Mechanisms of Media Literacy Education for Promoting Relationship Health in Older Adolescents

媒介素养教育促进大龄青少年关系健康的机制

• 批准号: 10381717
• 负责人: Tracy Marie Scull
• 金额: $ 67.56万
• 依托单位: INNOVATION RESEARCH AND TRAINING, INC.
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-06 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10381717
• 关键词: Adolescent; Adolescent and Young Adult; Adoption; Age; Awareness; Behavior; Behavioral; Belief; Cognition; Community Health; Consumption; Control Groups; Critical Thinking; Development; Distal; Education; Educational Intervention; Effectiveness; Evaluation; Feedback; Future; Goals; Health; Health Promotion; Health Promotion and Education; Health Resources; Health Services; Health behavior; Health education; Human Resources; Interview; Latex; Left; Long-Term Effects; Longterm Follow-up; Mediator of activation protein; Online Systems; Outcome; Outcomes Research; Population; Populations at Risk; Prevention education; Prevention program; Questionnaires; Randomized; Randomized Controlled Trials; Reduce health disparities; Research; Research Design; Sex Behavior; Sexual Health; Sexual Partners; Structure; Students; Time; Underserved Population; Unsafe Sex; active control; arm; base; college; community college; condom use rate; condoms; dating violence; design; evidence base; experience; group intervention; high risk sexual behavior; implementation science; improved; literacy; novel; novel strategies; peer; prevent; programs; sex; sexual assault; sexual relationship; skills; theories; underserved students; unintended pregnancy; university student; willingness; young adult

Project Abstract Community college students are an underserved and at-risk population in terms of sexual and relationship health. Older adolescents/young adults consume a plethora of media messages, and many media messages about sex and relationships are inaccurate and unhealthy. Consumption of unhealthy media messages (e.g., those that normalize or glamorize risky sex) is related to risky sexual behaviors. Media literacy education (MLE), which aims to enhance critical thinking about media messages, is a novel and effective approach to relationship and sexual health promotion. A recent evaluation of a MLE program for older adolescents, Media Aware Sexual Health for Young Adults (MASH-YA), found that the program resulted in favorable short-term effects on community college students’ (ages 18-19) sexual and relationship beliefs and behaviors, including a reduction in risky sexual behaviors. While evidence supports the effectiveness of MLE, there are no studies that have attempted to isolate its effects (i.e., enhancing critical thinking about media messages) on health outcomes, and little is understood about the mechanisms underlying the relationship between MLE and sexual health outcomes or the trajectory of MLE effects on sexual and relationship health over time. There are also gaps in our understanding of the challenges surrounding the effective implementation of sexual health programming at community colleges. Thus, this project proposes conducting a three-arm randomized control trial with older adolescents (i.e., ages 18-19) attending community college (N=1680). Community college campuses will be randomized to either the: (1) intervention group (i.e., MASH-YA); (2) active control group (i.e., sexual health programming from MASH-YA without MLE content); or, (3) no-treatment control group. Students will complete online questionnaires at pretest, posttest, 6m, and 12m follow-ups. The aims of this project are to evaluate the incremental effects of MLE on primary and secondary sexual and relationship health outcomes, compare the mechanisms underlying MASH-YA’s effects on health outcomes to the mechanisms underlying the effects of the active control program, and evaluate the long-term efficacy of MASH-YA on proximal and distal outcomes compared to an active control and no-treatment control. To assess challenges faced by community colleges in implementing evidence-based sexual health programming and gather information to inform strategies to enhance and support program implementation, community college personnel (N=60) will be asked to review the MASH-YA program and complete a questionnaire and structured interview to provide feedback on the program content and implementation. MLE is an effective approach to sexual and relationship health promotion with the potential to reduce health disparities among community college students. The findings from this study could advance theory, inform the development of future MLE interventions, and provide a rigorous long-term evaluation of the first evidence-based MLE program for sexual and relationship health promotion for older adolescents.

项目摘要 社区大学生在性和关系方面是服务不足和处于危险的人口 健康。年长的青少年/年轻人会消耗大量媒体消息，许多媒体消息 关于性和人际关系是不准确和不健康的。消费不健康的媒体消息（例如， 那些使风险性行为归一化或魅力的人）与风险的性行为有关。媒体素养教育 （MLE）旨在增强对媒体信息的批判性思考，是一种新颖有效的方法 关系和性健康促进。对年长青少年的MLE计划的最新评估，媒体 了解年轻人的性健康（Mash-Ya），发现该计划导致了有利的短期 对社区大学生的影响（18-19岁）的性和关系信念和行为，包括 降低风险的性行为。尽管证据支持MLE的有效性，但没有研究表明 试图隔离其影响（即增强对媒体信息的批判性思维）的影响 结果，关于MLE与性关系之间关系的机制几乎没有理解 随着时间的推移，健康结果或MLE对性关系健康的影响的轨迹。也有 在我们了解有效实施性健康的挑战方面的差距 在社区大学编程。那，该项目提议进行三臂随机控制 与年长的青少年（即18-19岁）的审判（n = 1680）。社区学院 校园将被随机分配给：（1）干预组（即mash-ya）； （2）主动对照组 （即，来自MASH-YA的性健康计划，没有MLE内容）；或（3）无治疗对照组。 学生将在预测试，后测，600万和12m随访中填写在线问卷。这个目的 项目将评估MLE对主要和继发性和关系健康的增量影响 结果，将Mash-Ya对健康结果的影响的基础机制与机制进行比较 主动控制程序的效果的基础，并评估Mash-Ya的长期有效性 与主动对照和无治疗对照相比，近端和远端结果。评估挑战 社区学院在实施基于证据的性健康计划并收集 信息为加强和支持计划实施的策略提供信息，社区学院 人员（n = 60）将被要求审查Mash-Ya计划并完成问卷调查，并 结构化访谈以提供有关程序内容和实施的反馈。 MLE是有效的 性和关系健康促进的方法，有可能减少健康分布 社区大学生。这项研究的发现可以提高理论，告知 未来的MLE干预措施，并对第一个基于证据的MLE进行严格的长期评估 针对年长青少年的性和关系健康促进计划。