A Parent Child Program to Prevent Adolescent Pregnancy (PPP_2)
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|ClinicalTrials.gov Identifier: NCT02333019|
Recruitment Status : Completed
First Posted : January 7, 2015
Last Update Posted : November 10, 2015
|Condition or disease||Intervention/treatment||Phase|
|Adolescent Pregnancy Sexually Transmitted Diseases Parental Communication Sexuality||Behavioral: Let's Talk About Sex Behavioral: Websites; preventing teen pregnancy||Not Applicable|
"Let's Talk about Sex" was designed to help parents talk to their 10- to 14-year old children about sex and relationships. The goal of the program for the parent was to build skills to communicate effectively with their children about parental values and about issues relating to sexuality, specifically by: a) increasing communication with their child about sexuality; b) increasing behavioral intentions to communicate; c) decreasing perceived barriers to communicating about sexuality; (d) increasing perceived sense of importance/motivation for communicating about sexuality; and e) increasing knowledge about risks of adolescent pregnancy and sexually transmitting infections (STIs). The goal of the intervention for the child was to increase child-parent communication about sexuality issues.
Program content was derived from the research literature; focus group findings, and input from professional consultants, experts in the field with extensive experience working with communication about sexuality. Modifications to content and program format were made based on iterative usability testing.
The parents' program was structured around five sessions, which guided the user through a topic-oriented experience of the content. The program used text, video narration, and video testimonials to present the intervention material. Emails were sent to users weekly for 8 weeks, with a link to a recommended session. Users could also browse the content freely as desired. Topics for parents included (1) Influencing your child's decisions about sex; (2) Understanding your own sexual values and beliefs; (3) Helping your child prepare for adolescence; (4) Preventing pregnancy and disease; and (5) Healthy relationships. Parents who responded to a values and beliefs quiz within the "Understanding your own sexual values and beliefs" section were presented with recommended articles tailored to their responses.
The child's intervention was structured as one session with four brief topics: (1) a whiteboard animation titled "How to talk to your parents about sex and not die of embarrassment"; (2) an article about bodily changes related to puberty; (3) a "What's most important to me" quiz; and (4) an article about healthy relationships.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||395 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||A Parent Child Program to Prevent Adolescent Pregnancy|
|Study Start Date :||January 2013|
|Actual Primary Completion Date :||April 2013|
|Actual Study Completion Date :||April 2013|
Experimental: Let's Talk About Sex
Participants assigned to the treatment condition viewed a multimedia web site designed to help parents of pre-adolescent children, aged 10 to 14 years old, build skills to communicate effectively about parental values and issues relating to sexuality, sex and relationships, and preventing pregnancy and sexually transmitted infections.
Behavioral: Let's Talk About Sex
Multimedia web site to build parental skills in communicating with their pre-adolescnet child sex and relationships, pregnancy prevention, and risk of sexually transmitted infections.
Active Comparator: Websites; preventing teen pregnancy
Participants assigned to the control condition were emailed urls for websites with information similar to the Let's Talk about Sex program. Parents were directed to the parents section of the National Campaign to Prevent Teen and Unplanned Pregnancy and children were directed to Nemours' KidsHealth website.
Behavioral: Websites; preventing teen pregnancy
Two general web sites with information about preventing teen pregnancy
- Behavioral activation as measured by the Parent-Teen Sexual Risk Communication Scale [ Time Frame: 8-week follow-up ]Behavioral activation around discussions with their child was assessed with 9 items from the Parent-Teen Sexual Risk Communication Scale (Hutchinson, 2007). The items measure the type and quantity of information relayed in the parent-child conversation and were adapted to more precisely measure the content of the program (e.g., In general how much information have you shared with your daughter or son about human sexuality?). Response options were on a 5-point scale (1=none; 5=everything).
- Behavioral intentions of parent to communicate with their child about sexuality and related topics [ Time Frame: 4-week posttest and 8-week follow-up ]Seven items measuring parental intentions to talk with their child about sexuality, relationships, dating, preventing pregnancy and STSIs were derived from the content of the program (e.g., How likely is it that you will talk to your child about your values and beliefs about sex and relationships?). Response options were on a 5-point scale (1=extremely unlikely; 5=extremely likely).
- Parents' perceived barriers in communicating with their children regarding pregnancy prevention and contraception [ Time Frame: 4-week posttest and 8-week follow-up ]Attitudes and beliefs around barriers were assessed with a 16- item scale developed by Jaccard et al. (2000) to measure beliefs, attitudes, and perceived barriers to parents communicating with children regarding pregnancy prevention and contraception. Items were adapted to more precisely measure the content of the program (e.g., My child is just too busy to talk to me about sex and birth control). Response options were on a 5-point scale (1=strongly disagree; 5=strongly agree).
- Parents' perception of importance of communicating with their teen about sexuality and related topics [ Time Frame: 4-week posttest and 8-week follow-up ]Attitudes and beliefs around importance/motivation were assessed with a 6-item scale developed from concepts taught in the program pertaining to parents' sense of importance or motivation for communicating with their teen about sexuality (e.g., It is extremely important to me to talk to my child about his/her sexual feelings.). Response options were on a 5-point scale (1=strongly disagree; 5=strongly agree).
- Parents' knowledge of parent-teen communication about sexuality, birth control, and preventing sexually transmitted infections. [ Time Frame: 4-week posttest and 8-week follow-up ]A 10-item true-false scale and 5 multiple-choice items were developed from program content to assess parents' knowledge of parent-teen communication about sexuality, birth control, and preventing STIs. The total number of correct items was divided by the total number of items representing the proportion of knowledge items correctly endorsed.
- Users' perception of program usability [ Time Frame: 4-week posttest ]At posttest (T2), treatment participants completed an 11-item questionnaire from the Action-WAMMI (Chambers et al., 2002) assessing ease of use and experience in the program. Users were asked to what degree they agreed or disagreed with program use and satisfaction statements on a 5-point scale (1=strongly disagree; 5=strongly agree).
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02333019
|United States, Oregon|
|Oregon Center for Applied Science|
|Eugene, Oregon, United States, 97401|
|Principal Investigator:||Susan Schroeder, MPH, MCHES||Oregon Center for Applied Science|