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Feasibility Study of the Online High School Media Aware Program

Not Applicable
Completed
Conditions
Sexual Behavior
Interventions
Behavioral: Media Aware Sexual Health - High School
Registration Number
NCT03855033
Lead Sponsor
Innovation Research & Training
Brief Summary

This is a pretest-posttest feasibility study of Media Aware Sexual Health - High School, an interactive web-based comprehensive sexual health media literacy education program for high school students. The program is 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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
367
Inclusion Criteria
  1. Students must be in grades 9 or 10 in participating classrooms at participating schools.
  2. Students must be able to speak and read English because the study materials (e.g., questionnaires) and the program are in English.
  3. Students must have appropriate permissions to receive sex education per school districts' policy (i.e., opt-in policy or opt-out policy).
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Media Aware Sexual Health - High SchoolMedia Aware Sexual Health - High SchoolStudents received the web-based Media Aware Sexual Health - High School program.
Primary Outcome Measures
NameTimeMethod
Change in willingness to hook up against own wishespretest and posttest (approximately one week after pretest)

4-point Likert scale (strongly disagree; disagree; agree; strongly agree) assessing the degree to which one is willing to hook up with someone even if they are not sure that they really want to. (Suppose you were with a boyfriend/girlfriend. He/she wants to hook-up, but you are not sure that you want to. In this situation, how willing would you be to go ahead and hook-up anyway?).

Change in intentions to engage in sexual activitypretest and posttest (approximately one week after pretest)

4-point Likert scale (not at all likely; unlikely; likely; extremely likely) assessing participants intentions to engage in sex in the next year (How likely is that you will have any type of sexual contact with another person (oral sex, anal sex, vaginal sex, or genital-to-genital contact) in the next year?).

Change in intentions to use contraception/protectionpretest and posttest (approximately one week after pretest)

4-point Likert scale (not at all likely; unlikely; likely; extremely likely) assessing intentions to use contraception (e.g., if you were to have vaginal or anal sex, how likely would you be to use a condom?).

Change in willingness to engage in unprotected sexpretest and posttest (approximately one week after pretest)

4-point Likert scale (strongly disagree; disagree; agree; strongly agree) assessing the degree to which one is willing to engage in unprotected sex (Suppose you were with a boyfriend/girlfriend. He/she wants to have sex, but neither of you have any form of protection. In this situation, how willing would you be to go ahead and hook-up anyway?).

Secondary Outcome Measures
NameTimeMethod
Efficacy to refuse sexual activitypretest and posttest (approximately one week after pretest)

4-point Likert scale (strongly disagree; disagree; agree; strongly agree) assessing participants efficacy to refuse sex (e.g., I could say no to someone who is pressuring me to have sex).

Efficacy to communicate before sexpretest and posttest (approximately one week after pretest)

4-point Likert scale (strongly disagree; disagree; agree; strongly agree) assessing participants efficacy to communicate about sexual health (e.g., I could talk with a boy/girlfriend about using condoms for sexually transmitted infection protection).

Media Skepticismpretest and posttest (approximately one week after pretest)

Participants are asked on a 4-point Likert scale (strongly disagree; disagree; agree; strongly agree) the degree to which they agree with several statements about media (e.g., Media are dishonest about what happens when people drink alcohol).

Risky Teen Sex Attitudespretest and posttest (approximately one week after pretest)

Participants are asked on a 4-point Likert scale (strongly disagree; disagree; agree; strongly agree) the degree to which they agree with several statements about teens engaging in risky sexually behaviors (e.g., I believe it is ok for teens to do use alcohol or drugs before or during a sexual encounter.)

Norms - teen sexual activity (%)pretest and posttest (approximately one week after pretest)

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] are engage in sexual activity.

Perceived realism of media messagespretest and posttest (approximately one week after pretest)

Participants are asked on a 4-point Likert scale (strongly disagree; disagree; agree; strongly agree) the degree to which they agreed that teens on the media: 1) do things that average teens do; 2) act like average teens; 3) are as sexually experienced as average teens; 3) get pregnant as often as average teens; 4) get STIs as often as average teens.

Efficacy to use contraception/protectionpretest and posttest (approximately one week after pretest)

4-point Likert scale (strongly disagree; disagree; agree; strongly agree) assessing participants efficacy to get and use contraception (e.g., If I wanted to, I could get condoms or another form of contraception).

Intentions to communicate before sexpretest and posttest (approximately one week after pretest)

4-point Likert scale (not at all likely; unlikely; likely; extremely likely) assessing intentions to communicate about sexual health before sex (e.g., Before deciding to have sex, how likely would you be to talk to a boy/girlfriend about HIV/AIDS or other sexually transmitted infections?).

Norms - Frequency of teen risky sexual activity (%)pretest and posttest (approximately one week after pretest)

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] are engage in risky sexual activities (e.g., have sex with someone who is much older).

Perceived similarity to media messagespretest and posttest (approximately one week after pretest)

Participants are asked on a 4-point Likert scale (strongly disagree; disagree; agree; strongly agree) the degree to which they agreed that: 1) The things I do in my life are similar to what I see teens do in the media; 2) I look like teens I see in the media; 3) I like the kinds of things that teens in the media like.

Teen Sex Attitudespretest and posttest (approximately one week after pretest)

Participants are asked on a 4-point Likert scale (strongly disagree; disagree; agree; strongly agree) the degree to which they agree with several statements about teen sex (e.g., it is ok for teens to be sexually active).

Sexual health knowledgepretest and posttest (approximately one week after pretest)

Participants are asked several multiple choice and T/F questions about sexual health.

Cognitive elaboration of advertisementpretest and posttest (approximately one week after pretest)

Participants are shown an advertisement and responded on a 4-point Likert scale (not much at all; a little; a good amount; a lot) the extent to which they: 1) thought about the ad; 2) spent time thinking about the ad; and 3) paid attention to the ad.

Teen Contraception Use Attitudespretest and posttest (approximately one week after pretest)

Participants are asked on a 4-point Likert scale (strongly disagree; disagree; agree; strongly agree) the degree to which they agree with several statements about teen contraception use (e.g., I believe if a teen is going to have sex, they should always use a condom.)

Teen Sexual Communication Attitudespretest and posttest (approximately one week after pretest)

Participants are asked on a 4-point Likert scale (strongly disagree; disagree; agree; strongly agree) the degree to which they agree with several statements about teen sexual communication (e.g., Before deciding to have sex, I believe teens should talk with their parents or another trusted adult).

Trial Locations

Locations (1)

innovation Research & Training

🇺🇸

Durham, North Carolina, United States

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