Ybarraa ML, Price-Feeney M,Prescott T, Goodenow C, Saewyc E, Rosariod M.Girl2Girl: How to develop a salient pregnancy prevention program for cisgender sexual minority adolescent girls. Journal of Adolescence. 2020; 85 (41-58). doi.org/10.1016/j.adolescence.2020.09.006 Abstract: Introduction Although sexual minority girls are more likely than heterosexual girls to be pregnant during adolescence, programs tailored to their needs are non-existent. Here we describe the iterative development of Girl2Girl, a text messaging-based pregnancy prevention program for cisgender lesbian, gay, bisexual and other sexual minority (LGB+) girls across the United States. Methods Four activities are described: 1) 8 online focus groups to gain feedback about intended program components (n = 160), … [Read more...]
Iterative development of In This toGether, the first mHealth HIV prevention program for older adolescents in Uganda
Ybarra ML, Agaba E, Chen E, Nyemara N. Iterative Development of In This toGether, the First mHealth HIV Prevention Program for Older Adolescents in Uganda. AIDS Behav. 2020 Aug;24(8):2355-2368. doi: 10.1007/s10461-020-02795-4. Abstract: In Uganda, HIV prevention programming for older adolescents is noticeably lacking, even though HIV incidence rates increase dramatically from adolescence into young adulthood. Here we describe the development of In This toGether (ITG), the first-of-its-kind, comprehensive text messaging-based HIV prevention program for both sexually active and abstinent 18- to 22-year-old Ugandans. Five iterative development activities are described: (1) conducting focus groups (FGs) to better understand the sexual decision-making of older adolescents across Uganda … [Read more...]
Clinical outcomes from the texting for relapse prevention (T4RP) in schizophrenia and schizoaffective disorder study
Cullen BA, Rodriguez K, Eaton WW, Mojtabai R, Von Mach T, Ybarra ML. Clinical outcomes from the texting for relapse prevention (T4RP) in schizophrenia and schizoaffective disorder study. Psychiatry Research. 2020;292 (113346). doi.org/10.1016/j.psychres.2020.113346 Abstract: This 6 month randomized control trial investigated whether a novel text-messaging program impacted targeted clinical outcomes in patients with schizophrenia and schizoaffective disorder (SAD). Forty patients were enrolled and completed baseline, 3-month and 6-month assessments. The intervention group received daily symptom check-in text messages, plus, a medication reminder or, inspirational quote text. The control group had treatment as usual. At 6 months the Positive and Negative Syndrome Scale mean positive … [Read more...]
A national, qualitative study of sexual decision making by teenage girls who are lesbian, gay, bisexual, or who have another nonheterosexual identity
Ybarra ML, Parrilla JS, Wolowic J, Rosario M, Goodenow C, Saewyc E. A National, Qualitative Study of Sexual Decision Making by Teenage Girls who are Lesbian, Gay, Bisexual, or who have Another Nonheterosexual Identity. J Pediatr. 2020 Feb;217:177-183. doi: 10.1016/j.jpeds.2019.10.038. Epub 2019 Dec 13. Abstract: Objective: To address the significant dearth of literature that examines how girls who are lesbian, gay, bisexual, or who have another nonheterosexual identity (LGB+) decide when and with whom to have sex; and to explore why inexperienced LGB+ girls might have sex with girls or boys. Study design: We conducted 8 online, asynchronous, bulletin board-style focus groups with 160 adolescent girls 14-18 years of age. The transcripts were analyzed using a thematic analysis of … [Read more...]
Developing Texting for relapse prevention: A scalable mHealth program for people with schizophrenia and schizoaffective disorder
Ybarra ML, Rodriguez K, Madison H, Mojtabai R, Cullen BA. Developing Texting for Relapse Prevention: A Scalable mHealth Program for People With Schizophrenia and Schizoaffective Disorder. J Nerv Ment Dis. 2019 Oct;207(10):854-862. doi: 10.1097/NMD.0000000000001037. Abstract: Symptom relapse in people with schizophrenia and schizoaffective disorder is common and has a negative impact on the course of illness. Here, we describe the development of Texting for Relapse Prevention, a scalable, cost-effective text messaging relapse prevention program that queries patients' "early warning signs" daily. Results of development focus groups and content advisory teams with 25 patients and 19 providers suggest that patients were enthusiastic about the program and thought that receiving daily … [Read more...]
