Mechanisms of Media Literacy Education for Promoting Relationship Health in Older Adolescents

项目摘要 社区大学生在性和人际关系方面是一个服务不足的高危人群 健康。年龄较大的青少年/年轻人使用过多的媒体消息，以及许多媒体消息 关于性和关系是不准确和不健康的。消耗不健康的媒体消息(例如， 那些将危险性行为正常化或美化的人)与危险的性行为有关。媒介素养教育 (MLE)旨在加强对媒体信息的批判性思考，是一种新颖而有效的方法 关系和性健康促进。最近对一项针对年龄较大的青少年的MLE计划的评估 青少年性健康意识(MASH-YA)发现，该计划在短期内产生了有利的结果 对社区大学生(18-19岁)性和关系信念和行为的影响，包括 减少危险的性行为。虽然有证据支持MLE的有效性，但没有研究表明 试图隔离其对健康的影响(即加强对媒体信息的批判性思考) 结果，对MLE和性之间的关系的潜在机制了解很少 随着时间的推移，健康结果或MLE对性健康和关系健康的影响轨迹。也有 我们对有效执行性健康面临的挑战的理解上的差距 在社区大学编程。因此，本项目提出进行三臂随机对照。 对上社区大学的大龄青少年(即18-19岁)进行试验(N=1680)。社区学院 将校园随机分为：(1)干预组(即，MASH-YA)；(2)积极控制组 (3)不治疗对照组。 学生们将在前测、后测、600万和1200万次跟踪调查中完成在线问卷调查。这样做的目的是 该项目旨在评估MLE对初级和次级性健康和关系健康的递增影响 结果，将MASH-YA对健康结果影响的潜在机制与机制进行比较 了解主动控制计划的效果，并评估MASH-YA在 与积极对照和非治疗对照的近端和远端结果进行比较。评估挑战 社区学院在实施循证性健康规划和收集中面临的问题 为加强和支持计划实施提供信息的战略，社区学院 人员(N=60)将被要求审查MASH-YA计划，并完成一份问卷和 有组织的访谈，就计划的内容和实施提供反馈。MLE是一种有效的 促进性健康和关系健康的方法，有可能减少健康差距 社区学院的学生。这项研究的发现可以促进理论的发展，为 未来的MLE干预，并对第一个基于证据的MLE提供严格的长期评估 促进大龄青少年性健康和关系健康的计划。

Project Abstract Community college students are an underserved and at-risk population in terms of sexual and relationship health. Older adolescents/young adults consume a plethora of media messages, 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 risky sexual behaviors. Media literacy education (MLE), which aims to enhance critical thinking about media messages, is a novel and effective approach to relationship and sexual health promotion. A recent evaluation of a MLE program for older adolescents, Media Aware Sexual Health for Young Adults (MASH-YA), found that the program resulted in favorable short-term effects on community college students’ (ages 18-19) sexual and relationship beliefs and behaviors, including a reduction in risky sexual behaviors. While evidence supports the effectiveness of MLE, there are no studies that have attempted to isolate its effects (i.e., enhancing critical thinking about media messages) on health outcomes, and little is understood about the mechanisms underlying the relationship between MLE and sexual health outcomes or the trajectory of MLE effects on sexual and relationship health over time. There are also gaps in our understanding of the challenges surrounding the effective implementation of sexual health programming at community colleges. Thus, this project proposes conducting a three-arm randomized control trial with older adolescents (i.e., ages 18-19) attending community college (N=1680). Community college campuses will be randomized to either the: (1) intervention group (i.e., MASH-YA); (2) active control group (i.e., sexual health programming from MASH-YA without MLE content); or, (3) no-treatment control group. Students will complete online questionnaires at pretest, posttest, 6m, and 12m follow-ups. The aims of this project are to evaluate the incremental effects of MLE on primary and secondary sexual and relationship health outcomes, compare the mechanisms underlying MASH-YA’s effects on health outcomes to the mechanisms underlying the effects of the active control program, and evaluate the long-term efficacy of MASH-YA on proximal and distal outcomes compared to an active control and no-treatment control. To assess challenges faced by community colleges in implementing evidence-based sexual health programming and gather information to inform strategies to enhance and support program implementation, community college personnel (N=60) will be asked to review the MASH-YA program and complete a questionnaire and structured interview to provide feedback on the program content and implementation. MLE is an effective approach to sexual and relationship health promotion with the potential to reduce health disparities among community college students. The findings from this study could advance theory, inform the development of future MLE interventions, and provide a rigorous long-term evaluation of the first evidence-based MLE program for sexual and relationship health promotion for older adolescents.