Effects of a randomized controlled trial of a brief, student-nurse led, parent-based sexual health intervention on parental protective factors and HPV vaccination uptake

Abstract Background Parents play a pivotal role in adolescent sexual health and Human Papillomavirus (HPV) vaccination. Nurses are on the frontlines of healthcare and play a critical role in promoting HPV vaccination and parent-child sexual health communication. We enhanced the Families Talking Together (FTT) parent-based sexual health curriculum to include adolescent vaccinations herein, FTT + HPV, and trained student nurses to provide a strong HPV vaccination and parent-child sexual health communication endorsement. Methods Using a randomized attention-controlled trial design, we examined the efficacy of FTT + HPV among 519 parents and their 11–14 year old youth recruited from medically underserved communities between 2015 and 2018. Participants were recruited from 22 after-school programs (e.g., Boys and Girls Clubs) and 19 charter schools. For parents, we examined protective factors including parent-child sexual health communication and parental involvement. For youth, we examined sexual health knowledge, parent-child sexual health communication, and parent-child connectedness. To assess HPV vaccination initiation and completion, we searched IMMTRAC immunization registry records for 85% of youth and used parental report for youth without registry records. Group differences were calculated using the estimated mean difference at one- and six months post-intervention with significance set at the p < 0.05 level. Results Baseline rates of HPV vaccination were low at 55.7%. No significant difference between the groups was seen in vaccination initiation or completion rates by one-month post-intervention. However, by six-months post intervention, there was a significant difference between the groups with 70.3% of the intervention group initiating the HPV vaccination series vs. 60.6% for the control group (p = 0.02). No difference between the groups was found for HPV series completion at six-months. There were significant differences in condom knowledge (p = 0.04), parent-child connectedness (p = 0.04), and communication frequency (p = 0.001) with greater improvement in the intervention vs. the control group. Rates of sexual activity remained low in both groups throughout the six-month follow-up period. Conclusion A brief parent-based adolescent sexual health and HPV vaccination intervention delivered by student nurses can improve sexual health outcomes including protective parental factors, adolescent sexual health knowledge, and HPV vaccination initiation rates. Trial registration ClinicalTrials.gov Identifier: NCT02600884. Prospectively registered September 1, 2015.

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Effects of a Randomized Controlled Trial of a Brief, Student-Nurse Led, Parent-Based Sexual Health Intervention on Parental Protective Factors and HPV Vaccination Uptake

10.21203/rs.3.rs-62980/v2 ◽

2020 ◽

Author(s):

Diane Santa Maria ◽

Christine Markham ◽

Misra M. Sanghamitra ◽

Deidra C. Coleman ◽

Mandi Lyons ◽

...

Keyword(s):

Sexual Health ◽

Health Communication ◽

Health Knowledge ◽

Hpv Vaccination ◽

Control Group ◽

Post Intervention ◽

Adolescent Sexual Health ◽

Significant Difference ◽

Sexual Health Communication ◽

Parent Child

Abstract Background: Parents play a pivotal role in adolescent sexual health and Human Papillomavirus (HPV) vaccination. Nurses are on the frontlines of healthcare and play a critical role in promoting HPV vaccination and parent-child sexual health communication. We enhanced the Families Talking Together (FTT) parent-based sexual health curriculum to include adolescent vaccinations herein, FTT+HPV, and trained student nurses to provide a strong HPV vaccination and parent-child sexual health communication endorsement. Methods: Using a randomized attention-controlled trial design, we examined the efficacy of FTT+HPV among 519 parents and their 11-14 year old youth recruited from medically underserved communities between 2015 and 2018. Participants were recruited from 22 after-school programs (e.g., Boys and Girls Clubs) and 19 charter schools. For parents, we examined protective factors including parent-child sexual health communication and parental involvement. For youth, we examined sexual health knowledge, parent-child sexual health communication, and parent-child connectedness. To assess HPV vaccination initiation and completion, we searched IMMTRAC immunization registry records for 85% of youth and used parental report for youth without registry records. Group differences were calculated using the estimated mean difference at one- and six months post-intervention with significance set at the p< 0.05 level. Results: Baseline rates of HPV vaccination were low at 55.7%. No significant difference between the groups was seen in vaccination initiation or completion rates by one-month post-intervention. However, by six-months post intervention, there was a significant difference between the groups with 70.3% of the intervention group initiating the HPV vaccination series vs. 60.6% for the control group (p = 0.02). No difference between the groups was found for HPV series completion at six-months. There were significant differences in condom knowledge (p = 0.04), parent-child connectedness (p = 0.04), and communication frequency (p = 0.001) with greater improvement in the intervention vs. the control group. Rates of sexual activity remained low in both groups throughout the six-month follow-up period. Conclusion: A brief parent-based adolescent sexual health and HPV vaccination intervention delivered by student nurses can improve sexual health outcomes including protective parental factors, adolescent sexual health knowledge, and HPV vaccination initiation rates.

