Enhancing a Teen Pregnancy Prevention Program With Text Messaging: Engaging Minority Youth to Develop TOP® Plus Text
Enhancing a Teen Pregnancy Prevention Program With Text Messaging: Engaging Minority Youth to Develop TOP® Plus Text
复制标题
DOI：
10.1016/j.jadohealth.2013.12.005
复制
发表时间：
2014-03-01
影响因子：
7.6
通讯作者：
Shlay, Judith
中科院分区：
文献类型：
--
作者：
Devine, Sharon;Bull, Sheana;Shlay, Judith
目的：开发和试点一个基于理论的、对少数民族青年有吸引力的手机短信组件，作为青少年外展计划(R)的补充，该计划是一个青少年发展计划，旨在减少青少年怀孕和辍学。方法：以少数民族青少年为研究对象，进行多焦点小组的反复形成性研究，探讨他们对短信的兴趣和对短信的反应。我们在四个地点对96名青少年进行了为期一个月的TOP (R) Plus Text试点，并在注册后和试点结束时立即进行了一项基于计算机的调查，收集了有关青少年价值观、社会支持、自我效能、与学校表现有关的行为、法律问题和性活动的信息。在前三个每周的会议之后，我们收集了满意度测量。在试点完成后，我们对12名有目的地选择的试点参与者进行了退出访谈。结果：成功招募少数民族青年加入试点。青少年热衷于短信补充TOP（右）。调查结果还揭示了一些障碍：能够使用文本功能的手机，通过试点后调查的完成程度来衡量留存率，以及需要关注青少年的读写能力。结论：试点有助于确定实施的改进措施，包括通过多个平台提供短信，使没有手机的年轻人可以接收短信；改写文本，让年轻人表达自己的观点，而不会感到被评判；收集多种联系方式，提高随访效果。对社会和行为理论的深思熟虑的关注，以及对反复形成性研究的投资，以及对青少年的广泛咨询，可以产生一个引人入胜的短信课程，增强和补充TOP (R)。(C) 2014年青少年健康与医学学会。版权所有。
Purpose: To develop and pilot a theory-based, mobile phone texting component attractive to minority youth as a supplement to the Teen Outreach Program (R), a youth development program for reducing teen pregnancy and school dropout.Methods: We conducted iterative formative research with minority youth in multiple focus groups to explore interest in texting and reaction to text messages. We piloted a month-long version of TOP (R) Plus Text with 96 teens at four sites and conducted a computer-based survey immediately after enrollment and at the end of the pilot that collected information about teens' values, social support, self-efficacy, and behaviors relating to school performance, trouble with the law, and sexual activity. After each of the first three weekly sessions we collected satisfaction measures. Upon completion of the pilot we conducted exit interviews with twelve purposively selected pilot participants.Results: We successfully recruited and enrolled minority youth into the pilot. Teens were enthusiastic about text messages complementing TOP (R). Results also revealed barriers: access to text-capable mobile phones, retention as measured by completion of the post-pilot survey, and a need to be attentive to teen literacy.Conclusions: Piloting helped identify improvements for implementation including offering text messages through multiple platforms so youth without access to a mobile phone could receive messages; rewording texts to allow youth to express opinions without feeling judged; and collecting multiple types of contact information to improve follow-up. Thoughtful attention to social and behavioral theory and investment in iterative formative research with extensive consultation with teens can lead to an engaging texting curriculum that enhances and complements TOP (R). (C) 2014 Society for Adolescent Health and Medicine. All rights reserved.