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

项目摘要 社区大学生在性和关系方面是一个服务不足和处于危险之中的人群 健康年龄较大的青少年/年轻人消费过多的媒体信息，许多媒体信息 关于性和关系的观点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的人）与危险性行为有关。媒介素养教育 (MLE)，旨在加强对媒体信息的批判性思考，是一种新颖有效的方法， 促进性关系和性健康。最近一项针对大龄青少年的MLE计划的评估，媒体 年轻人的性健康意识（MASH-YA）发现，该计划导致了有利的短期 对社区大学生（18-19岁）的性和关系信念和行为的影响，包括 减少危险性行为。虽然有证据支持MLE的有效性，但没有研究表明 试图隔离其影响（即，加强对媒体信息的批判性思考） 结果，很少有人了解MLE和性行为之间关系的机制。 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 我们对围绕有效实施性健康的挑战的理解存在差距 社区大学的编程课程因此，本项目建议进行三臂随机对照 对年龄较大的青少年的试验（即，年龄18-19岁）参加社区学院（N=1680）。社区学院 校园将被随机分为：（1）干预组（即，MASH-YA）;（2）活性对照组 (i.e.,没有MLE内容的MASH-YA的性健康节目）;或（3）无治疗对照组。 学生将在预测、后测、6个月和12个月的随访中完成在线问卷。这样做的目的是 项目是评估MLE对初级和次级性健康和关系健康的增量影响 结果，将MASH-YA对健康结果影响的潜在机制与 潜在的积极控制计划的影响，并评估MASH-YA的长期疗效 近端和远端结局与活性对照和无治疗对照相比。评估挑战 社区学院在实施以证据为基础的性健康规划和收集 信息通报战略，以加强和支持计划的实施，社区学院 将要求工作人员（N=60）审查MASH-YA计划并填写问卷， 结构化面试，以提供有关计划内容和实施的反馈。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 社区大学的学生这项研究的发现可以推进理论，为发展提供信息， 未来的MLE干预措施，并提供严格的长期评估的第一个循证MLE 促进大龄青少年性健康和关系健康方案。

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.