A cross-sectional study examining the (in)congruency of sexual identity, sexual behavior, and romantic attraction among adolescents in the US
Ybarra ML, Price-Feeney M, Mitchell KJ. A Cross-sectional Study Examining the (In)congruency of Sexual Identity, Sexual Behavior, and Romantic Attraction among Adolescents in the US. J Pediatr. 2019 Nov;214:201-208. doi: 10.1016/j.jpeds.2019.06.046. Epub 2019 Aug 8. Abstract: Objective: To examine how sexual identity, romantic attraction, and sexual behavior co-relate for cisgender adolescents. Study design: The Teen Health and Technology survey was a cross-sectional, self-report online survey. More than 5000 youth between 13 and 18 years of age were randomly recruited through Harris Panel OnLine's panel as well as outreach by GLSEN to over-recruit lesbian, gay, bisexual, and other sexual minority youth. Data were collected between 2010 and 2011. Analyses were conducted in 2018 … [Read more...]
Linkages between violence‐associated attitudes and psychological, physical, and sexual dating abuse perpetration and victimization among male and female adolescents
Ybarra ML, Langhinrichsen‐Rohling J. Linkages between violence‐associated attitudes and psychological, physical, and sexual dating abuse perpetration and victimization among male and female adolescents. Aggress. Behav. 2019;45(6): 622-634. doi.org/10.1002/ab.21856. Abstract: Attitudes about violence and sex in dating relationships were related to psychological, physical, and sexual teen dating abuse perpetration and victimization. Data from Wave 4 of the national, randomly selected, Growing up with Media cohort (n = 876 adolescents aged 14‐19 years), collected in 2011, were analyzed. Dating youth perceived more peer pressure to have sex and were more accepting of sex in brief or nonmarital relationships than pre‐dating youth. Boys had higher levels of rape‐supportive attitudes than … [Read more...]
Feasibility, acceptability, and process indicators for Guy2Guy, an mHealth HIV prevention program for sexual minority adolescent boys
Ybarra ML, Prescott T, Mustanski B, Parsons J, Bull SS. Feasibility, Acceptability, and Process Indicators for Guy2Guy, an mHealth HIV Prevention Program for Sexual Minority Adolescent Boys. J Adolesc Health. 2019 Sep;65(3):417-422. doi: 10.1016/j.jadohealth.2019.04.025. Epub 2019 Jul 2. Abstract: Purpose: Guy2Guy is one of the first mHealth HIV prevention programs for sexual minority boys aged 14-18 years, evaluated nationally. Here, we examine the program's feasibility and acceptability and explore participants' feedback about program content and components intended to invigorate program engagement. Methods: Guy2Guy was tested in a randomized controlled trial of 302 youth assigned to either the intervention or an attention-matched control group. At 3-month follow-up, … [Read more...]
Health indicators of lesbian, gay, bisexual, and other sexual minority (LGB+) youth living in rural communities
Price-Feeny M, Ybarra ML, Mitchell KJ. Health indicators of lesbian, gay, bisexual, and other sexual minority (LGB+) youth living in rural communities. J Pediatr. In press. https://doi.org/10.1016/j.jpeds.2018.09.059 Abstract: OBJECTIVE: To investigate whether the intersectionality of being lesbian, gay, bisexual, and other sexual minority youth (LGB+) and living in a rural community may portend worse concurrent health indicators than identifying as heterosexual and/or living in a nonrural community. STUDY DESIGN: Data were collected online between 2010 and 2011 from 5100 13- to-18-year-old youth across the US. Youth were randomly recruited from within the Harris Panel Online and through targeted outreach efforts to LGBT+ youth by a youth-focused nonprofit. The survey questionnaire … [Read more...]