Adolescents' impressions of antismoking media literacy education: qualitative results from a randomized controlled trial.

Adolescents' impressions of antismoking media literacy education: qualitative results from a randomized controlled trial.
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青少年对反吸烟媒体素养教育的印象:随机对照试验的定性结果。

DOI:
10.1093/her/cyn062
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发表时间:
2009
影响因子:
2.4
通讯作者:
Zickmund,Susan
Zickmund,Susan
中科院分区:
医学4区
文献类型:
--
作者:
Primack,BrianA;Fine,Danielle;Yang,ChristopherK;Wickett,Dustin;Zickmund,Susan

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虽然媒体素养代表了一个以学校为基础的反吸烟项目的创新场所,但研究并没有系统地比较学生对这些项目和传统项目的印象。本研究利用了一项比较这两种方案的随机试验数据。每个项目结束后,学生们回答三个与指定课程相关的开放式问题。两个程序员,不知道学生的作业,独立编码这些数据。编码员之间有很强的一致性(kappa = 0.77)。我们的主要措施是自发地注意到总体评估,享受/兴趣和改变吸烟行为的可能性。在531名参与者中,255名(48.0%)被随机分配到干预(媒体素养)组。干预参与者有更多的净积极反应[比率比(RR) = 1.27, 95%置信区间(CI) = 1.05, 1.54],更多的应答者认为该计划引人注目(RR = 1.63, 95% CI = 1.16, 2.29),更少的应答者认为该计划不引人注目(RR = 0.62, 95% CI = 0.39, 0.97)。然而,干预组不太可能认为课程可能会积极改变行为(RR = 0.57, 95% CI = 0.30, 1.06)。研究结果表明,尽管媒体素养为反烟草节目的传播提供了一种引人注目的形式,但整合传统节目的组成部分可能有助于媒体素养项目达到最大效果。
Although media literacy represents an innovative venue for school-based antismoking programming, studies have not systematically compared student impressions of these and traditional programs. This study utilized data from a randomized trial comparing these two types of programs. After each program, students responded to three open-ended questions related to their assigned curriculum. Two coders, blinded to student assignments, independently coded these data. Coders had strong inter-rater agreement (kappa = 0.77). Our primary measures were spontaneously noted overall assessment, enjoyment/interest and the likelihood of changing smoking behavior. Of the 531 participants, 255 (48.0%) were randomized to the intervention (media literacy) group. Intervention participants had more net positive responses [rate ratio (RR) = 1.27, 95% confidence interval (CI) = 1.05, 1.54], more responses rating the program as compelling (RR = 1.63, 95% CI = 1.16, 2.29) and fewer responses rating the program as non-compelling (RR = 0.62, 95% CI = 0.39, 0.97). However, the intervention group was not more likely to suggest that the curriculum was likely to change behavior positively (RR = 0.57, 95% CI = 0.30, 1.06). Findings suggest that although media literacy provides a compelling format for the delivery of antitobacco programming, integration of components of traditional programming may help media literacy programs achieve maximal efficacy.
DOI: 10.1016/j.bodyim.2006.01.001
发表时间: 2006-03-01
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