INTERACTIVE THEATER TO IMPROVE RURAL PARENT COMMUNICATION ON PREGNANCY PREVENTION

2.50
Hdl Handle:
http://hdl.handle.net/10755/211505
Type:
Research Study
Title:
INTERACTIVE THEATER TO IMPROVE RURAL PARENT COMMUNICATION ON PREGNANCY PREVENTION
Abstract:
Purpose/Aims.  The purpose of this exploratory study was to evaluate the feasibility of a parenting intervention using interactive theater and a self-reflective guidebook to facilitate parent communication with adolescent children about sexuality and pregnancy prevention. Rationale/Background.  Over 80% of pregnancies to women aged 15-19 are unintended, and unintended pregnancy is associated with poor outcomes for the adolescent mother and her child. Parents, by their consistent presence throughout the adolescent years, have a significant role in the development of adolescent sexual health. Parental communication and support can play a vital role in assisting adolescent children to navigate decisions about sexuality and pregnancy prevention. Methods. A one-group pre-test post-test design was used with a sample of twenty-six parents of adolescent children ages 12-15 from two rural counties in southwestern Oregon.  The intervention used teen actors to educate parents of adolescents in an interactive community theater setting, consisting of performance and active participation.  The self-reflective guidebook used take-home activities for the participant to use and practice communication skills.   Descriptive data on recruitment, retention and fidelity intervention were used to assess the feasibility of this method. Acceptability and perceived benefits and deficits of the intervention were assessed with both qualitative and quantitative process evaluations. Valid and reliable measures of parental communication (self-efficacy, comfort, intention to communicate and parent-child sexual communication) were employed at baseline and at 3 month follow-up. Results. A guidebook, show order, and script for the interactive theater performance were developed for this study.  Twenty-six participants received the intervention and twenty-five were retained to three-month follow-up.  Data from the feasibility study indicated that the intervention was delivered in a rehearsal and in two performances according to the script and show order.   In the evaluation of the theater acceptability as an intervention to help participants talk with their adolescents about sexuality, participants rated the intervention a mean of 4.69 immediately after the performance and a mean of 4.32 at 3 month follow-up on a range from 1 meaning “Strongly Disagree” to 5 meaning “Strongly Agree” on measures of acceptability of the intervention. On follow-up, 88% of participants used information from the theater performance and 72% used information from the guidebook to talk with their adolescent.  Using the Wilcoxon signed-rank test, there was also is a statistically significant difference between pretest and posttest scores of communication, comfort, and self efficacy with a P value of 0.0002, 0.0348, and 0.0395 respectively. Posttest values improved for all measures, but were nonsignificant for intention scores. Implications. Feasibility of the intervention was demonstrated as well as acceptability of the intervention by the participants.  The intervention was associated with increased parental communication, comfort and self-efficacy at three month follow-up.  Next steps are to test the intervention in a randomized control trial. 
Keywords:
Parenting intervention; Sexuality; Pregnancy prevention
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5330
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleINTERACTIVE THEATER TO IMPROVE RURAL PARENT COMMUNICATION ON PREGNANCY PREVENTIONen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211505-
dc.description.abstractPurpose/Aims.  The purpose of this exploratory study was to evaluate the feasibility of a parenting intervention using interactive theater and a self-reflective guidebook to facilitate parent communication with adolescent children about sexuality and pregnancy prevention. Rationale/Background.  Over 80% of pregnancies to women aged 15-19 are unintended, and unintended pregnancy is associated with poor outcomes for the adolescent mother and her child. Parents, by their consistent presence throughout the adolescent years, have a significant role in the development of adolescent sexual health. Parental communication and support can play a vital role in assisting adolescent children to navigate decisions about sexuality and pregnancy prevention. Methods. A one-group pre-test post-test design was used with a sample of twenty-six parents of adolescent children ages 12-15 from two rural counties in southwestern Oregon.  The intervention used teen actors to educate parents of adolescents in an interactive community theater setting, consisting of performance and active participation.  The self-reflective guidebook used take-home activities for the participant to use and practice communication skills.   Descriptive data on recruitment, retention and fidelity intervention were used to assess the feasibility of this method. Acceptability and perceived benefits and deficits of the intervention were assessed with both qualitative and quantitative process evaluations. Valid and reliable measures of parental communication (self-efficacy, comfort, intention to communicate and parent-child sexual communication) were employed at baseline and at 3 month follow-up. Results. A guidebook, show order, and script for the interactive theater performance were developed for this study.  Twenty-six participants received the intervention and twenty-five were retained to three-month follow-up.  Data from the feasibility study indicated that the intervention was delivered in a rehearsal and in two performances according to the script and show order.   In the evaluation of the theater acceptability as an intervention to help participants talk with their adolescents about sexuality, participants rated the intervention a mean of 4.69 immediately after the performance and a mean of 4.32 at 3 month follow-up on a range from 1 meaning “Strongly Disagree” to 5 meaning “Strongly Agree” on measures of acceptability of the intervention. On follow-up, 88% of participants used information from the theater performance and 72% used information from the guidebook to talk with their adolescent.  Using the Wilcoxon signed-rank test, there was also is a statistically significant difference between pretest and posttest scores of communication, comfort, and self efficacy with a P value of 0.0002, 0.0348, and 0.0395 respectively. Posttest values improved for all measures, but were nonsignificant for intention scores. Implications. Feasibility of the intervention was demonstrated as well as acceptability of the intervention by the participants.  The intervention was associated with increased parental communication, comfort and self-efficacy at three month follow-up.  Next steps are to test the intervention in a randomized control trial. en_GB
dc.subjectParenting interventionen_GB
dc.subjectSexualityen_GB
dc.subjectPregnancy preventionen_GB
dc.date.available2012-02-20T11:59:04Z-
dc.date.issued2012-02-20T11:59:04Z-
dc.date.accessioned2012-02-20T11:59:04Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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