Parent-Teen Communication to Resist Unhealthy Media Messages

摘要 青少年早期和危险性行为的发生率表明需要进行基于证据的 对青少年进行全面的性教育。父母是青少年社会化的主要媒介， 可以通过交流性健康话题来帮助改善青少年的结果。不幸的是很多 父母在与孩子谈论性问题时并不感到有效，特别是在讨论一些困难的话题时， 作为避孕。此外，消费不健康的媒体信息，正常化或美化危险的性行为， 与青少年早期和危险的性行为有关。对这些媒体信息的批判性分析促进了 对人际关系和性行为采取健康的观点。该项目的第一个目标是创建一个 媒体意识家长（MAP）的原型，一个自定进度的计划，旨在为家长提供媒体 调解技巧，性健康知识，并通过一个高度的父母与青少年沟通的做法， 交互式Web应用程序。据推测，这一计划将提高父母的效能感， 参与开放的，反应灵敏的，全面的，医学上准确的父母-青少年 关于性健康话题的沟通，特别是当接触到性媒体信息时，反过来， 积极影响他们孩子的媒体素养和性健康结果。该计划将利用 媒体素养框架（例如，消息解释过程模型）被发现可有效降低风险 行为（物质使用和早期/危险的性行为）。该计划是创新的，因为它专注于 让父母与孩子进行性健康沟通，扩展了一个成功的理论 风险预防框架，将是第一个以证据为基础的网络媒体素养教育计划 为父母，并利用Web 2.0和新兴技术。与父母和青少年的焦点小组， 将与家长用户进行一对一的评价，以制定和修订网络方案。的 该项目的第二个目标是进行MAP计划原型的可行性研究，其中父母 （N=64）被随机分配到干预组（接受MAP程序）或活动对照组 组（例如，审查关于青少年性健康的医学上准确的网络内容）。所有的父母都会 完成事前事后评估，这将提供一个初步的测试计划的有效性， 影响结果（例如，媒介调解技巧、性健康知识与亲子青少年性健康 沟通效能和行为）。来自干预组的消费者满意度评级也将 用于评估方案的可行性。第二阶段的计划将涉及创建更多的模块， 第一阶段家长参与者高度期望的特定性健康主题，并进行 RCT研究该计划对青少年媒体素养和性健康结果的影响。

Abstract The rates of early and risky sexual behaviors of adolescents indicate the need for evidence-based comprehensive sex education for adolescents. Parents serve as a major socialization agent for adolescents and can help to improve adolescents’ outcomes by communicating about sexual health topics. Unfortunately, many parents do not feel efficacious in talking about sex with their children, especially discussing difficult topics such as contraception. In addition, 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 promote healthy perspective taking about relationships and sexual behaviors. The first aim of this project is to create a prototype of Media Aware Parent (MAP), a self-paced program designed to provide parents with media mediation skills, sexual health knowledge, and practice in parent-adolescent communication through a highly interactive web application. It is hypothesized that this program will enhance parents’ feelings of efficacy for and frequency in participating in open, responsive, comprehensive, and medically-accurate parent-adolescent communication about sexual health topics especially when exposed to sexualized media messages, and in turn, positively impact their children’s media literacy and sexual health outcomes. The proposed program will utilize a media literacy framework (e.g., Message Interpretation Process model) found to be effective in reducing risk behaviors (substance use and early/risky sexual behaviors). The program is innovative because it is focused on engaging parents in sexual health communication with their children, expands upon a successful theoretical framework for risk prevention, would be the first evidence-based web-based media literacy education program for parents, and utilizes Web 2.0 and emerging technology. Focus groups with parents and adolescents and one-to-one evaluations with parent users will be used to develop and revise the web-based program. The second aim of this project is to conduct a feasibility study of the MAP program prototype in which parents (N=64) are randomly assigned to an intervention group (receive the MAP program) or an active control group (e.g., review medically-accurate web content on adolescent sexual health). All parents will complete pre-post assessments, which will provide a preliminary test of program effectiveness for positively affecting outcomes (e.g., media mediation skills, sexual health knowledge, and parent-adolescent sexual health communication efficacy and behaviors). Consumer satisfaction ratings from the intervention group will also be used to evaluate program feasibility. Plans for Phase II would involve creating additional modules about specific sexual health topics that are rated as highly desired by Phase I parent participants and conducting an RCT to examine the program’s impact on adolescent media literacy and sexual health outcomes.