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

基本信息

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
项目类别：
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

项目摘要

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.

项目摘要社区学院的学生在性和人际关系方面是一个服务不足且处于危险的人群年龄较大的青少年/年轻人消耗大量的媒体信息，并且许多媒体信息。关于性和关系的信息不准确且不健康。那些使危险性行为正常化或美化的行为）与危险性行为有关。（MLE）旨在增强对媒体信息的批判性思维，是一种新颖且有效的方法最近对老年青少年 MLE 计划的评估，媒体。意识到年轻人的性健康（MASH-YA）发现该计划带来了有利的短期效果对社区学院学生（18-19 岁）性和关系信念和行为的影响，包括虽然有证据支持 MLE 的有效性，但没有研究表明这一点。试图隔离其对健康的影响（即增强对媒体信息的批判性思维）但对于 MLE 与性之间关系的潜在机制知之甚少。随着时间的推移，健康结果或 MLE 对性和关系健康的影响轨迹也有。我们对有效实施性健康所面临挑战的理解存在差距因此，该项目建议进行三臂随机对照。对就读社区大学的年龄较大的青少年（即 18-19 岁）进行的试验 (N=1680)。校园将被随机分为：(1) 干预组（即 MASH-YA）；(2) 主动对照组（即来自 MASH-YA 的性健康规划，不含 MLE 内容）；或者，(3) 未治疗对照组。学生将在预测、后测、6m 和 12m 后续跟进中完成在线调查问卷。项目旨在评估 MLE 对初级和中级性健康和关系健康的增量影响结果，比较 MASH-YA 对健康结果影响的机制积极控制计划的影响的基础，并评估 MASH-YA 的长期疗效与主动对照和不治疗对照相比的近端和远端结果来评估挑战。社区大学在实施循证性健康规划时面临的问题并收集为加强和支持项目实施、社区学院的战略提供信息将要求人员 (N=60) 审查 MASH-YA 计划并填写调查问卷并结构化访谈可以提供有关计划内容和实施的反馈，这是一种有效的方法。促进性和关系健康的方法，有可能减少男女之间的健康差距这项研究的结果可以推进理论，为社区学院的发展提供信息。未来的 MLE 干预措施，并对第一个基于证据的 MLE 提供严格的长期评估老年青少年性与关系健康促进计划。