Cargando…

Assessment of the Reach, Usability, and Perceived Impact of “Talking Is Power”: A Parental Sexual Health Text-Messaging Service and Web-Based Resource to Empower Sensitive Conversations with American Indian and Alaska Native Teens

Background: Early sexual debut among American Indian and Alaska Native (AI/AN) adolescents has been associated with an increased risk of teenage pregnancies and sexually transmitted infections, along with an increased risk of having multiple lifetime sexual partners, and engaging in greater frequenc...

Descripción completa

Detalles Bibliográficos
Autores principales: Sacca, Lea, Craig Rushing, Stephanie, Markham, Christine, Shegog, Ross, Peskin, Melissa, Hernandez, Belinda, Gaston, Amanda, Singer, Michelle, Trevino, Nicole, Correa, Chrystial C., Jessen, Cornelia, Williamson, Jennifer, Thomas, Jerri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431363/
https://www.ncbi.nlm.nih.gov/pubmed/34501715
http://dx.doi.org/10.3390/ijerph18179126
_version_ 1783750919256539136
author Sacca, Lea
Craig Rushing, Stephanie
Markham, Christine
Shegog, Ross
Peskin, Melissa
Hernandez, Belinda
Gaston, Amanda
Singer, Michelle
Trevino, Nicole
Correa, Chrystial C.
Jessen, Cornelia
Williamson, Jennifer
Thomas, Jerri
author_facet Sacca, Lea
Craig Rushing, Stephanie
Markham, Christine
Shegog, Ross
Peskin, Melissa
Hernandez, Belinda
Gaston, Amanda
Singer, Michelle
Trevino, Nicole
Correa, Chrystial C.
Jessen, Cornelia
Williamson, Jennifer
Thomas, Jerri
author_sort Sacca, Lea
collection PubMed
description Background: Early sexual debut among American Indian and Alaska Native (AI/AN) adolescents has been associated with an increased risk of teenage pregnancies and sexually transmitted infections, along with an increased risk of having multiple lifetime sexual partners, and engaging in greater frequency of sex, substance abuse, and lack of condom use. A major protective factor against early sexual debut among AI/AN youth is the familial system. Interventions aiming to improve parent–child communication and parental warmth toward adolescent sexual health topics were reported to contribute to positive youth sexual health outcomes, specifically among minority youth. Healthy Native Youth thus developed the Talking is Power text-messaging service to guide parents and caring adults on how to initiate sensitive topics with youth and how to support them in making informed decisions regarding sex and healthy relationships. Methods: Descriptive statistics were used to demonstrate website analytics and reach per views and time spent on each page, and for displaying participants’ responses to the questions on the usability of the Talking is Power text-messaging series. To assess the perceived impact of the series, the differences in mean percentage scores of the question assessing parental comfort in engaging in sexual health topics with youth between pre- and post-intervention were calculated using two-sample t-tests of equal variances. Descriptive content analysis was adopted to highlight emerging themes from open-ended items. Results: When looking at reach, 862 entrances were recorded during the specified time period (5.8% of total entrances to HNY website), while the bounce rate was set at 73.1% (22.6% greater than the industry average), and the exit rate was 54.3% (15.2% greater than the industry average). Series usability was highly ranked on the 5-Likert scale in terms of signing up for a similar series on a different topic, quality of images, texts, and links, relating to prompts, and change in sparking sensitive conversations with youth. High likelihood of recommending the series to a friend or colleague was also reported by participants (0–10). No significant difference in parental comfort levels was reported (p = 0.78 > 0.05). Main themes provided suggestions for improving the series mode of delivery, while others included positive feedback about the material, with the possibility of expanding the series to other adolescent health topics. Conclusion: Lessons learned during the design, dissemination, and evaluation of the resource’s usability, reach, and perceived impact may be of interest to other Indigenous communities who are in the process of adapting and/or implementing similar approaches.
format Online
Article
Text
id pubmed-8431363
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-84313632021-09-11 Assessment of the Reach, Usability, and Perceived Impact of “Talking Is Power”: A Parental Sexual Health Text-Messaging Service and Web-Based Resource to Empower Sensitive Conversations with American Indian and Alaska Native Teens Sacca, Lea Craig Rushing, Stephanie Markham, Christine Shegog, Ross Peskin, Melissa Hernandez, Belinda Gaston, Amanda Singer, Michelle Trevino, Nicole Correa, Chrystial C. Jessen, Cornelia Williamson, Jennifer Thomas, Jerri Int J Environ Res Public Health Article Background: Early sexual debut among American Indian and Alaska Native (AI/AN) adolescents has been associated with an increased risk of teenage pregnancies and sexually transmitted infections, along with an increased risk of having multiple lifetime sexual partners, and engaging in greater frequency of sex, substance abuse, and lack of condom use. A major protective factor against early sexual debut among AI/AN youth is the familial system. Interventions aiming to improve parent–child communication and parental warmth toward adolescent sexual health topics were reported to