Worksite-Based Parenting Programs to Promote Healthy Adolescent Sexual Development: A Qualitative Study Of Feasibility and Potential Content

Eastman, Karen L.; Corona, Rosalie; Ryan, Gery W.; Warsofsky, Avra L.; Schuster, Mark A.

doi:10.1363/3706205

Cited by 27 publications

(15 citation statements)

References 24 publications

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“…Many of our findings are consistent with those of previous studies 9,11–17,22–24 . However, our study reveals complexities in parents’ attitudes not reported elsewhere.…”

Section: Discussionsupporting

confidence: 93%

“…Qualitative research has helped to provide a deeper understanding of the barriers to effective parent‐child communication, as perceived by parents themselves. Barriers to communication identified by parents have included children’s resistance to communication because they feel it invades their privacy, parents’ difficulty in acknowledging that their children might be sexually active and parents’ lack of role models because their own parents did not talk to them about sex 14–16 . Parents have also described strategies they have used to overcome the barriers to communication, such as reading to enhance their own knowledge of the topic, asking their children about the material covered in sex education classes and using events from real life or TV shows as conversation starters 14–16 …”

mentioning

confidence: 99%

See 1 more Smart Citation

Parents' Perspectives on Talking to Preteenage Children About Sex

Wilson

Dalberth

Koo

et al. 2010

Perspectives on Sexual and Reproductive Health

159

114

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“…Many of our findings are consistent with those of previous studies 9,11–17,22–24 . However, our study reveals complexities in parents’ attitudes not reported elsewhere.…”

Section: Discussionsupporting

confidence: 93%

mentioning

confidence: 99%

Parents' Perspectives on Talking to Preteenage Children About Sex

Wilson

Dalberth

Koo

et al. 2010

Perspectives on Sexual and Reproductive Health

159

114

View full text Add to dashboard Cite

show abstract

“…18 Parents report feeling embarrassed, 19 inadequately informed, 19 and unsure of what to say or how to begin. 20 Parents who feel more confident in their ability to communicate with adolescents are more likely to engage in conversations about sex. 18 19 Programmes that increase parents' comfort and communication skills related to sexual matters have the potential to change adolescent behaviour.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Talking Parents, Healthy Teens, a new worksite based parenting programme to promote parent-adolescent communication about sexual health: randomised controlled trial

Schuster

Corona

Elliott

et al. 2008

BMJ

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Participants 569 parents completed baseline surveys at work, gave permission for confidential surveys to be posted to their adolescent children, and were randomised to intervention or control groups. Parents and adolescents completed follow-up surveys at one week, three months, and nine months after the programme. InterventionTalking Parents, Healthy Teens consists of eight weekly one hour sessions at worksites for parents of adolescent children in 6th-10th grade (about ages 11-16 years). Main outcome measures Parent-adolescent communication about a list of sexual topics; whether parent taught adolescent how to use a condom; ability to communicate with parent/adolescent about sex; openness of parent-adolescent communication about sex. Results Differences between intervention and control groups were significant for the mean number of new sexual topics that parents and adolescents reported discussing between baseline and each follow-up (P<0.001 for each); intervention parents were less likely than controls to discuss no new topics (8% v 29%, 95% confidence interval for difference 16% to 24%) and more likely to discuss seven or more new topics (38% v 8%, 19% to 41%) at nine months. Some differences increased after completion of the programme: at one week after the programme, 18% of adolescents in the intervention group and 3% in the control group (6% to 30%) said that their parents had reviewed how to use a condom since baseline (P<0.001); this grew to 29% v 5% (13% to 36%) at nine months (P<0.001). Compared with controls at nine months, parents and adolescents in the intervention group reported greater ability to communicate with each other about sex (P<0.001) and more openness in communication about sex (P<0.001). Conclusions A worksite based programme can have substantial effects on communication between parents and adolescents about sexual health. Trial registration Clinical Trials NCT00465010.

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“…Additional details about the program's design and parent and adolescent outcomes are available elsewhere. 6,12,13 The institutional review boards of RAND and the University of California, Los Angeles approved the study protocol.…”

Section: Methodsmentioning

confidence: 99%

“…5 Parents often cite feeling poorly informed, embarrassed, or unsure of what to say or how to begin. 6,7 Programs that teach parents how to communicate about sexual health with their children have been demonstrated to improve parental confidence in initiating conversations with their children about sex, 8-10 but parents often have difficulty enrolling in these programs because of scheduling and location issues. 11 This is particularly true for employed parents.…”

Section: Introductionmentioning

confidence: 99%

Cost of Talking Parents, Healthy Teens: A Worksite-based Intervention to Promote Parent–Adolescent Sexual Health Communication

Ladapo

Elliott

Bogart

et al. 2013

Journal of Adolescent Health

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Purpose To examine the cost and cost-effectiveness of implementing Talking Parents, Healthy Teens, a worksite-based parenting program designed to help parents address sexual health with their adolescent children. Methods We enrolled 535 parents with adolescent children at 13 worksites in southern California in a randomized trial. Time and wage data from employees involved in implementing the program were used to estimate fixed and variable costs. Cost-effectiveness was determined with nonparametric bootstrap analysis. For the intervention, parents participated in eight weekly one-hour teaching sessions at lunchtime. The program included games, discussions, role plays, and videotaped role plays to help parents learn to communicate with their children about sex-related topics, teach their children assertiveness and decision-making skills, and supervise and interact with their children more effectively. Results Implementing the program cost $543.03 (SD=$289.98) per worksite in fixed costs, and $28.05 per parent (SD=$4.08) in variable costs. At 9 months, this $28.05 investment per parent yielded improvements in number of sexual health topics discussed, condom teaching, and communication quality and openness. The cost-effectiveness was $7.42 per new topic discussed using parental responses and $9.18 using adolescent responses. Other efficacy outcomes also yielded favorable cost-effectiveness ratios. Conclusions Talking Parents, Healthy Teens demonstrated the feasibility and cost-effectiveness of a worksite-based parenting program to promote parent-adolescent communication about sexual health. Its cost is reasonable and unlikely to be a significant barrier to adoption and diffusion for most worksites considering its implementation.

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Worksite-Based Parenting Programs to Promote Healthy Adolescent Sexual Development: A Qualitative Study Of Feasibility and Potential Content

Abstract: A worksite-based program designed to help parents of adolescents develop communication and parenting skills could provide a way to reach busy parents. Recommendations from parents, employers and teenagers can be used to make such a program appealing and effective.

Cited by 27 publications

References 24 publications

Parents' Perspectives on Talking to Preteenage Children About Sex

Parents' Perspectives on Talking to Preteenage Children About Sex

Evaluation of Talking Parents, Healthy Teens, a new worksite based parenting programme to promote parent-adolescent communication about sexual health: randomised controlled trial

Cost of Talking Parents, Healthy Teens: A Worksite-based Intervention to Promote Parent–Adolescent Sexual Health Communication

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