Designing illustrative social media stories to promote adolescent peer support and healthy sexual behaviors.

Designing illustrative social media stories to promote adolescent peer support and healthy sexual behaviors.
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DOI:
10.1177/20552076221104660
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发表时间:
2022-01
期刊:
影响因子:
3.9
通讯作者:
Santelli, John
Santelli, John
中科院分区:
医学3区
文献类型:
--
作者:
Chernick, Lauren S.;Konja, Alexis;Gonzalez, Ariana;Stockwell, Melissa S.;Ehrhardt, Anke;Bakken, Susanne;Westhoff, Carolyn L.;Dayan, Peter S.;Santelli, John

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美国的青少年女性仍然有未满足的性和生殖保健需求。研究表明,包括同伴支持的干预措施可以提高自我效能感,加强健康的行为。然而,很少有以用户为中心的数字性健康干预措施纳入了同伴支持,并旨在改变对同伴规范和社交技能的看法。本研究的目的是设计和展示青少年女性对数字社交媒体故事的接受性,这些故事促进了健康的性行为和同伴社会支持。我们进行了一项由机构审查委员会批准的三阶段研究。在第一阶段,我们通过一项调查研究,介绍了14-19岁性活跃的青少年女性急诊科患者的8种性健康情况。参与者给每个场景的主人公写了三条短信,激励和鼓励她考虑使用避孕药具。信息进行了评分的基础上构建的同行支持(情感,有形,信息,归属)。在第二阶段,我们与专业艺术家和编剧合作,利用收集到的信息设计数字性健康漫画。在第三阶段,我们从青少年女性急诊科患者那里收集了对漫画的反馈。女性(n = 22)提供了352条消息。使用最受好评的消息,我们设计了五个数字可视化,在一个名为Mari tells it like it is的连续故事中。每个故事包含5-12个同行撰写的报价。我们将最终的图片插入到Instagram®中。其他女性(n = 39)认为这些图像“相关”、“超现实”和“教育性”。从我们当地的青少年社区收集同行撰写的文本,导致了广受欢迎的性健康可视化的创建。这种新颖的设计方法结合了青少年的声音,以促进同伴的支持和健康的行为。
Adolescent females in the United States continue to have unmet sexual and reproductive healthcare needs. Research shows that interventions incorporating peer support can augment perceived self-efficacy and reinforce healthy behaviors. Yet, few user-centered digital sexual health interventions incorporate peer support, and aim to change perceptions of peer norms and model social skills. The objective of this study was to design and demonstrate the receptivity of adolescent females to illustrated digital social media stories that promote healthy sexual behaviors and peer social support. We conducted a three-phase study approved by our Institutional Review Board. In Phase 1, we presented sexually active adolescent female emergency department patients aged 14–19 with eight sexual health scenarios via a survey study. Participants wrote three text messages addressed to the protagonist of each scenario which motivated and encouraged her to consider the use of contraceptives. Messages were scored based on the construct of peer support (emotional, tangible, informational, and belonging). In Phase 2, we worked with a professional artist and screenwriter to design digital sexual health comics using the gathered messages. In Phase 3, we gathered feedback on the comics from adolescent female emergency department patients. Females (n  =  22) provided 352 messages. Using top rated messages, we designed five digital visualizations in a running story called Mari tells it like it is. Each story incorporated 5–12 peer-authored quotes. We inserted the final images into Instagram®. Additional females (n  =  39) found the images “relatable,” “super-realistic,” and “educational.” Collecting peer-authored texts from our local adolescent community led to the creation of well-received sexual health visualizations. This novel method of design incorporated adolescent voices to promote peer support and healthy behaviors.
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