Feasibility trial of a film-based educational intervention for increasing boys’ and girls’ intentions to avoid teenage pregnancy: Study protocol

Aventin, Áine; Maguire, Lisa; Clarke, Mike; Linden, Mark; McDaid, Lisa

doi:10.1016/j.ijer.2014.08.003

Cited by 12 publications

(18 citation statements)

References 54 publications

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“…During the current study a protocol was developed for a pilot cluster randomised controlled trial and feasibility study in schools in Northern Ireland (Lohan et al, 2014). The study, funded by the UK National Institute for Health Research began in May 2014.…”

Section: Look Beyond Developmentmentioning

confidence: 99%

Design and development of a film-based intervention about teenage men and unintended pregnancy: Applying the Medical Research Council framework in practice

Aventin

O’Halloran

Henderson

2015

Evaluation and Program Planning

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Following the UK Medical Research Council's (MRC) guidelines for the development and evaluation of complex interventions, this study aimed to design, develop and optimise an educational intervention about young men and unintended teenage pregnancy based around an interactive film. The process involved identification of the relevant evidence base, development of a theoretical understanding of the phenomenon of unintended teenage pregnancy in relation to young men, and exploratory mixed methods research. The result was an evidence-based, theory-informed, user-endorsed intervention designed to meet the much neglected pregnancy education needs of teenage men and intended to increase both boys' and girls' intentions to avoid an unplanned pregnancy during adolescence. In prioritising the development phase, this paper addresses a gap in the literature on the processes of research-informed intervention design. It illustrates the application of the MRC guidelines in practice while offering a critique and additional guidance to programme developers on the MRC prescribed processes of developing interventions. Key lessons learned were: (1) know and engage the target population and engage gatekeepers in addressing contextual complexities; (2) know the targeted behaviours and model a process of change; and (3) look beyond development to evaluation and implementation.

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Section: Look Beyond Developmentmentioning

confidence: 99%

Design and development of a film-based intervention about teenage men and unintended pregnancy: Applying the Medical Research Council framework in practice

Aventin

O’Halloran

Henderson

2015

Evaluation and Program Planning

Self Cite

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“…The current study focused on examining the IVDs as one component of a multipart gender-sensitive website designed to support men’s smoking cessation. IVDs are an innovative approach in men’s health promotion research [ 12 ], and the current study findings document the first application of IVDs in smoking cessation. More specifically, it is the first to target men who smoke.…”

Section: Discussionmentioning

confidence: 55%

“…The value of IVD is predicated on the evidence that viewers engage with, and are more influenced by, material when they are presented with a character with whom they personally identify. In a feasibility trial conducted in Northern Ireland, Lohan et al [ 12 ] developed and are testing a 4-week IVD program for sex education classes in 7 schools with the aim of reducing unintended teenage pregnancy. Based on observational data of over 700 young men, their video intervention is theorized to strengthen the intentions of male teens to avoid unplanned pregnancy by influencing the psychosocial variables involved in sexual behaviors and choices [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…The If I Were Nick videos were developed in accordance with the theoretical framework described in the work of Lohan et al [ 12 ] and Aventin et al [ 14 ] that blends social theory on gender norms and masculinity with cognitive learning theory and the theory of planned behavior, which have demonstrated that attitudes, perceived control, social context, and intentions influence behavior change [ 15 , 16 ]. A script was written and a story board developed by the team to illustrate high-risk situations that might happen to Nick, a construction worker, during the first day of a quit.…”

Section: Introductionmentioning

confidence: 99%

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“If I Were Nick”: Men’s Responses to an Interactive Video Drama Series to Support Smoking Cessation

