Media Literacy Education for Sexual Health in Older Adolescents

描述(申请人提供)：年龄较大的青少年(18至19岁)的危险性行为，如不戴避孕套的性行为，有多个或随意的伴侣，或醉酒的性行为，是美国的一个主要公共卫生问题。年龄较大的青少年一贯报告缺乏关于怀孕预防和/或健康关系的信息和获得必要资源的机会。我们的长期目标是推进老年青少年的性健康促进状况，老年青少年是性危险行为预防努力中服务不足的人群。消费不健康的媒体信息，将危险的性行为正常化或美化，与青少年早期和危险的性行为有关。对这些问题的批判性分析 媒体信息和医学上准确的健康信息的创建促进了对关系和性行为的健康看法。我们假设，对媒体信息的批判性思维会影响对危险性行为的规范、认知和态度，并最终减少危险的性行为。这份R21提案的目的是：1)创建一个简短的基于网络的媒体素养干预，以减少社区大学生中危险的性行为；2)进行干预的可行性研究，并调查该计划有效性的主持人；3)为未来的随机对照试验制定程序和措施。这项拟议的研究应用了媒体素养框架(例如，消息解读过程模型)来探索媒体素养干预是否可以成为目标年龄组的一种引人注目的性教育方案。在第一年，将使用焦点小组和一对一评估来制定基于网络的媒体素养教育计划，即媒体世界关系(MWR)。干预的目的是自定进度、简短和高度互动。在第二年，将进行一项可行性研究，将社区大学(N=8)随机分配到干预组，参与的学生(N=200)将完成基于网络的计划，或作为控制组的一部分参与，并完成岗位前评估。学生结果评估(前测、即刻后测)将提供项目有效性的初步测试，以期对性健康结果产生积极影响。由大学管理人员和健康教育工作者(N=16)进行的计划评估也将用于评估可行性。这项研究的结果将为更大规模的随机临床试验奠定基础。这一创新计划的额外好处之一是，在潜在地增强社区大学校园性健康的同时，它也强调了高等教育中重视的批判性思维技能的发展和完善，这应该会促进传播。 公共卫生相关性：年龄较大的青少年的危险性行为是一个重大的公共卫生问题，基于媒体素养的干预似乎是解决这一问题的一种有希望的方法，应该进行严格的评估。本研究对媒体素养干预的可行性进行了检验，并初步考察了TE干预的有效性。该项目的长期目标是在随机临床试验中测试开发的基于网络的媒体素养计划，以减少年龄较大青少年的危险性行为。

DESCRIPTION (provided by applicant): The risky sexual behaviors of older adolescents (18- to 19-year-olds), like having sex without a condom, having multiple or casual partners, or having intoxicated sexual encounters, are a major U.S. public health issue. Older adolescents consistently report a lack of information and access to necessary resources regarding pregnancy prevention and/or healthy relationships. Our long-range goal is to advance the state of sexual health promotion in for older adolescents, an underserved population in sexual risk behavior prevention efforts. Consumption of unhealthy media messages that normalize or glorify risky sex is related to early and risky sexual behaviors in adolescents. Critical analysis of these media messages and the creation of medically accurate health messages promote healthy perspective taking about relationships and sexual behaviors. We hypothesize that critical thinking about media messages impacts norms, cognitions, and attitudes about risky sex and ultimately reduces risky sexual behaviors. The aims of this R21 proposal from an early stage investigator are to 1) create a brief web-based media literacy intervention to reduce risky sexual practices in community college students, 2) conduct a feasibility study for the intervention and investigate moderators of the program's effectiveness, and 3) develop procedures and measures for a future randomized control trial. The proposed study applies a media literacy framework (e.g., Message Interpretation Process Model) to explore if a media literacy intervention can be a compelling sexual education program for the target age group. In Year 1, focus groups and one-to-one evaluations will be used to develop the web-based media literacy education program, Media World Relationships (MWR). The intervention is intended to be self-paced, brief, and highly interactive. In Year 2, a feasibility study will be conducted in which community colleges (N=8) are randomly assigned to the intervention group, where participating students (N = 200) will either complete the web-based program or participate as part of the control group and complete pre-post assessments. Student outcome assessments (pretest, immediate posttest) will provide a preliminary test of program effectiveness for positively affecting sexual health outcomes. Program assessment by college administrators and health educators (N=16) will also be used to evaluate feasibility. Results from the study will serve as a foundation for a larger randomized clinical trial. One of the added benefits of this innovative program is that while potentially enhancing the sexual health of community college campuses, it also emphasizes the development and refinement of critical thinking skills valued in higher education which should foster dissemination. PUBLIC HEALTH RELEVANCE: Risky sexual behaviors of older adolescents are a significant public health concern and media literacy-based interventions appear to be a promising approach to addressing this issue and should be evaluated rigorously. This study provides a feasibility test of a media literacy intervention and an initial examination of the moderators of te intervention's effectiveness. The long-term objective of this project is to test the developed web-based media literacy program to reduce risky sexual behaviors in older adolescents in a randomized clinical trial.