contribute to positive youth sexual health outcomes, specifically among minority youth. Healthy Native Youth thus developed the Talking is Power text-messaging service to guide parents and caring adults on how to initiate sensitive topics with youth and how to support them in making informed decisions regarding sex and healthy relationships. Methods: Descriptive statistics were used to demonstrate website analytics and reach per views and time spent on each page, and for displaying participants’ responses to the questions on the usability of the Talking is Power text-messaging series. To assess the perceived impact of the series, the differences in mean percentage scores of the question assessing parental comfort in engaging in sexual health topics with youth between pre- and post-intervention were calculated using two-sample t-tests of equal variances. Descriptive content analysis was adopted to highlight emerging themes from open-ended items. Results: When looking at reach, 862 entrances were recorded during the specified time period (5.8% of total entrances to HNY website), while the bounce rate was set at 73.1% (22.6% greater than the industry average), and the exit rate was 54.3% (15.2% greater than the industry average). Series usability was highly ranked on the 5-Likert scale in terms of signing up for a similar series on a different topic, quality of images, texts, and links, relating to prompts, and change in sparking sensitive conversations with youth. High likelihood of recommending the series to a friend or colleague was also reported by participants (0–10). No significant difference in parental comfort levels was reported (p = 0.78 > 0.05). Main themes provided suggestions for improving the series mode of delivery, while others included positive feedback about the material, with the possibility of expanding the series to other adolescent health topics. Conclusion: Lessons learned during the design, dissemination, and evaluation of the resource’s usability, reach, and perceived impact may be of interest to other Indigenous communities who are in the process of adapting and/or implementing similar approaches. MDPI 2021-08-30 /pmc/articles/PMC8431363/ /pubmed/34501715 http://dx.doi.org/10.3390/ijerph18179126 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sacca, Lea
Craig Rushing, Stephanie
Markham, Christine
Shegog, Ross
Peskin, Melissa
Hernandez, Belinda
Gaston, Amanda
Singer, Michelle
Trevino, Nicole
Correa, Chrystial C.
Jessen, Cornelia
Williamson, Jennifer
Thomas, Jerri
Assessment of the Reach, Usability, and Perceived Impact of “Talking Is Power”: A Parental Sexual Health Text-Messaging Service and Web-Based Resource to Empower Sensitive Conversations with American Indian and Alaska Native Teens
title Assessment of the Reach, Usability, and Perceived Impact of “Talking Is Power”: A Parental Sexual Health Text-Messaging Service and Web-Based Resource to Empower Sensitive Conversations with American Indian and Alaska Native Teens
title_full Assessment of the Reach, Usability, and Perceived Impact of “Talking Is Power”: A Parental Sexual Health Text-Messaging Service and Web-Based Resource to Empower Sensitive Conversations with American Indian and Alaska Native Teens
title_fullStr Assessment of the Reach, Usability, and Perceived Impact of “Talking Is Power”: A Parental Sexual Health Text-Messaging Service and Web-Based Resource to Empower Sensitive Conversations with American Indian and Alaska Native Teens
title_full_unstemmed Assessment of the Reach, Usability, and Perceived Impact of “Talking Is Power”: A Parental Sexual Health Text-Messaging Service and Web-Based Resource to Empower Sensitive Conversations with American Indian and Alaska Native Teens
title_short Assessment of the Reach, Usability, and Perceived Impact of “Talking Is Power”: A Parental Sexual Health Text-Messaging Service and Web-Based Resource to Empower Sensitive Conversations with American Indian and Alaska Native Teens
title_sort assessment of the reach, usability, and perceived impact of “talking is power”: a parental sexual health text-messaging service and web-based resource to empower sensitive conversations with american indian and alaska native teens
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431363/
https://www.ncbi.nlm.nih.gov/pubmed/34501715
http://dx.doi.org/10.3390/ijerph18179126
work_keys_str_mv AT saccalea assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT craigrushingstephanie assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT markhamchristine assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT shegogross assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT peskinmelissa assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT hernandezbelinda assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT gastonamanda assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT singermichelle assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT trevinonicole assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT correachrystialc assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT jessencornelia assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT williamsonjennifer assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens
AT thomasjerri assessmentofthereachusabilityandperceivedimpactoftalkingispoweraparentalsexualhealthtextmessagingserviceandwebbasedresourcetoempowersensitiveconversationswithamericanindianandalaskanativeteens