Background: Climate change is one of the most critical threats to our society. The purpose of this cross-sectional study was to describe the content of the most viewed climate change videos on YouTube. Methods: The term "climate change" was used to search on YouTube to garner a sample of the 100 most widely-viewed videos. Videos in a language other than English, or considered irrelevant, were excluded. Using a fact sheet from National Aeronautics and Space Administration, content categories were created and successively coded. Results: The mean number of views for the 100 videos evaluated was 231,140.2 views (SD= 718, 399.5) and the mean length was 12.1 minutes (SD= 24.1). Most videos were uploaded by a news source (77.0%), included a belief that climate change is happening (77.0%), and mentioned the impact of climate change on the environment (71.0%). Only one-third of the videos mentioned how to prevent climate change (33.0%). More than half focused on a specific environment and, of those, 47.2% specifically focused on cities. Compared to videos that did not focus on a specific environment, the videos with an environmental focus were more often intended for adults (87.3% vs. 53.3%, P≤0.001). Conclusion: This study highlights the need for climate change YouTube videos intended for youth. Targeting youth may lead to engagement of younger generations in climate change discourse and inspire climate action. Further research is needed to determine the effectiveness of YouTube as a platform for educational videos on climate change.

BACKGROUND Substance use among adolescent girls is associated with numerous risk characteristics including engaging in sexual risk behaviors which can lead to HIV and STI diagnoses. Unfortunately, Black girls have a higher diagnosis of STIs and face a significant “gender paradox” where although they are less likely to use substances than boys and other ethnic-minority girls, they tend to face more negative health consequences from use. OBJECTIVE We propose the development of a HIV and drug use strengths-based prevention education intervention for Black girls to promote protective factors and challenge negative stereotypes in Black girls. METHODS A sequential, mixed methods, pilot feasibility trial will be conducted. Aim 1 is to explore risk and protective factors in drug use and HIV prevention using mixed methods. Aim 2 is to develop and conduct pilot study to determine if the intervention is feasible and acceptable for HIV and drug use prevention in 20 Black adolescent girls. RESULTS The study is part of a 2-year research pilot study award that received funding from the National Institutes of Mental Health. Data collection for this study began October 2021. The remaining year will focus on completing data collection, analysis, dissemination, and developing the intervention components. Moreover, aim 1 data collection is 95% complete. We expect to complete all data collection for aim 1 on or before May 30, 2023. Recruitment for aim 2 will begin Summer 2023. CONCLUSIONS This study will be one of the few interventions that address sexual health and drug use specifically for Black girls. We anticipate that the intervention will be beneficial for Black girls across the nation to work on building culturally appropriate prevention education and building peer social supports, resulting in reduction or delayed substance use and improved sexual health. CLINICALTRIAL ClinicalTrials.gov (NCT05014074

Background Substance use among adolescent girls is associated with numerous risk characteristics, including engaging in sexual risk behaviors, which can lead to HIV and sexually transmitted infection (STI) diagnoses. This is an important phenomenon to target as there is a significant race-gendered paradox that occurs when Black girls use and misuse drugs. When misuse occurs among this group, they are more likely to face harsher consequences and worse health outcomes than boys and other ethnic-minority girls. Therefore, there is a need to understand the risk and protective factors of drug use and sexual risk behaviors among Black girls and develop a robust intervention that can cater for this group. Objective We propose the development of a strengths-based prevention education intervention for Black girls between the ages of 13 and 18 years to promote protective factors. Methods A sequential, mixed methods study will be conducted, and we will use the first 3 steps of the ADAPT-ITT (assessment, decision, adaptation, production, topical experts, integration, training, testing) framework to begin the development of the intervention. Three aims will be described in this protocol. First, aim 1 is to explore sociocultural risk and protective factors among Black girls between the ages 13 and 18 years in drug use and HIV/STI prevention using focus group methodology and surveys. We will conduct at least 10 focus groups to include up to 75 Black girls or until we reach saturation. Our target sample size for the quantitative portion of the study will be 200 participants. Aim 2 will focus on deciding upon an intervention based on findings from aim 1 and forming a youth advisory board to guide intervention development. Aim 3 will be to conduct a pretest of the intervention with the youth advisory board to determine if the intervention is feasible and will be accepted by Black girls. Results The study is part of a 2-year research pilot study award from the National Institutes of Mental Health. Data collection for this study began in October 2021. For aim 1, data collection is 95% complete. We expect to complete all data collection for aim 1 on or before May 30, 2023. Study activities for aim 2 are occurring simultaneously as data are being collected and analyzed and will be completed in the summer of 2023. Study activities for aim 3 will begin in the fall of 2023. Conclusions This study will be one of the few interventions that address both sexual health and drug use together and cater to Black girls. We anticipate that the intervention will be beneficial for Black girls across the nation to work on building culturally appropriate prevention education and building peer social supports, resulting in reduction or delayed substance use and improved sexual health. Trial Registration ClinicalTrials.gov NCT05014074; https://clinicaltrials.gov/ct2/show/NCT05014074 International Registered Report Identifier (IRRID) DERR1-10.2196/45007