Examining the efficacy of an mHealth media literacy education program for sexual health promotion in older adolescents attending community college

Scull, Tracy M.; Kupersmidt, Janis B.; Malik, Christina V.; Keefe, Elyse M.

doi:10.1080/07448481.2017.1393822

Cited by 42 publications

(53 citation statements)

References 33 publications

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“…We will address the anticipated difficulties described in previous studies of mobile phone text messaging in young-adult populations [ 88 - 90 ], such as participant retention, in several ways: regular communication with participants and continuous reminders via phone, and compensation (gift cards) at project completion. This study has a convenience sample.…”

Section: Discussionmentioning

confidence: 99%

Mobile Phone Text Messaging for Tobacco Risk Communication Among Young Adult Community College Students: Protocol and Baseline Overview for a Randomized Controlled Trial

Prokhorov¹,

Khalil²,

Calabro³

et al. 2018

JMIR Res Protoc

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BackgroundCommunity-college students are at high risk for tobacco use. Because the use of mobile phone text messaging is nearly ubiquitous today, short message service (SMS) may be an effective strategy for tobacco risk communication in this population. Little is known, however, concerning the message structure significantly influencing perceived tobacco risk.ObjectiveWe aim to outline the rationale and design of Project Debunk, a randomized trial comparing the effects of different SMS text message structures.MethodsWe conducted a 6-month randomized trial comparing 8 arms, based on the combination of the 3 message structures delivered to young adults in a 2×2×2 study design: framing (gain-framed or loss-framed), depth (simple or complex), and appeal (emotional or rational). Participants were invited to participate from 3 community colleges in Houston from September 2016 to July 2017. Participants were randomized to 1 arm and received text messages in 2 separate campaigns. Each campaign consisted of 2 text messages per day for 30 days. Perceived tobacco risk was assessed at baseline, 2 months after the first campaign, and 2 months after the second campaign. We assessed the perceived risk of using conventional products (eg, combustible cigarettes) and new and emerging products (eg, electronic cigarettes). The validity of message structures was assessed weekly for each campaign. A 1-week follow-up assessment was also conducted to understand immediate reactions from participants.ResultsWe completed data collection for the baseline survey on a rolling basis during this time and assessed the validity of the message structure after 1 week of SMS text messages. For the entire sample (N=636), the average age was 20.92 years (SD 2.52), about two-thirds were male (430/636, 67.6%), and most were black or African American (259/636, 40.7%) or white (236/636, 37.1%). After 1 week of receiving text messages, the following was noted: (a) loss-framed messages were more likely to be perceived as presenting a loss than gain-framed messages (F7,522=13.13, P<.001), (b) complex messages were perceived to be more complex than simple messages (F7,520=2.04, P=.05), and (c) emotional messages were perceived to be more emotionally involving than rational messages (F7,520=6.46, P<.001).ConclusionsThis study confirms that the recruitment, randomization, and message composition have been successfully implemented. Further analyses will identify specific types of messages that are more effective than others in increasing the perceived risk of tobacco use. If our results suggest that any of the 8 specific message structures are more effective for helping young adults understand tobacco risk, this would provide evidence to include such messages as part of a larger technology-based campaign such as mobile phone apps, entertainment-based campaigns, and social media.Trial RegistrationClinicalTrials.gov NCT03457480; https://clinicaltrials.gov/ct2/show/NCT03457480 (Archived by WebCite at http://www.webcitation.org/6ykd4IIap)Registered Report Identifier...

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Section: Discussionmentioning

confidence: 99%

Mobile Phone Text Messaging for Tobacco Risk Communication Among Young Adult Community College Students: Protocol and Baseline Overview for a Randomized Controlled Trial

Prokhorov¹,

Khalil²,

Calabro³

et al. 2018

JMIR Res Protoc

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“…In this situation, how willing would you be to go ahead and hook up anyway?). This measure was adapted from Scull et al [34] and Gibbons et al [38]. 6.…”

Section: Willingness To Engage In Unprotected Sex (1 Item)mentioning

confidence: 99%

“…asked to indicate on a 4-point Likert scale (1 = strongly disagree; 2 = disagree; 3 = agree; 4 = strongly agree) their level of agreement on several items pertaining to the media (e.g., Media are dishonest about what happens if people have sex.). This measure was adapted from Scull et al [34], α = .86. 6.…”

Section: Media Skepticism (5 Items) Participants Will Bementioning

confidence: 99%

“…Participants will be asked to indicate on a 4-point Likert scale (e.g., 1 = not likely at all; 2 = somewhat likely; 3 = likely; 4 = extremely likely) how likely they would be to recommend this program to a friend (e.g., How likely is it that you would recommend this program to a friend?). These measures were adapted from Scull et al [34].…”

