reproductive health education; Sex education