Parent-Teen Communication to Resist Unhealthy Media Messages

家长与青少年的沟通以抵制不健康的媒体信息

• 批准号: 9047792
• 负责人: Tracy Marie Scull
• 金额: $ 15万
• 依托单位: INNOVATION RESEARCH AND TRAINING, INC.
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-23 至 2016-09-22
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9047792
• 关键词: 18 year old; Adolescence; Adolescent; Affect; African American; Age; Alcohol or Other Drugs use; Attention; Behavior; Birth; Birth Rate; Child; Coitus; Communication; Computer software; Computers; Consumer Satisfaction; Consumption; Contraceptive methods; Control Groups; Country; Development; Education; Educational process of instructing; Emerging Technologies; Evaluation; Evidence based program; Face; Feasibility Studies; Feedback; Feeling; Female; Focus Groups; Frequencies; Goals; Health; Health Communication; High School Student; Hour; Internet; Life; Mediation; Methods; Modeling; Online Systems; Oral Contraceptives; Oral Sex; Outcome; Parents; Participant; Phase; Pregnancy; Prevention; Prevention approach; Prevention program; Process; Program Effectiveness; Public Health; Randomized; Reporting; Risk; Risk Behaviors; Risk Factors; Schools; Sex Behavior; Sex Education; Sexual Health; Sexual Partners; Sexually Transmitted Diseases; Side; Socialization; Source; Students; Teenagers; Test Result; Testing; Training Programs; Unsafe Sex; abstracting; active control; aged; base; condoms; dating violence; design; evidence base; girls; group intervention; handheld mobile device; health knowledge; high risk sexual behavior; improved; informant; innovation; literacy; male; programs; prototype; satisfaction; seventh grade; sex; sexually active; skills; teen birth; tool; twelfth grade; usability; user-friendly

Abstract The rates of early and risky sexual behaviors of adolescents indicate the need for evidence-based comprehensive sex education for adolescents. Parents serve as a major socialization agent for adolescents and can help to improve adolescents’ outcomes by communicating about sexual health topics. Unfortunately, many parents do not feel efficacious in talking about sex with their children, especially discussing difficult topics such as contraception. In addition, 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 promote healthy perspective taking about relationships and sexual behaviors. The first aim of this project is to create a prototype of Media Aware Parent (MAP), a self-paced program designed to provide parents with media mediation skills, sexual health knowledge, and practice in parent-adolescent communication through a highly interactive web application. It is hypothesized that this program will enhance parents’ feelings of efficacy for and frequency in participating in open, responsive, comprehensive, and medically-accurate parent-adolescent communication about sexual health topics especially when exposed to sexualized media messages, and in turn, positively impact their children’s media literacy and sexual health outcomes. The proposed program will utilize a media literacy framework (e.g., Message Interpretation Process model) found to be effective in reducing risk behaviors (substance use and early/risky sexual behaviors). The program is innovative because it is focused on engaging parents in sexual health communication with their children, expands upon a successful theoretical framework for risk prevention, would be the first evidence-based web-based media literacy education program for parents, and utilizes Web 2.0 and emerging technology. Focus groups with parents and adolescents and one-to-one evaluations with parent users will be used to develop and revise the web-based program. The second aim of this project is to conduct a feasibility study of the MAP program prototype in which parents (N=64) are randomly assigned to an intervention group (receive the MAP program) or an active control group (e.g., review medically-accurate web content on adolescent sexual health). All parents will complete pre-post assessments, which will provide a preliminary test of program effectiveness for positively affecting outcomes (e.g., media mediation skills, sexual health knowledge, and parent-adolescent sexual health communication efficacy and behaviors). Consumer satisfaction ratings from the intervention group will also be used to evaluate program feasibility. Plans for Phase II would involve creating additional modules about specific sexual health topics that are rated as highly desired by Phase I parent participants and conducting an RCT to examine the program’s impact on adolescent media literacy and sexual health outcomes.

抽象的 青少年早期和危险性行为的发生率表明需要基于证据的研究 对青少年进行全面的性教育。 不幸的是，许多人可以通过交流性健康话题来帮助改善青少年的结果。 父母觉得与孩子谈论性，尤其是讨论诸如此类的困难话题时效果不佳 此外，消费那些使危险性行为正常化或美化的不健康媒体信息也是一种行为。 对这些媒体信息的批判性分析促进了与青少年早期和危险性行为的相关性。 该项目的首要目标是创建一个关于人际关系和性行为的健康观点。 Media Aware Parent (MAP) 的原型，这是一个旨在为家长提供媒体的自定进度计划 通过高度的培训，调解技巧、性健康知识以及父母与青少年沟通的实践 据了解，该程序将增强家长的效率感。 参与开放、反应灵敏、全面且医学上准确的家长青少年活动的频率和频率 关于性健康话题的交流，尤其是在接触性媒体信息时，反过来， 拟议的计划将利用对孩子的媒体素养和性健康结果产生积极影响。 被发现可有效降低风险的媒体素养框架（例如消息解释过程模型） 行为（药物使用和早期/危险性行为） 该计划具有创新性，因为它的重点是。 让父母与孩子进行性健康沟通，扩展了成功的理论 风险预防框架，将是第一个基于证据的网络媒体素养教育计划 面向家长，并利用 Web 2.0 和新兴技术与家长和青少年进行焦点小组讨论。 与家长用户的一对一评估将用于开发和修订基于网络的程序。 该项目的第二个目标是对 MAP 项目原型进行可行性研究，其中家长 (N=64) 被随机分配到干预组（接受 MAP 程序）或主动对照组 小组（例如，查看有关青少年性健康的医学上准确的网络内容）。 完成事前事后评估，这将为计划的有效性提供初步测试，以积极促进 影响结果（例如媒体调解技巧、性健康知识、父母与青少年的性健康） 干预组的消费者满意度评级也将 用于评估计划的可行性。第二阶段的计划将涉及创建有关以下内容的附加模块。 第一阶段家长参与者高度期望的特定性健康主题，并进行 随机对照试验旨在检验该计划对青少年媒体素养和性健康结果的影响。