Media Literacy Education for Sexual Health in Older Adolescents

老年青少年性健康媒体素养教育

基本信息

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
项目类别：
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

项目摘要

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）：年龄较大青少年（18 至 19 岁）的危险性行为，例如不使用安全套发生性行为、拥有多个或临时伴侣，或醉酒性行为，是美国的一项主要公共卫生问题问题。年龄较大的青少年一直报告缺乏有关怀孕预防和/或健康关系的信息和获取必要资源的机会。我们的长期目标是提高老年青少年的性健康促进状况，这些青少年是性危险行为预防工作中服务不足的人群。消费将危险性行为正常化或美化的不健康媒体信息与青少年早期的危险性行为有关。对这些的批判性分析媒体信息和创建医学上准确的健康信息可以促进对人际关系和性行为采取健康的观点。我们假设对媒体信息的批判性思考会影响对危险性行为的规范、认知和态度，并最终减少危险性行为。早期研究者提出的 R21 提案的目的是 1) 创建一个简短的基于网络的媒体素养干预措施，以减少社区大学生的危险性行为，2) 对该干预措施进行可行性研究并调查该计划有效性的调节者，以及 3) 为未来的随机对照试验制定程序和措施。拟议的研究应用媒体素养框架（例如，消息解释过程模型）来探索媒体素养干预是否可以成为针对目标年龄组的引人注目的性教育计划。在第一年，焦点小组和一对一评估将用于开发基于网络的媒体素养教育计划——媒体世界关系（MWR）。干预的目的是自定进度、简短且高度互动。在第 2 年，将进行一项可行性研究，其中社区学院（N = 8）被随机分配到干预组，参与的学生（N = 200）将完成基于网络的计划或作为控制的一部分参与分组并完成事前职后评估。学生成果评估（前测、后测）将对项目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工作者 (N=16) 的计划评估也将用于评估可行性。该研究的结果将作为更大规模的随机临床试验的基础。这一创新计划的额外好处之一是，虽然有可能增强社区大学校园的性健康，但它还强调高等教育中重视的批判性思维技能的发展和完善，这应该促进传播。