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Effects of a Randomized Controlled Trial of a Brief, Student-Nurse Led, Parent-Based Sexual Health Intervention on Parental Protective Factors and HPV Vaccination Uptake

10.21203/rs.3.rs-62980/v1 ◽

2020 ◽

Author(s):

Diane Santa Maria ◽

Christine Markham ◽

Misra M. Sanghamitra ◽

Deidra C. Coleman ◽

Mandi Lyons ◽

...

Keyword(s):

Sexual Health ◽

Health Communication ◽

Health Knowledge ◽

Hpv Vaccination ◽

Control Group ◽

Post Intervention ◽

Adolescent Sexual Health ◽

Significant Difference ◽

Sexual Health Communication ◽

Parent Child

Abstract Background: Parents play a pivotal role in adolescent sexual health and HPV vaccination. Nurses are on the frontlines of healthcare and play a critical role in promoting HPV vaccination and parent-child sexual health communication. We enhanced the Families Talking Together (FTT) parent-based sexual health curriculum to include adolescent vaccinations herein, FTT+HPV, and trained student nurses to provide a strong HPV vaccination and parent-child sexual health communication endorsement.Methods: Using a randomized attention-controlled trial design, we examined the efficacy of FTT+HPV among 519 parents and their 11-14 year old youth recruited from medically underserved communities between 2015 and 2018. Participants were recruited from 22 after-school programs (e.g., Boys and Girls Clubs) and 19 charter schools. For parents, we examined protective factors including parent-child sexual health communication and parental involvement. For youth, we examined sexual health knowledge, parent-child sexual health communication, and parent-child connectedness. To assess HPV vaccination initiation and completion, we searched IMMTRAC immunization registry records for 85% of youth and used parental report for youth without registry records. Group differences were calculated using the estimated mean difference at one- and six months post-intervention with significance set at the p< 0.05 level.Results: Baseline rates of HPV vaccination were low at 55.7%. No significant difference between the groups was seen in vaccination initiation or completion rates by one-month post-intervention. However, by six-months post intervention, there was a significant difference between the groups with 70.3% of the intervention group initiating the HPV vaccination series vs. 60.6% for the control group (p = 0.02). No difference between the groups was found for HPV series completion at six-months. There were significant differences in condom knowledge (p = 0.04), parent-child connectedness (p = 0.04), and communication frequency (p = 0.001) with greater improvement in the intervention vs. the control group. Rates of sexual activity remained low in both groups throughout the six-month follow-up period.Conclusion: A brief parent-based adolescent sexual health and HPV vaccination intervention delivered by student nurses can improve sexual health outcomes including protective parental factors, adolescent sexual health knowledge, and HPV vaccination initiation rates.Trial registration: ClinicalTrials.gov Identifier: NCT02600884. Registered September 1, 2015. https://clinicaltrials.gov/ct2/show/NCT02600884

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A Collective Case Study: Parent-Child Sexual Health Communication of Current and Former Teen Parents in Lawrence County, Indiana

Proceedings of IMPRS ◽

10.18060/24528 ◽

2020 ◽

Vol 3 ◽

Author(s):

Aislinn Betts ◽

Allison Greene ◽

Catherine Sherwood-Laughlin

Keyword(s):

Sexual Health ◽

Health Communication ◽

Collective Case Study ◽

Teen Parent ◽

Telephone Interviews ◽

Teen Parents ◽

Lawrence County ◽

Sexual Health Communication ◽

Parent Child

Background/Objective: In Lawrence County, Indiana, the birth rate for females ages 15-19 is 32.2 births per 1,000, which is significantly higher than the national average of 18.8. Project UNITE, a collaboration between the Lawrence County Pregnancy Coalition and the IU School of Public Health, aims to address this issue through a multifaceted evidence-based intervention. Since parent-child communication shapes values and behaviors, a collective case study was conducted with current and former teen parents to explore their perceptions of sexual health communication with their parents and, if applicable, with their children. Methods: Of the 58 semi-structured telephone interviews conducted through Project UNITE, eight were selected for this study based on transcript availability and identification as a current teen parent (2) or former teen parent (6). All participants recalled whether they had sexual health conversations with their parents and the extent of the discussions. Five shared experiences talking with their children. Deductive and inductive approaches were used to generate themes, which were then analyzed. Results:   Most participants (7 of 8) reported little to no communication about sexual health with their parents due to a lack of comfortability, limited desire, and poor relationships. In contrast, all respondents with children over the age of five (5 of 5) reported open and frequent conversations with them. Several (3 of 8) recommended providing parents with resources about initiating discussions, and some suggested (2 of 8) a community program to promote sexual health communication. Conclusions/Potential Impact: The results revealed that while teen parents experienced a lack of sexual health conversations with their parents, they favored open and honest communication with their children. Barriers related to comfortability and knowledge could be alleviated through parental resources and parent-child programs. Medical professionals play a role in this solution by encouraging conversations about sexual health and engaging in educational programs.

