Parent peer education: Lessons learned from a community-based initiative for teen pregnancy prevention

Green, Heidi Hauser; Documét, Patricia I.

doi:10.1016/j.jadohealth.2005.05.002

Cited by 12 publications

(6 citation statements)

References 17 publications

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“…Several studies met more than 1 exclusion criteria. Four studies were excluded because they lacked a control group 23-26 ; 9 did not report parent-adolescent communication outcome data [27][28][29][30][31][32][33][34][35] ; 1 did not report outcome data for parent participants, only for adolescent participants 36 ; 3 included parents of younger children but did not stratify outcome data on the basis of the age of participating parents' children 25,26,37 ; 1 only included parents of preschool-aged children 38 ; parents participated in multiple interventions simultaneously in 1 study, which made it impossible to determine the individual effects of the parent-adolescent communication program 39 ; and 4 included non-US samples. [40][41][42][43] …”

Section: Resultsmentioning

confidence: 99%

Interventions to Improve Parental Communication About Sex: A Systematic Review

2011

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CONTEXT: The relative effectiveness of interventions to improve parental communication with adolescents about sex is not known. OBJECTIVE:To compare the effectiveness and methodologic quality of interventions for improving parental communication with adolescents about sex. METHODS:We searched 6 databases: OVID/Medline, PsychInfo, ERIC, Cochrane Review, Communication and Mass Media, and the Cumulative Index to Nursing and Allied Health Literature. We included studies published between 1980 and July 2010 in peer-reviewed English-language journals that targeted US parents of adolescents aged 11 to 18 years, used an experimental or quasi-experimental design, included a control group, and had a pretest/posttest design. We abstracted data on multiple communication outcomes defined by the integrative conceptual model (communication frequency, content, skills, intentions, selfefficacy, perceived environmental barriers/facilitators, perceived social norms, attitudes, outcome expectations, knowledge, and beliefs). Methodologic quality was assessed using the 11-item methodologic quality score. RESULTS:Twelve studies met inclusion criteria. Compared with controls, parents who participated in these interventions experienced improvements in multiple communication domains including the frequency, quality, intentions, comfort, and self-efficacy for communicating. We noted no effects on parental attitudes toward communicating or the outcomes they expected to occur as a result of communicating. Four studies were of high quality, 7 were of medium quality, and 1 was of lower quality. Funded by the National Institutes of Health (NIH). CONCLUSIONS: 494AKERS et al by guest on May 10, 2018 http://pediatrics.aappublications.org/ Downloaded from Adolescent sexual behavior is a normal developmental milestone. However, the social and public health consequences of adolescent sexual activity are tremendous. Of the 18 million sexually transmitted infections diagnosed in the United States each year, 1,2 half occur in adolescents. [3][4][5] Pregnancy affects 750 000 adolescents annually, 80% of which are unintended. 6 Despite recent declines in the number of sexually active adolescents, engagement in risky sexual behaviors remains problematic. 7 Adolescents who recall a parent talking with them about sex are more likely to report delaying sexual initiation [8][9][10] and increasing condom 8,11,12 and contraceptive 11,13 use. In light of these findings, interventions for improving parental communication about sex have been developed. 14 Although dozens of interventions exist, they have not been rigorously compared. We sought to examine whether interventions for improving parental communication with adolescents about sex are effective at strengthening multiple communication domains and to assess the methodologic quality of these interventions. METHODSWith the assistance of health science librarians, 6 databases were searched: OVID/Medline (1980 to July 2010), PsychInfo (1980 to July 2010), ERIC (1980 to July 2010), Cochrane Review (until...

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Section: Resultsmentioning

confidence: 99%

Interventions to Improve Parental Communication About Sex: A Systematic Review

2011

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“…It is possible that increasing the level of the curriculum exposure and even greater engagement of the broader community could have further strengthened the intervention program by improving its content and applicability to the target youths and their parents, engaging more parents in workshops, and addressing early sexual debut beyond the classroom setting (e.g. via youth development or service learning programs that would be conducted after school hours or during weekends) (Gallagher et al 2005; Green and Documét 2005). …”

Section: Discussionmentioning

confidence: 99%

Evaluation of a randomized intervention to delay sexual initiation among fifth-graders followed through the sixth grade

et al. 2011

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US adolescents initiate sex at increasingly younger ages, yet few pregnancy prevention interventions for children as young as 10–12 years old have been evaluated. Sixteen Washington, DC schools were randomly assigned to intervention versus control conditions. Beginning in 2001/02 with fifth-grade students and continuing during the sixth grade, students completed pre-intervention and post-intervention surveys each school year. Each year, the intervention included 10–13 classroom sessions related to delaying sexual initiation. Linear hierarchical models compared outcome changes between intervention and control groups by gender over time. Results show the intervention significantly decreased a rise over time in the anticipation of having sex in the next 12 months among intervention boys versus control boys, but it had no other outcome effects. Among girls, the intervention had no significant outcome effects. One exception is that for both genders, compared with control students, intervention students increased their pubertal knowledge. In conclusion, a school-based curriculum to delay sexual involvement among fifth-grade and sixth-grade high-risk youths had limited impact. Additional research is necessary to outline effective interventions, and more intensive, comprehensive interventions may be required to counteract adverse circumstances in students’ lives and pervasive influences toward early sex. ClinicalTrials. gov identifier: NCT00341471

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“…Since fathers in particular in this study appeared to gain much of their prevention information from their female partners, prevention educators might reach mothers at workshops who can then be trained to have discussions with their male partners. Parents have been effective as peer educators in other programs targeting sexual health education for children (Green & Documét, 2005;So, 2002).…”

Section: Strategies For Reaching Parentsmentioning

confidence: 99%

How Parents Manage the Risk of Child Sexual Abuse: A Grounded Theory

Babatsikos

Miles

2015

Journal of Child Sexual Abuse

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The aim of this study is to understand how parents manage the risk of child sexual abuse, including prevention as well as early intervention and detection strategies. Using a social constructivist theoretical foundation and grounded theory methods, qualitative in-depth interviews were conducted with Australian parents between 2006 and 2008. Based on the data, a balance theory was developed, which explains how parents attempt to balance the type of information given to children in order to protect their children from sexual abuse without scaring them as well as how parents manage sexual boundary crossing incidents experienced by their children in the context of complex social relationships. Implications for prevention programs as well as reporting of child sexual abuse are discussed.

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Parent peer education: Lessons learned from a community-based initiative for teen pregnancy prevention

Cited by 12 publications

References 17 publications

Interventions to Improve Parental Communication About Sex: A Systematic Review

Interventions to Improve Parental Communication About Sex: A Systematic Review

Evaluation of a randomized intervention to delay sexual initiation among fifth-graders followed through the sixth grade

How Parents Manage the Risk of Child Sexual Abuse: A Grounded Theory

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