Media Literacy Education for Sexual Health in Older Adolescents

年龄较大的青少年（18至19岁）的危险性行为，如没有安全套的性行为，有多个或临时伴侣，或有醉酒的性接触，是美国的一个主要公共卫生问题。年龄较大的青少年一直报告缺乏关于预防怀孕和/或健康关系的信息和获得必要资源的机会。我们的长期目标是推进对大龄青少年的性健康促进，这是一个在性风险行为预防工作中得不到充分服务的人群。消费不健康的媒体信息，正常化或美化危险的性行为与青少年早期和危险的性行为有关。对这些问题的批判性分析 媒体信息和创建医学上准确的健康信息促进对关系和性行为采取健康的观点。我们假设，对媒体信息的批判性思考会影响人们对危险性行为的规范、认知和态度，并最终减少危险性行为。这个R21提案的目的是从早期阶段的研究者1）创建一个简短的基于网络的媒体素养干预，以减少社区大学生的危险性行为，2）进行干预的可行性研究，并调查该计划的有效性的主持人，和3）制定程序和措施，为未来的随机对照试验。拟议的研究采用了媒体素养框架（例如，信息解释过程模型），以探讨媒介素养干预是否可以成为目标年龄组的一个引人注目的性教育计划。在第一年，焦点小组和一对一的评估将用于开发基于网络的媒体素养教育计划，媒体世界关系（MWR）。干预的目的是自定进度，简短，高度互动。在第二年，将进行一项可行性研究，其中社区学院（N=8）被随机分配到干预组，参与的学生（N = 200）将完成基于网络的计划或作为对照组的一部分参加并完成前后评估。学生结果评估（前测，后测）将提供一个初步的测试程序的有效性，积极影响性健康的结果。大学管理人员和健康教育工作者（N=16）的计划评估也将用于评估可行性。该研究的结果将作为更大规模随机临床试验的基础。这一创新计划的额外好处之一是，虽然可能提高社区大学校园的性健康，但它也强调了高等教育中重视的批判性思维技能的发展和完善，这应该促进传播。 公共卫生相关性：大龄青少年的危险性行为是一个重大的公共卫生问题和媒体扫盲为基础的干预措施似乎是一个很有前途的方法来解决这个问题，并应严格评估。本研究提供了一个媒介素养干预的可行性测试，并初步探讨了干预效果的调节因素。这个项目的长期目标是在一项随机临床试验中测试开发的基于网络的媒体素养计划，以减少大龄青少年的危险性行为。

DESCRIPTION (provided by applicant): The risky sexual behaviors of older adolescents (18- to 19-year-olds), like having sex without a condom, having multiple or casual partners, or having intoxicated sexual encounters, are a major U.S. public health issue. Older adolescents consistently report a lack of information and access to necessary resources regarding pregnancy prevention and/or healthy relationships. Our long-range goal is to advance the state of sexual health promotion in for older adolescents, an underserved population in sexual risk behavior prevention efforts. Consumption of unhealthy media messages that normalize or glorify risky sex is related to early and risky sexual behaviors in adolescents. Critical analysis of these media messages and the creation of medically accurate health messages promote healthy perspective taking about relationships and sexual behaviors. We hypothesize that critical thinking about media messages impacts norms, cognitions, and attitudes about risky sex and ultimately reduces risky sexual behaviors. The aims of this R21 proposal from an early stage investigator are to 1) create a brief web-based media literacy intervention to reduce risky sexual practices in community college students, 2) conduct a feasibility study for the intervention and investigate moderators of the program's effectiveness, and 3) develop procedures and measures for a future randomized control trial. The proposed study applies a media literacy framework (e.g., Message Interpretation Process Model) to explore if a media literacy intervention can be a compelling sexual education program for the target age group. In Year 1, focus groups and one-to-one evaluations will be used to develop the web-based media literacy education program, Media World Relationships (MWR). The intervention is intended to be self-paced, brief, and highly interactive. In Year 2, a feasibility study will be conducted in which community colleges (N=8) are randomly assigned to the intervention group, where participating students (N = 200) will either complete the web-based program or participate as part of the control group and complete pre-post assessments. Student outcome assessments (pretest, immediate posttest) will provide a preliminary test of program effectiveness for positively affecting sexual health outcomes. Program assessment by college administrators and health educators (N=16) will also be used to evaluate feasibility. Results from the study will serve as a foundation for a larger randomized clinical trial. One of the added benefits of this innovative program is that while potentially enhancing the sexual health of community college campuses, it also emphasizes the development and refinement of critical thinking skills valued in higher education which should foster dissemination. PUBLIC HEALTH RELEVANCE: Risky sexual behaviors of older adolescents are a significant public health concern and media literacy-based interventions appear to be a promising approach to addressing this issue and should be evaluated rigorously. This study provides a feasibility test of a media literacy intervention and an initial examination of the moderators of te intervention's effectiveness. The long-term objective of this project is to test the developed web-based media literacy program to reduce risky sexual behaviors in older adolescents in a randomized clinical trial.