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Determining the feasibility of an online, media mediation program for parents to improve parent-child sexual health communication

Journal of Media Literacy Education ◽

10.23860/jmle-2020-12-1-2 ◽

2020 ◽

Vol 12 (1) ◽

pp. 13-25

Author(s):

Tracy M. Scull ◽

Christina V. Malik ◽

Elyse M. Keefe

Keyword(s):

Sexual Health ◽

Health Communication ◽

Online Media ◽

Mediation Program ◽

Sexual Health Communication ◽

Parent Child

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Parent-adolescent Sexual Health Communication: Is Parent Knowledge of Adolescent Sexual Behavior a Marker of Communication Quality?

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2013.10.195 ◽

2014 ◽

Vol 54 (2) ◽

pp. S91-S92

Author(s):

Julia Potter ◽

David Frost ◽

Karen Soren ◽

John Santelli

Keyword(s):

Sexual Behavior ◽

Sexual Health ◽

Health Communication ◽

Adolescent Sexual Behavior ◽

Communication Quality ◽

Parent Knowledge ◽

Adolescent Sexual Health ◽

Sexual Health Communication

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Adolescent Condom Use, Parent-adolescent Sexual Health Communication, and Pornography: Findings from a U.S. Probability Sample

Health Communication ◽

10.1080/10410236.2019.1652392 ◽

2019 ◽

Vol 35 (13) ◽

pp. 1576-1582 ◽

Cited By ~ 3

Author(s):

Paul J. Wright ◽

Debby Herbenick ◽

Bryant Paul

Keyword(s):

Sexual Health ◽

Health Communication ◽

Condom Use ◽

Adolescent Sexual Health ◽

Probability Sample ◽

Sexual Health Communication

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Congruence in reported frequency of parent-adolescent sexual health communication: A study from Mexico

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2014-0025 ◽

2015 ◽

Vol 27 (3) ◽

pp. 275-283 ◽

Cited By ~ 4

Author(s):

Erika E. Atienzo ◽

Eduardo Ortiz-Panozo ◽

Lourdes Campero

Keyword(s):

Sexual Health ◽

Health Communication ◽

Threshold Model ◽

Correlation Coefficients ◽

Developed Countries ◽

First Year ◽

Public High Schools ◽

Adolescent Sexual Health ◽

Sexual Health Communication ◽

Self Administered Questionnaire

Abstract Background: Most studies on parent-adolescent sexual health communication come from developed countries and are based on either parents’ or children’s reports. In developing countries, there is little evidence about the agreement among reports of all parties involved in parent-adolescent sexual health communication. Objective: The objective of this study is to explore the congruence (agreement) between adolescents and their parents about how frequently they discuss on selected sexual health topics. Subjects: A total of 1606 parent-adolescent dyads of adolescents attending the first year in public high schools and their parents, in Morelos, Mexico were sampled in this study. Methods: The participants completed a self-administered questionnaire that included the frequency of parent-adolescent communication about eight sexual health topics. An ordinal logistic threshold model was used to estimate intra-class correlation coefficients within parent-adolescent dyads (as a measure of congruence) and to test if thresholds were equal between parents and adolescents. Results: Congruence in reported frequency of parent-adolescent sexual health communication ranged from 0.205 (menstruation) to 0.307 (condoms) for mother-adolescent dyads, and from 0.103 (ejaculation) to 0.380 (condoms) for father-adolescent dyads. The thresholds (i.e., the cutoff points that define the categories in the observed ordinal variable) differed between parents and adolescents for each of the sexual health topics explored (p<0.05 for father-adolescent dyads and p<0.001 for mother-adolescent dyads). Conclusion: Our findings suggest a low congruence between parents’ and adolescents’ reports on parent-adolescent sexual health communication. This might be due to interpretation of frequency and intensity of sexual health communication which differs between parents and adolescents.

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