Section: Student Satisfactionmentioning

confidence: 99%

“…Youth who receive MLE are more aware that media perpetuate inaccurate sexual messages than youth who do not receive MLE [31,32]. MLE has been shown to redress teens' inaccurate normative beliefs about their peers, including norms about the frequency of sexual activity and abstinence [31,33,34]. In studies assessing MLE's effect on health behaviors, youth receiving MLE reported higher levels of selfefficacy regarding their own sexual behavior [31,35], increased intentions to use a condom, if they decide to have sex [32], and reductions in risky sexual behaviors [34].…”

Section: Introductionmentioning

confidence: 99%

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Study protocol for a randomized controlled trial to evaluate a web-based comprehensive sexual health and media literacy education program for high school students

Scull

Malik

Morrison

et al. 2020

Trials

Self Cite

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Background: School-based comprehensive sexual health education can improve adolescent health outcomes, and web-based programs are a promising approach to overcoming challenges associated with teacher-led formats by ensuring that students receive content that is consistent, unbiased, and medically accurate. However, many adolescents do not receive high-quality sexual health education and turn to the media for information about sex and relationships. Consumption of sexual media messages is related to early and risky sexual behaviors. Media literacy education (MLE) is a proven approach to adolescent sexual health promotion, yet there are no rigorously evaluated web-based MLE programs to promote sexual and relationship health among high school students. Methods: This study will test the efficacy, in a randomized controlled trial, of Media Aware, a web-based comprehensive sexual health promotion program for high school students that uses an MLE approach. Participants will be students in 9th and 10th grade health classes in participating schools. Randomization will take place at the school level, and data collection will take place at three time points (i.e., pretest, posttest, and 3 months follow-up). Students in the intervention classrooms will receive Media Aware between pretest and posttest, and students in the delayed-intervention classrooms will receive Media Aware after study completion (i.e., after 3 months follow-up data collection). Students in the delayed-intervention classes will receive their standard health education programming, and teachers in the delayed-intervention classes will be asked to refrain from teaching sexual health or MLE during the study timeframe. The primary outcome variables are intentions, willingness, and behaviors related to sexual health and sexual activity. Discussion: There are currently no evidence-based comprehensive sexual health programs for high school students that are web-based and use an MLE approach. Media Aware has the potential to be an engaging, less expensive, and effective sexual and relationship health program for high school students. Media Aware is unique in two important ways: (1) the web-based format reduces many of the challenges to fidelity of implementation associated with teacher-led sexual health education; and (2) the MLE approach addresses a commonly ignored influence on adolescent sexual and relationship health, namely, media.

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Adverse childhood experiences and college student health promotion outcomes: Another perspective on the trauma‐health relationship

et al. 2022

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Most research to date has focused on negative health outcomes associated with adverse childhood experience (ACE) exposure. The goal of the present study was to examine the relationship between ACE exposure and health information seeking, health promoting behaviours and health screening among US college students. Supplemental ACE items were added to the cross‐sectional National College Health Assessment survey administered between 2017 and 2018 with young adult (ages 18–29) college students in California (n = 3862) and Texas (n = 451). Approximately 41.9 per cent of participants reported ACE. ACE‐exposed participants were consistently and significantly less likely to receive health information from their university (p < 0.01). Using multivariable logistic regression models, reporting four or more ACE was associated with significantly lower odds of past year seatbelt use (AOR = 0.62, 95% CI = 0.44–0.89) and past 30‐day condom use during oral sex (AOR = 0.51, 95% CI = 0.27–0.97). Increases in ACE exposure were significantly associated with an increase in the odds of ever testing for HIV (AORs:1.26–2.49). Longitudinal research is needed to uncover the complex interplay between ACE, mental health, negative health behaviours and health promotion activities among young adults. Interventions to improve health promotion activities in ACE‐exposed populations could improve health and quality of life for this vulnerable population. Key Practitioner Messages ACE exposure has a potentially harmful impact on health education efforts and health promotion outcomes including healthy behaviours and obtaining regular health screenings. Young adults with a history of ACE exposure are more likely to report HIV screenings and more work is needed to uncover the reason for this association. College campus health education and promotion programs should target ACE affected young adults.

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Examining the efficacy of an mHealth media literacy education program for sexual health promotion in older adolescents attending community college

Abstract: The results from this study suggest that Media Aware is a promising means of delivering comprehensive sexual health education to older adolescents attending community college.

Cited by 42 publications

References 33 publications

Mobile Phone Text Messaging for Tobacco Risk Communication Among Young Adult Community College Students: Protocol and Baseline Overview for a Randomized Controlled Trial

Mobile Phone Text Messaging for Tobacco Risk Communication Among Young Adult Community College Students: Protocol and Baseline Overview for a Randomized Controlled Trial

Study protocol for a randomized controlled trial to evaluate a web-based comprehensive sexual health and media literacy education program for high school students

Adverse childhood experiences and college student health promotion outcomes: Another perspective on the trauma‐health relationship

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