A Parent-Child Program to Prevent Adolescent Pregnancy

描述（由申请人提供）：本项目将开发和评估一个基于理论的交互式多媒体程序，供父母及其青春期子女（10-14岁）使用，以防止青少年怀孕。该计划将包括以行为为重点的沟通技巧培训和教育内容，旨在支持父母对孩子性行为的价值观。教育内容将包括有效的父母监督和网络策略以及关于青春期的信息。此外，节目内容将根据(a)父母的种族/民族（即，非裔美国人、高加索人和西班牙人）、(b)父母的性别和(c)孩子的性别进行定位。完成后，这个全面的计划将包括一个供父母使用的互联网/光盘组件，另一个供孩子使用，最后，一个供父母和孩子一起观看的DVD。另外，还将开发适用于家庭DVD播放器的独立DVD程序，供没有电脑或互联网的家庭和团体演示使用。该项目旨在有效地解决父母及其子女的知识缺陷，并提供培训和示范，使父母与子女之间的有效沟通符合父母对青少年性行为的价值观。它将适用于广泛的环境（例如，家庭、工作场所、健康和社区组织）。第二阶段将在全美父母和儿童的随机试验中进行评估。公共卫生相关性：虽然青少年怀孕率在过去十年中有所下降，但这仍然是青春期前和青少年家庭的一个重要问题。父母有可能在预防怀孕和性行为方面积极影响孩子的价值观。该项目将制作一个交互式多媒体节目，以协助和促进父母与子女之间关于性和预防怀孕的讨论。该计划将通过CD-ROM、互联网和DVD格式提供，适合有10-14岁儿童的家庭，其最终目标是促进父母与儿童的关系，降低青少年怀孕率和性传播感染率。

DESCRIPTION (provided by applicant): This project will develop and evaluate a theoretically-based interactive multimedia program for use by parents and their adolescent children (10-14 years of age) to prevent adolescent pregnancy. The program will include behaviorally focused communication skills training and educational content that is designed to support parental values regarding sexual behavior of their child. Educational content will include information on effective parental monitoring and networking strategies and information about puberty. In addition, program content will be targeted by (a) parental race/ethnicity (i.e., African-American, Caucasian, and Hispanic), (b) parental gender, and (c) gender of the child. When complete, this comprehensive program will include an Internet/CD-ROM component for use by the parent, another for use by the child and finally, a DVD for the parent and child to view together. A stand-alone DVD program suitable for home DVD players will be created for group presentations and families without access to computers or the Internet. The program will be designed to effectively address the knowledge deficits of both parents and their children, and provide training and modeling in effective communication between the parent and child that are consistent with the parent's values regarding adolescent sexual behavior. It will be appropriate for use in a broad range of settings (e.g., homes, worksites, health, and community organizations). The Phase II will be evaluated in a randomized trial with parents and children across the United States. PUBLIC HEALTH RELEVANCE: While rates of teen pregnancy have declined in the past 10 years, this is still an important issue for families of preadolescents and teens. Parents have the potential to positively influence their child's values around pregnancy prevention and sexual activity. This project will produce an interactive multimedia (IMM) program to assist and facilitate discussions about sexuality and pregnancy prevention between parents and their children. The program will be delivered via CD-ROM, Internet, and DVD formats and will be appropriate for families with children aged 10-14, with the ultimate goal of promoting parent/child relationships and reducing rates of teen pregnancy and sexually transmitted infections.