Web-based High School Media Literacy for Healthy Relationships

工程摘要 青少年可以从循证的、医学上准确的性健康和关系健康中受益匪浅 教育然而，教师和家长在有效地教授性健康知识方面都面临挑战， 导致学生收到不完整或不准确的信息的关系。年轻人转向 许多关于性和两性关系的媒体信息是不准确和不健康的。 消费不健康的媒体信息（例如，那些正常化或美化危险性行为）与早期 和青少年危险的性行为媒体素养教育（MLE），教授对媒体的批判性分析 信息，已被证明是改变危险健康行为的有效干预措施，包括 与性和关系健康有关。因此，本第二阶段申请建议完成开发 媒体意识（MASH-HS），一个互动的基于网络的性健康MLE计划， 旨在培养高中生的批判性思维能力，促进性和关系健康。它 据推测，这一计划将提高青少年的媒体素养技能，性健康知识， 认知（即，信念，自我效能和规范），以及有关健康决策的行为。的 该方案具有高度创新性，因为纳入了广泛的性和关系健康主题; 关注媒体的影响，这是一个在性风险预防计划中经常被忽视的风险因素; 将学校性健康教育从教师主导的方案编制转向自定进度， 在线格式，提高学生的学习。第一阶段可行性研究显示， 对学生的计划，包括加强对媒体信息的批判性思维;提高能力， 如果他们是可能的性侵犯的旁观者，他们打算进行干预; 青少年性活动和危险性活动的频率;以及参与危险性活动的意愿下降 性行为第二阶段的第一个目标是编辑程序和学习管理系统 在教师和学校管理人员咨询小组的帮助下，加强方案的实施。 第二阶段的第二个目标是进行随机对照试验，以检查该计划对因素的影响。 相关青少年的性和关系健康，其中学校（n = 16）被随机分配到条件， 每个学校的所有一名教师的教室将接受MASH-HS（n = 40个班级）或他们的 标准健康教育课程（n = 40个班）前测和后测问卷之间。的rct 还将包括3个月的随访，以检查该计划是否导致行为变化。的 潜在的商业应用是一个吸引人的，具有成本效益的性和关系健康计划。一 另外一个好处是，在增强健康的同时，该计划还培养了批判性思维技能， 教育环境，这应该有助于积极的程序采用和可扩展性。

Project Abstract Adolescents can benefit greatly from evidence-based, medically-accurate sexual and relationship health education. However, both teachers and parents face challenges in effectively teaching about sexual health and relationships leading to students receiving incomplete or inaccurate information. Young people turn to the media for information, and many media messages about sex and relationships are inaccurate and unhealthy. Consumption of unhealthy media messages (e.g., those that normalize or glamorize risky sex) is related to early and risky adolescent sexual behaviors. Media literacy education (MLE), which teaches critical analysis of media messages, has been shown to be an effective intervention for changing risky health behaviors including those related to sexual and relationship health. Thus, this Phase II application proposes to complete the development of and test the efficacy of Media Aware (MASH-HS), an interactive web-based sexual health MLE program, designed to develop high school students' critical thinking skills and promote sexual and relationship health. It is hypothesized that this program will enhance adolescents' media literacy skills, sexual health knowledge, cognitions (i.e., beliefs, self-efficacy, and norms), and behaviors regarding healthy decision-making. The program is highly innovative due to inclusion of a broad range of sexual and relationship health topics; attention to media influence, a risk factor often ignored in sexual risk prevention programs; and a paradigm shift for school-based sexual health education away from teacher-led programming towards a self-paced, online format that enhances student learning. The Phase I Feasibility Study revealed significant impacts of the program on students, including enhanced critical thinking about media messages; increased ability and intentions to intervene if they were a bystander to a possible sexual assault; decreased normative beliefs about the frequency of teen sexual activity and risky sexual activity; and decreased willingness to engage in risky sexual behaviors. The first aim of Phase II is to make edits to the program and Learning Management System to enhance program implementation with help from an Advisory Panel of teachers and school administrators. The second aim of Phase II is to conduct a randomized control trial to examine the program's impact on factors related adolescents' sexual and relationships health where schools (n=16) are randomly assigned to condition, and all of one teacher's classrooms from each school will either receive MASH-HS (n=40 classes) or their standard health education curriculum (n=40 classes) between pretest and posttest questionnaires. The RCT will also include a 3-month follow-up in order to examine if the program results in behavioral changes. The potential commercial application is an engaging, cost-effective sexual and relationship health program. One added benefit is that while enhancing health, the program develops critical thinking skills, highly valued in education settings, which should contribute positively to program adoption and scalability.