Datasheet1_Strategies to develop an LGBTQIA±inclusive adolescent sexual health program evaluation.pdf

IntroductionAdolescent sexual health interventions are increasingly incorporating content that is inclusive of LGBTQIA+ youth (lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other marginalized sexualities and genders). Evaluations of such programs must also be inclusive to enhance the validity of evaluation results and avoid further marginalization. We present strategies for increasing LGBTQIA±inclusivity based on our evaluation of SafeSpace, a sexual health curriculum.MethodsTo design an LGBTQIA±inclusive program evaluation, we leveraged LGBTQIA+ research staff’s insights, pursued a parental consent waiver, developed an inclusive recruitment plan, and crafted demographic and sexual behavior survey measures with input from youth and equity experts. We conducted a pilot study with 42 youth ages 14–17 to assess the feasibility and efficacy of our strategies.ResultsWe obtained a parental consent waiver and recruited a majority LGBTQIA+ pilot study sample (62%). Using themes from cognitive interviews with youth and experts regarding inclusive framing and use of plain language, we refined demographic measures and expanded sexual behavior measures.ConclusionFindings suggest that the strategies used to enhance LGBTQIA+ inclusivity in our evaluation of SafeSpace were effective in respectfully and more accurately capturing a fuller range of experiences and identities of LGBTQIA+ and cis-straight youth. The strategies and survey measures developed for this study can be applied to increase LGBTQIA±inclusivity in other adolescent sexual health program evaluations.

随着青少年性健康干预措施逐渐融入对LGBTQIA+青年（女同性恋、男同性恋、双性恋、跨性别、酷儿/质疑、间性人、无性恋以及其他边缘化的性取向和性别）的包容性内容，此类项目的评估也必须具有包容性，以增强评估结果的可靠性并避免进一步的边缘化。本报告基于我们对SafeSpace性健康课程评估的研究，提出了提高LGBTQIA+包容性的策略。方法：为了设计一个包容LGBTQIA+的评估项目，我们利用了LGBTQIA+研究人员的洞察力，实施了家长同意豁免程序，制定了包容性的招募计划，并基于青年和公平性专家的反馈，制定了人口统计和性行为调查措施。我们进行了一项针对42名14至17岁青年的试点研究，以评估我们策略的可行性和有效性。结果：我们获得了家长同意豁免，并招募了大多数LGBTQIA+试点研究样本（62%）。通过认知访谈中青年和专家关于包容性框架和明确语言使用的主题，我们优化了人口统计措施并扩展了性行为措施。结论：研究发现，我们在SafeSpace评估中用于提高LGBTQIA+包容性的策略，在尊重且更准确地捕捉LGBTQIA+和顺性别直男青年的更广泛经验和身份方面是有效的。本研究开发的策略和调查措施可以应用于其他青少年性健康项目评估中提高LGBTQIA+的包容性。