Web-based High School Media Literacy for Healthy Relationships

项目摘要 艾滋病毒/艾滋病、其他性传播感染、意外怀孕和青少年约会暴力的比率表明 需要以证据为基础的、医学上准确的、全面性健康教育。然而，两者 教师和家长在有效传授导致性健康和性关系的知识方面面临挑战 学生收到的信息不完整或不准确。年轻人向媒体寻求关于 性，以及许多关于性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，那些将危险性行为正常化或美化的信息)与青春期早期和危险的性行为有关 行为。媒体素养教育(MLE)教授对媒体信息的批判性分析，已经显示 成为改变危险健康行为的有效干预措施，包括与性健康有关的行为。 因此，这个第一阶段的应用程序建议开发媒体感知高中(MASH-HS)，以及 基于网络的互动式全面的性健康MLE计划，旨在培养学生的 思维能力和促进性健康。据推测，这项计划将加强青少年的媒体 识字技能、性健康知识、认知(即态度、自我效能和规范)和行为 关于健康的性行为决策。该程序将基于消息解释 处理模式，被发现是有效的MLE计划在降低性风险方面的重要中介 行为。如果有效，该计划将是第一个全面的性健康、MLE干预和 OAH以证据为基础的男性和性健康项目清单上第一个完全基于网络的项目 女高中生。建议的产品具有很高的创新性，因为1)包括广泛的 性健康话题，2)注意媒体的影响，这是防止性风险中经常被忽视的风险因素 方案，以及3)以学校为基础的性教育的范式转变，从教师主导的编程转向 一种自定进度的在线形式，可增强学生的学习能力。该项目的第一阶段包括两个目标。第一 目标是根据专家和利益相关者的反馈、焦点小组讨论创建该计划的原型 与目标信息者(即青少年)合作，并进行可用性研究。第二个目标是进行前测-后测 在随机分配的学校的8个9年级和10年级教室实施MASH-HS的可行性研究 干预(即MASH-HS)和对照(即典型的健康教育课程)(N=136名学生) 评估MASH-HS是否符合进入第二阶段的标准的条件。这些方法将提供 关于计划的格式、目标和内容的反馈，以及计划有效性的可行性 改善青少年健康状况。潜在的商业应用包括创建一个 引人入胜、有效的全面性健康计划，可用于广泛的教育 设置。附加的好处之一是，它在促进性健康的同时，也将培养批判性思维 技能在教育环境中受到高度重视，应对采用率和可扩充性作出积极贡献。

Project Abstract The rates of HIV/AIDS, other STIs, unplanned pregnancies, and dating violence among adolescents indicate the need for evidence-based, medically-accurate, comprehensive sexual 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 about sex, and many media messages about sex 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 health. Thus, this Phase I application proposes to develop Media Aware Sexual Health - High School (MASH-HS), an interactive web-based comprehensive sexual health MLE program, designed to develop students’ critical thinking skills and promote sexual health. It is hypothesized that this program will enhance adolescents’ media literacy skills, sexual health knowledge, cognitions (i.e., attitudes, self-efficacy, and norms), and behaviors regarding healthy sexual decision-making. The program will be based upon the Message Interpretation Processing model, found to be a significant mediator of effective MLE programs in reducing sexual risk behaviors. If effective, this program would be the first comprehensive sexual health, MLE intervention and the first completely web-based program on the OAH list of evidence-based sexual health programs for male and female high school students. The proposed product is highly innovative due to 1) including a broad range of sexual health topics, 2) attention to media influence, a risk factor often ignored in sexual risk prevention programs, and 3) a paradigm shift for school-based sex education away from teacher-led programming towards a self-paced, online format that enhances student learning. Phase I of this project includes two aims. The first aim is to create a prototype of the program based on expert and stakeholder feedback, focus group discussions with target informants (i.e., adolescents), and usability studies. The second aim is to conduct a pretest-posttest feasibility study of MASH-HS in eight 9th and 10th grade classrooms in schools randomly assigned to intervention (i.e., MASH-HS) and control (i.e., typical health education curriculum) (N=136 students) conditions to assess if MASH-HS meets criteria for moving on to Phase II. These methods will provide feedback about the format, goals, and content of the program, and feasibility of the program’s effectiveness for improving adolescent health outcomes. The potential commercial applications include the creation of an engaging, effective comprehensive sexual health program that can be utilized in a wide range of educational settings. One of the added benefits is that while it enhancing sexual health, it will also develop critical thinking skills, highly valued in education settings, which should contribute positively to adoption and scalability.