Media Literacy Education for Sexual Health in Older Adolescents

老年青少年性健康媒体素养教育

• 批准号: 8545144
• 负责人: Tracy Marie Scull
• 金额: $ 20.52万
• 依托单位: INNOVATION RESEARCH AND TRAINING, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-15 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8545144
• 关键词: 18 year old; 19 year old; Access to Information; Accounting; Address; Administrator; Adolescent; Affect; Age; Area; Attitude; Behavior; Cause of Death; Centers for Disease Control and Prevention (U.S.); Cognition; Consumption; Contraceptive methods; Control Groups; Data; Development; Education; Educational process of instructing; Effectiveness of Interventions; Enrollment; Evaluation; Feasibility Studies; Female; Focus Groups; Fostering; Foundations; Future; Gender; Goals; HIV Infections; Health; Health Educators; Health Promotion; Hour; Human Papillomavirus; Infection; Intervention; Investigation; Life; Literacy Programs; Measures; Mediator of activation protein; Methods; Modeling; Multiple Partners; Online Systems; Outcome; Outcome Assessment; Pregnancy; Pregnancy in Adolescence; Prevention; Procedures; Process; Program Effectiveness; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Reporting; Research; Research Personnel; Resources; Risk; Sex Behavior; Sexual Health; Side; Source; Staging; Students; Teenagers; Testing; Thinking; Underserved Population; Universities; Unsafe Sex; age group; base; college; community college; condoms; coping; experience; follow-up; group intervention; high risk sexual behavior; innovation; literacy; pregnancy prevention; pregnant; programs; sex; sex risk; sexual encounter; sexually active; skills; university student; 18 year old; 19 year old; Access to Information; Accounting; Address; Administrator; Adolescent; Affect; Age; Area; Attitude; Behavior; Cause of Death; Centers for Disease Control and Prevention (U.S.); Cognition; Consumption; Contraceptive methods; Control Groups; Data; Development; Education; Educational process of instructing; Effectiveness of Interventions; Enrollment; Evaluation; Feasibility Studies; Female; Focus Groups; Fostering; Foundations; Future; Gender; Goals; HIV Infections; Health; Health Educators; Health Promotion; Hour; Human Papillomavirus; Infection; Intervention; Investigation; Life; Literacy Programs; Measures; Mediator of activation protein; Methods; Modeling; Multiple Partners; Online Systems; Outcome; Outcome Assessment; Pregnancy; Pregnancy in Adolescence; Prevention; Procedures; Process; Program Effectiveness; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Reporting; Research; Research Personnel; Resources; Risk; Sex Behavior; Sexual Health; Side; Source; Staging; Students; Teenagers; Testing; Thinking; Underserved Population; Universities; Unsafe Sex; age group; base; college; community college; condoms; coping; experience; follow-up; group intervention; high risk sexual behavior; innovation; literacy; pregnancy prevention; pregnant; programs; sex; sex risk; sexual encounter; sexually active; skills; university student

DESCRIPTION (provided by applicant): The risky sexual behaviors of older adolescents (18- to 19-year-olds), like having sex without a condom, having multiple or casual partners, or having intoxicated sexual encounters, are a major U.S. public health issue. Older adolescents consistently report a lack of information and access to necessary resources regarding pregnancy prevention and/or healthy relationships. Our long-range goal is to advance the state of sexual health promotion in for older adolescents, an underserved population in sexual risk behavior prevention efforts. Consumption of unhealthy media messages that normalize or glorify risky sex is related to early and risky sexual behaviors in adolescents. Critical analysis of these media messages and the creation of medically accurate health messages promote healthy perspective taking about relationships and sexual behaviors. We hypothesize that critical thinking about media messages impacts norms, cognitions, and attitudes about risky sex and ultimately reduces risky sexual behaviors. The aims of this R21 proposal from an early stage investigator are to 1) create a brief web-based media literacy intervention to reduce risky sexual practices in community college students, 2) conduct a feasibility study for the intervention and investigate moderators of the program's effectiveness, and 3) develop procedures and measures for a future randomized control trial. The proposed study applies a media literacy framework (e.g., Message Interpretation Process Model) to explore if a media literacy intervention can be a compelling sexual education program for the target age group. In Year 1, focus groups and one-to-one evaluations will be used to develop the web-based media literacy education program, Media World Relationships (MWR). The intervention is intended to be self-paced, brief, and highly interactive. In Year 2, a feasibility study will be conducted in which community colleges (N=8) are randomly assigned to the intervention group, where participating students (N = 200) will either complete the web-based program or participate as part of the control group and complete pre-post assessments. Student outcome assessments (pretest, immediate posttest) will provide a preliminary test of program effectiveness for positively affecting sexual health outcomes. Program assessment by college administrators and health educators (N=16) will also be used to evaluate feasibility. Results from the study will serve as a foundation for a larger randomized clinical trial. One of the added benefits of this innovative program is that while potentially enhancing the sexual health of community college campuses, it also emphasizes the development and refinement of critical thinking skills valued in higher education which should foster dissemination.

描述（由申请人提供）：年长的青少年（18至19岁）的风险性行为，例如没有避孕套的性行为，有多个或休闲伴侣或陶醉的性遭遇，是美国的主要公共卫生问题。年长的青少年始终报告缺乏有关预防怀孕和/或健康关系的必要资源的信息和访问。我们的远程目标是推进老年青少年的性健康促进状态，这是预防性风险行为的服务不足的人群。消费不健康的媒体信息使危险性的性行为正常或荣耀与青少年的早期和危险的性行为有关。对这些的批判性分析 媒体信息和医学上准确的健康信息的创建促进了健康的观点，以了解关系和性行为。我们假设对媒体信息的批判性思考会影响对风险性行为的规范，认知和态度，并最终降低了风险的性行为。该R21提案的目的是从早期研究者到1）创建简短的基于Web的媒体素养干预措施，以减少社区大学生中的风险性实践，2）进行干预措施进行可行性研究，并调查该计划的有效性的主持人，以及3）为未来的随机控制试验开发程序和措施。拟议的研究应用了媒体素养框架（例如，消息解释过程模型），以探索媒体素养干预是否可以成为目标年龄段的引人注目的性教育计划。在第一年，将使用焦点小组和一对一的评估来开发基于网络的媒体素养教育计划，媒体世界关系（MWR）。干预旨在是自进度，简短和高度互动的。在第二年，将进行一项可行性研究，在该研究中，社区大学（n = 8）被随机分配给干预小组，其中参与学生（n = 200）将完成基于Web的计划，或者作为对照组的一部分和完整的POST评估。学生结果评估（预测试，立即进行后测）将对计划有效性进行初步测试，以积极影响性健康结果。大学管理人员和健康教育者的计划评估（n = 16）也将用于评估可行性。该研究的结果将成为大型随机临床试验的基础。这项创新计划的额外好处之一是，尽管有可能增强社区大学校园的性健康，但它也强调了高等教育中有价值的批判性思维技能的发展和完善，这应该促进传播。