Numerous studies have evaluated the efficacy of interventions to reduce risk for sexually transmitted infections in adolescents in recent years, but their global effects remain unknown since 2008, the last date of a comprehensive review of prior studies. This study aims at evaluating the efficacy of interventions to promote sexual health, reduce STIs and unplanned pregnancies targeted to adolescents available after 2008; and analyzing the moderators of their global efficacy. We searched electronic databases and manual searches of some journals focused on STIs in May 2016. The studies evaluated the efficacy of interventions to reduce sexual risk in adolescents (age range: 11–19) anywhere in the world. Effect size of the relevant outcomes for sexual risk was calculated for every study. Analyses incorporated random-effect assumptions for each outcome. The homogeneity in the results was examined with the I² statistic and its associated 95% confident interval. Data from 63 studies (59,795 participants) were analyzed for behavioral and non-behavioral outcomes. In the short term, interventions had a positive impact in sexual health-related knowledge (Hedges’g = 1.01), attitudes (g = 0.29), self-efficacy toward condom use (g = 0.22), intention to refuse sex (g = 0.56), condom use intention (g = 0.46), and condom use (g = 0.38). In the medium term, positive effects observed at the short-term were maintained, although effect size significantly decreased in all variables. In the long term, interventions improved condom use (g = 0.47). Moderators of the efficacy are discussed. Sexual health promotion interventions are effective to promote sexual health through increasing condom use. Effects on non-behavioral variables tend to decrease over time, while condom use increased in the long-term. Interventions should focus on the long-term efficacy, especially in behavioral and biological measures.

Background: Standardised patient simulations seem to be useful for improving the communication skills of health sciences students. However, it is important to define the effectiveness of these types of interventions in complex scenarios linked to disease chronicity and end-of-life contexts. Methods: A quasi-experimental study with pre- and post-intervention measures was carried out in a single group. A total of 161 nursing students completed different assessment instruments to measure their attitudes towards communication (Attitude Toward Communication Scale), self-efficacy (Self-Efficacy of Communication Skills, SE-12), and communication skills (Health Professionals Communication Skills Scale, EHC-PS) before and after simulation training with standardised patients. The objective of the program was to train students in non-technical skills for complex situations involving chronicity and end-of-life care. It comprised eight sessions lasting 2.5 h each. Results: The results showed notable baseline gender differences in attitudes towards communication and in the informative communication dimension, with women obtaining higher scores. The participants’ self-efficacy and communication skills significantly improved after completing the intervention, with no significant differences being found for the attitudes towards communication variable. Conclusion: The standardised patient simulation programme for complex scenarios related to chronicity and end-of-life contexts improved communication self-efficacy and communication skills in these nursing students. In future work it will be important to analyse the influence of gender and attitudes towards communication as variables in the learning of communication skills in nursing students.

Background: Quality clinical care is supported by effective patient-centered communication. Health care professionals can improve their communication skills through simulation-based training, but our knowledge about virtual simulation and its effectiveness and use in training health professionals and students is still growing rapidly. Objective: The objective of this study was to review the current academic literature to identify and evaluate the virtual simulation tools used to train communication skills in health care students and professionals. Methods: This review was carried out in June 2023 by collecting data from the MEDLINE/PubMed and Web of Science electronic databases. Once applicable studies were identified, we recorded data related to type of technology used, learning objectives, degree of learning autonomy, outcomes, and other details. Results: We found 35 articles that had developed and/or applied a virtual environment for training communication skills aimed at patients, in which 24 different learning tools were identified. Most had been developed to independently train communication skills in English, either generally or in the specific context of medical history (anamnesis) interviews. Many of these tools used a virtual patient that looked like a person and had the ability to vocally respond. Almost half of the tools analyzed allowed the person being trained to respond orally using natural language. Of note, not all these studies described the technology they had used in detail. Conclusions: Many different learning tools with very heterogeneous characteristics are being used for the purposes of communication skills training. Continued research will still be required to develop virtual tools that include the most advanced features to achieve high-fidelity simulation training.

Despite advances in treatment and prevention, HIV/AIDS remains a serious health and social problem. This study's objective is to examine sexual behavior, levels of knowledge, and attitudes toward HIV/AIDS between two cohorts in Spanish adolescents, and to analyze gender differences in these cohorts. Participants were 2132 adolescents between 15 and 18 years of age: 1222 in 2006 (43.2% boys) and 910 in 2012 (54.1% boys). The results indicate lower HIV knowledge and less favorable attitudes about HIV/AIDS in the 2012 cohort. In addition, adolescents from the 2012 cohort had their first sexual intercourse at an earlier age and have more sexual partners than those from the 2006 cohort. Compared to boys, girls engage in fewer risky behaviors, although they did not use condoms with their stable partner; girls tended to use condom less when they were in a stable relationship than boys. This study confirms the insufficiency of prevention campaigns as well as the need to improve the impact from programs that promote healthy sexual habits. Assuming comparability of cohorts, this study suggests increased risk of HIV/AIDS over time.

The Alabama Child Parenting Questionnaire (APQ) is a multi-source and multi-method instrument created to assess the most relevant parenting practices from a bidirectional perspective. Despite its advantages, the APQ has not been validated with a Spanish population. The objective of this study was to analyse the psychometric properties and factor structure of the APQ, child self-report version, in a community sample of Spanish children. The participants were 423 Spanish children (58.9% boys) aged between 8 and 12 years. Exploratory factor analysis suggested a version of the questionnaire that consists of 16 items with a four-factor structure: Parental Involvement, Positive Parenting, Inconsistent Discipline, and Poor Supervision. The internal consistency of the subscales was moderate, except for the father's Parental Involvement factor, which reached acceptable reliability. Convergent validity with a measure of quality of life was adequate. Gender differences were only found in Poor Supervision, with higher scores in boys than in girls. Overall, these findings provide support for the use of the APQ to measure parenting practices perceived by Spanish children.