Bottorff¹,

Sarbit²,

Oliffe³

et al. 2015

J Med Internet Res

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BackgroundMen continue to smoke in greater numbers than women; however, few interventions have been developed and tested to support men’s cessation. Men tend to rely on quitting strategies associated with stereotypical manliness, such as willpower, stoicism, and independence, but they may lack the self-efficacy skills required to sustain a quit. In this paper, we describe the development of and reception to an interactive video drama (IVD) series, composed of 7 brief scenarios, to support and strengthen men’s smoking cessation efforts. The value of IVD in health promotion is predicated on the evidence that viewers engage with the material when they are presented characters with whom they can personally identify. The video dramatizes the challenges unfolding in the life of the main character, Nick, on the first day of his quit and models the skills necessary to embark upon a sustainable quit.ObjectiveThe objective was to describe men’s responses to the If I were Nick IVD series as part of a study of QuitNow Men, an innovative smoking cessation website designed for men. Specific objectives were to explore the resonance of the main character of the IVD series with end-users and explore men’s perceptions of the effectiveness of the IVD series for supporting their quit self-management.MethodsSeven brief IVD scenarios were developed, filmed with a professional actor, and uploaded to a new online smoking cessation website, QuitNow Men. A sample of 117 men who smoked were recruited into the study and provided baseline data prior to access to the QuitNow Men website for a 6-month period. During this time, 47 men chose to view the IVDs. Their responses to questions about the IVDs were collected in online surveys at 3-month and 6-month time points and analyzed using descriptive statistics.ResultsThe majority of participants indicated they related to the main character, Nick. Participants who “strongly agreed” they could relate to Nick perceived significantly higher levels of support from the IVDs than the “neutral” and “disagree” groups (P<.001, d=2.0, P<.001, d=3.1). The “agree” and “neutral” groups were significantly higher on rated support from the videos than the “disagree” (P<.001, d=2.2, P=.01, d=1.5). Participants’ perception of the main character was independent of participant age, education attainment, or previous quit attempts.ConclusionsThe findings suggest that IVD interventions may be an important addition to men’s smoking cessation programs. Given that the use of IVD scenarios in health promotion is in its infancy, the positive outcomes from this study signal the potential for IVD and warrant ongoing evaluation in smoking cessation and, more generally, men’s health promotion.

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“…The focus has been on the design of the content rather than on rigorous evaluation. Although we have presented evaluation data that can suggest the impact of the Internet-based men’s health interventions, future papers will more fully develop this aspect of the research [ 111 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge Translation in Men’s Health Research: Development and Delivery of Content for Use Online

Aventin¹,

Oliffe²,

Han³

et al. 2015

J Med Internet Res

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BackgroundMen can be hard to reach with face-to-face health-related information, while increasingly, research shows that they are seeking health information from online sources. Recognizing this trend, there is merit in developing innovative online knowledge translation (KT) strategies capable of translating research on men’s health into engaging health promotion materials. While the concept of KT has become a new mantra for researchers wishing to bridge the gap between research evidence and improved health outcomes, little is written about the process, necessary skills, and best practices by which researchers can develop online knowledge translation.ObjectiveOur aim was to illustrate some of the processes and challenges involved in, and potential value of, developing research knowledge online to promote men’s health.MethodsWe present experiences of KT across two case studies of men’s health. First, we describe a study that uses interactive Web apps to translate knowledge relating to Canadian men’s depression. Through a range of mechanisms, study findings were repackaged with the explicit aim of raising awareness and reducing the stigma associated with men’s depression and/or help-seeking. Second, we describe an educational resource for teenage men about unintended pregnancy, developed for delivery in the formal Relationship and Sexuality Education school curricula of Ireland, Northern Ireland (United Kingdom), and South Australia. The intervention is based around a Web-based interactive film drama entitled “If I Were Jack”.ResultsFor each case study, we describe the KT process and strategies that aided development of credible and well-received online content focused on men’s health promotion. In both case studies, the original research generated the inspiration for the interactive online content and the core development strategy was working with a multidisciplinary team to develop this material through arts-based approaches. In both cases also, there is an acknowledgment of the need for gender and culturally sensitive information. Both aimed to engage men by disrupting stereotypes about men, while simultaneously addressing men through authentic voices and faces. Finally, in both case studies we draw attention to the need to think beyond placement of content online to delivery to target audiences from the outset.ConclusionsThe case studies highlight some of the new skills required by academics in the emerging paradigm of translational research and contribute to the nascent literature on KT. Our approach to online KT was to go beyond dissemination and diffusion to actively repackage research knowledge through arts-based approaches (videos and film scripts) as health promotion tools, with optimal appeal, to target male audiences. Our findings highlight the importance of developing a multidisciplinary team to inform the design of content, the importance of adaptation to context, both in terms of the national implementation context and consideration of gender-specific needs, and an integrated implementation and evalu...

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Feasibility trial of a film-based educational intervention for increasing boys’ and girls’ intentions to avoid teenage pregnancy: Study protocol

Cited by 12 publications

References 54 publications

Design and development of a film-based intervention about teenage men and unintended pregnancy: Applying the Medical Research Council framework in practice

Design and development of a film-based intervention about teenage men and unintended pregnancy: Applying the Medical Research Council framework in practice

“If I Were Nick”: Men’s Responses to an Interactive Video Drama Series to Support Smoking Cessation

Knowledge Translation in Men’s Health Research: Development and Delivery of Content for Use Online

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