13 research outputs found

    Development of an intervention to increase sexual health service uptake by young people

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    This study aimed to develop and implement an intervention, delivered via a website and Web app, to increase the uptake of sexual health services by young people. The intervention was co-designed with a group of 10 young people. Intervention mapping was used to guide development. To identify barriers and facilitators of access to sexual health services, three focus groups with 24 young people aged 13 to 19 years, and interviews with 12 professionals recruited from across a range of health and social services, were conducted. Data were analyzed using content analysis. Evidence was supplemented through a literature review. Barriers and facilitators were categorized as theoretical determinants and then suitable behavior change techniques (BCTs) for targeting them were selected. Targeted determinants were attitude, subjective norm, perceived behavioral control, and knowledge. Selected BCTs included “information about others’ approval,” “framing/reframing,” and “credible source.” The website/app enable users to search for services, access key information about them, watch videos about what to expect, and have key concerns removed/addressed. This is the first known digital evidence-based intervention to target this behavior described in the literature. A clear and full description of intervention development and content, including of theorized causal pathways, is provided to aid interpretation of future outcome evaluations

    When Colleges Drop Affirmative Action: Trends in Admissions Policies and Student Enrollment at Selective U.S. Institutions, 1990-2016

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    Scholarship on elite American colleges has identified the rise and persistence of a “diversity imperative” – an institution’s perceived need to enroll racially heterogeneous student bodies to maintain its status in the field. At the same time, a significant proportion of selective institutions have stopped considering race in admissions. To understand the relationship between affirmative action and enrollment, we analyze enrollment trends by race at 973 competitive institutions in states without affirmative action bans from 1990-2016. We find that considering race is associated with an increase in Black and Latinx enrollments at more competitive institutions. At less competitive schools, considering race is associated with a decrease in Black and Latinx enrollments, and an increase in White and Asian/Pacific Islander enrollments. The results indicate that the relationship between affirmative action in admissions and enrollment demographics varies by institutional competitiveness; considering race does not necessarily translate into higher Black or Latinx enrollments or lower White and API enrollments
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