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Session Title: Working Together and Getting the Message Heard in Teen Pregnancy Prevention Programs
Multipaper Session 678 to be held in TRAVIS D on Friday, Nov 12, 4:30 PM to 6:00 PM
Sponsored by the Health Evaluation TIG
Chair(s):
Robert LaChausse,  California State University, San Bernardino, rlachaus@csusb.edu
Reactance to Sexual Abstinence Education: A Method of Assessment
Presenter(s):
Ann Peisher, University of Georgia, apeisher@uga.edu
Amy Laura Arnold, University of Georgia, alarnold@uga.edu
Virginia Dick, University of Georgia, vdick@cviog.uga.edu
Robetta McKenzie, Augusta Partnership for Children Inc, rmckenzie@arccp.org
Don Bower, University of Georgia, dbower@uga.edu
Katrina Aaron, Augusta Partnership for Children Inc, kaaron@arccp.org
Abstract: Dosage has long been advocated as a predictor of participant outcomes of health education programs. Evaluator concerns about potential over-saturation in a three-year longitudinal sexual abstinence education program lead to this study. Content analysis of post year-one focus groups was used to evaluate potential and actual resistance to the pregnancy prevention program. This study identifies factors of the intervention that adolescents might be resistant towards.. Factors addressed are: the assessment of adolescent motivation to resist messages; bias message processing approaches; and the exploration of ways to increase the success of similar programs. Following reactance theory, researchers explored the negative cognitive statements made by participants (n=18) through theme analysis. While participants expressed positive thoughts toward the concept and program, three factors including the credibility of the message source, perceived home environmental pressures and the intrusive nature of assessment instruments posed a threat to the potential success of the pregnancy prevention program.
Effectiveness and Utilization of a Parent Education Curriculum: A Two-Level Evaluation of Educators and Parents
Presenter(s):
Sheetal Malhotra, Medical Institute for Sexual Health, smalhotra@medinstitute.org
Diane Santa Maria, University of Texas, dianedickerson@hotmail.com
Melissa Steiner, Medical Institute for Sexual Health, msteiner@medinstitute.org
Abstract: Community educators can be effective mediators to reach many parents for an exponential effect on sexual health education and communication. Methods: Educators are trained to provide the Building Family Connections (BFC) curriculum to parents in their communities to increase parent-child sexual health communication. Objectives: To evaluate 1) effectiveness of BFC training for educators, 2) Uptake and effectiveness transfer of this information to parenting adults. Results: 34 educators were trained in BFC in 2008. Pre/post and training evaluation surveys showed significant increases in participant knowledge (p<0.05). Most (>80%) participants agreed the training was useful and prepared them adequately. Approximately 290 parenting adults have attended 23 BFC courses held by 7 trainers. Evaluation of these courses for parenting adults have shown significant (p<0.01) changes in knowledge, attitudes and behaviors of parents related to sexual health communication with adolescents. Conclusion: Training of educators is exponentially effective in enhancing parent-child communication on sexual health.
Evaluating Healthy Girls: Working With Community Organizations to Design a City-wide Teen Pregnancy Prevention Evaluation
Presenter(s):
Jessica Rice, University of Wisconsin, rice4@wisc.edu
Melissa Lemke, University of Wisconsin, melissa.lemke@aurora.org
Nicole Angresano, United Way of Greater Milwaukee, nangresano@unitedwaymilwaukee.org
Julie Rothwell, United Way of Greater Milwaukee, jrothwell@unitedwaymilwaukee.org
Abstract: In 2008, the United Way of Greater Milwaukee began the process of planning an evaluation of teen pregnancy prevention programs supported by their Healthy Girls funding stream. This called for an evaluation plan that would apply across a variety of organizations and curricula. In the first eighteen months of the evaluation, programs worked with the evaluator to create a logic model and identify outcomes of interest, an instrument was created and pilot data was collected and analyzed. The evaluation faced several challenges in the beginning including development of feasible data collection plan, negotiating a consent process with the local school district research review board, earning the buy-in of the partner organizations, and balancing funder and community organization interests while maintaining the integrity of the evaluation. This presentation will focus on approaches used to address these challenges, both successfully and unsuccessfully, and preliminary results.
Labor Pains: The Challenges of Developing an Evaluation Instrument for a City-wide Teen Pregnancy Prevention Evaluation
Presenter(s):
Jessica Rice, University of Wisconsin, rice4@wisc.edu
Melissa Lemke, University of Wisconsin, melissa.lemke@aurora.org
Nicole Angresano, United Way of Greater Milwaukee, nangresano@unitedwaymilwaukee.org
Julie Rothwell, United Way of Greater Milwaukee, jrothwell@unitedwaymilwaukee.org
Abstract: Our goal was to create a data collection instrument that could be used to evaluate teen pregnancy prevention programs occurring in organizations across the city of Milwaukee. Drawing from a set of established questions and a series of pilot tests with the target adolescent audience, we created a self-administered instrument that could measure common outcomes across programs. Due to the sensitive nature of some of the outcomes being measured (sexual behavior) respondent confidentiality was essential and a process for maintaining confidentiality was developed. Developing and implementing this instrument presented several challenges including: balancing the need for respondent confidentiality with the ability to match pre- and post-tests, developing and implementing a unique identifier and creating questions that measured outcomes of interest while at the same time being understandable to the teen participants. Our experiences with addressing these challenges as well as suggestions for evaluators dealing with similar challenges will be presented.

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