Trial Outcomes & Findings for Evaluation Study of the Online High School Media Aware Program (NCT NCT04035694)

NCT ID: NCT04035694

Last Updated: 2021-05-28

Results Overview

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to use protection (if you were to decide to have oral sex, how likely would you be to use a condom or dental dam?). (adapted from Jemmott and Jemmott, 1991)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

590 participants

Primary outcome timeframe

follow-up (approximately three months after pretest)

Results posted on

2021-05-28

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Delayed-Intervention Control
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Overall Study
STARTED
374
216
Overall Study
COMPLETED
374
216
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation Study of the Online High School Media Aware Program

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=374 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Delayed-Intervention Control
n=216 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Total
n=590 Participants
Total of all reporting groups
Age, Continuous
14.33 years
STANDARD_DEVIATION .58 • n=5 Participants
14.60 years
STANDARD_DEVIATION .86 • n=7 Participants
14.41 years
STANDARD_DEVIATION .70 • n=5 Participants
Sex/Gender, Customized
Male
146 Participants
n=5 Participants
93 Participants
n=7 Participants
239 Participants
n=5 Participants
Sex/Gender, Customized
Female
197 Participants
n=5 Participants
96 Participants
n=7 Participants
293 Participants
n=5 Participants
Sex/Gender, Customized
Nonbinary
17 Participants
n=5 Participants
7 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex/Gender, Customized
Unknown or Not Reported
14 Participants
n=5 Participants
20 Participants
n=7 Participants
34 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
45 Participants
n=5 Participants
27 Participants
n=7 Participants
72 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
313 Participants
n=5 Participants
167 Participants
n=7 Participants
480 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
16 Participants
n=5 Participants
22 Participants
n=7 Participants
38 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Asian
21 Participants
n=5 Participants
22 Participants
n=7 Participants
43 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
36 Participants
n=5 Participants
50 Participants
n=7 Participants
86 Participants
n=5 Participants
Race (NIH/OMB)
White
243 Participants
n=5 Participants
71 Participants
n=7 Participants
314 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
51 Participants
n=5 Participants
43 Participants
n=7 Participants
94 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
21 Participants
n=5 Participants
27 Participants
n=7 Participants
48 Participants
n=5 Participants
Region of Enrollment
United States
374 Participants
n=5 Participants
216 Participants
n=7 Participants
590 Participants
n=5 Participants
Sexual Experience
Yes
40 Participants
n=5 Participants
35 Participants
n=7 Participants
75 Participants
n=5 Participants
Sexual Experience
No
280 Participants
n=5 Participants
137 Participants
n=7 Participants
417 Participants
n=5 Participants
Sexual Experience
Unknown or Not Reported
54 Participants
n=5 Participants
44 Participants
n=7 Participants
98 Participants
n=5 Participants
Academic Grades
Mostly As
139 Participants
n=5 Participants
70 Participants
n=7 Participants
209 Participants
n=5 Participants
Academic Grades
As and Bs
131 Participants
n=5 Participants
59 Participants
n=7 Participants
190 Participants
n=5 Participants
Academic Grades
Mostly Bs
25 Participants
n=5 Participants
9 Participants
n=7 Participants
34 Participants
n=5 Participants
Academic Grades
Bs and Cs
23 Participants
n=5 Participants
22 Participants
n=7 Participants
45 Participants
n=5 Participants
Academic Grades
Mostly Cs
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Academic Grades
Cs and Ds
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
Academic Grades
Mostly Ds
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Academic Grades
Mostly Below Ds
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Academic Grades
Unknown or Not Reported
41 Participants
n=5 Participants
44 Participants
n=7 Participants
85 Participants
n=5 Participants
Romantic Relationship Status
Yes
55 Participants
n=5 Participants
39 Participants
n=7 Participants
94 Participants
n=5 Participants
Romantic Relationship Status
No/Unsure
275 Participants
n=5 Participants
134 Participants
n=7 Participants
409 Participants
n=5 Participants
Romantic Relationship Status
Unknown or Not Reported
44 Participants
n=5 Participants
43 Participants
n=7 Participants
87 Participants
n=5 Participants
Socioeconomic Status (SES)
Yes
43 Participants
n=5 Participants
71 Participants
n=7 Participants
114 Participants
n=5 Participants
Socioeconomic Status (SES)
No/Unsure
265 Participants
n=5 Participants
104 Participants
n=7 Participants
369 Participants
n=5 Participants
Socioeconomic Status (SES)
Unknown or Not Reported
66 Participants
n=5 Participants
41 Participants
n=7 Participants
107 Participants
n=5 Participants

PRIMARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=very unwilling; 2=unwilling; 3=willing; 4=very willing) how willing they are to have sex in a relationship context. (Imagine you were with a boyfriend/girlfriend and they say they love you. They want to have sex. In this situation, how willing would you be to have sex?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=122 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=244 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Willingness to Have Sex
2.30 units on a scale
Standard Error .08
2.22 units on a scale
Standard Error .07

PRIMARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=very unwilling; 2=unwilling; 3=willing; 4=very willing) how willing they are to have sex in a relationship context. (Imagine you were with a boyfriend/girlfriend and they say they love you. They want to have sex. In this situation, how willing would you be to have sex?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=56 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=190 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Willingness to Have Sex
2.42 units on a scale
Standard Error .11
2.26 units on a scale
Standard Error 0.08

PRIMARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=very unwilling; 2=unwilling; 3=willing; 4=very willing) how willing they are to engage in unprotected sex (Imagine you were with a boyfriend/girlfriend. They want to have sex, but neither of you have any form of protection. In this situation, how willing would you be to go ahead and have sex anyway?). (adapted from Gibbons, Gerrard, Blanton, \& Russell, 2014)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=128 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=245 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Willingness to Engage in Unprotected Sex
1.75 units on a scale
Standard Error .08
1.69 units on a scale
Standard Error .07

PRIMARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=very unwilling; 2=unwilling; 3=willing; 4=very willing) how willing they are to engage in unprotected sex (Imagine you were with a boyfriend/girlfriend. They want to have sex, but neither of you have any form of protection. In this situation, how willing would you be to go ahead and have sex anyway?). (adapted from Gibbons, Gerrard, Blanton, \& Russell, 2014)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=57 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=191 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Willingness to Engage in Unprotected Sex
1.83 units on a scale
Standard Error 0.12
1.72 units on a scale
Standard Error 0.09

PRIMARY outcome

Timeframe: posttest (approximately one week after pretest)

Participants are asked to indicate on a 4-point Likert scale (1=very unwilling; 2=unwilling; 3=willing; 4=very willing) how willing they are to have hook up even if they are not sure that they really want to (Imagine you were with a boyfriend/girlfriend. They want to hook-up, but you are not sure that you want to. In this situation, how willing would you be to go ahead and hook-up anyway?). (adapted from Gibbons, Gerrard, Blanton, \& Russell, 2014)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=128 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=244 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Willingness to Hook up
1.98 units on a scale
Standard Error .07
2.02 units on a scale
Standard Error .06

PRIMARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=very unwilling; 2=unwilling; 3=willing; 4=very willing) how willing they are to have hook up even if they are not sure that they really want to (Imagine you were with a boyfriend/girlfriend. They want to hook-up, but you are not sure that you want to. In this situation, how willing would you be to go ahead and hook-up anyway?). (adapted from Gibbons, Gerrard, Blanton, \& Russell, 2014)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=57 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=191 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Willingness to Hook up
2.13 units on a scale
Standard Error 0.09
1.98 units on a scale
Standard Error 0.07

PRIMARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to engage in sexual activity in the next year (How likely is that you will have any type of sexual contact with another person (oral sex, anal sex, vaginal sex, or genital-to-genital contact) in the next year?). α = 0.77 (adapted from L'Engle, Brown, and Kenneavy, 2006)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=120 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=229 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Intentions to Engage in Sexual Activity With Another Person
1.96 units on a scale
Standard Error 0.08
2.03 units on a scale
Standard Error .07

PRIMARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to engage in sexual activity in the next year (How likely is that you will have any type of sexual contact with another person (oral sex, anal sex, vaginal sex, or genital-to-genital contact) in the next year?). α = 0.77 (adapted from L'Engle, Brown, and Kenneavy, 2006)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=57 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=184 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Intentions to Engage in Sexual Activity With Another Person
2.00 units on a scale
Standard Error 0.11
1.97 units on a scale
Standard Error 0.09

PRIMARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to use protection (if you were to have vaginal or anal sex, how likely would you be to use a condom?). (adapted from Jemmott and Jemmott, 1991)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=124 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=235 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Condom Use Intentions
3.42 units on a scale
Standard Error 0.07
3.46 units on a scale
Standard Error 0.06

PRIMARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to use protection (if you were to have vaginal or anal sex, how likely would you be to use a condom?). (adapted from Jemmott and Jemmott, 1991)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=56 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=188 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Condom Use Intentions
3.51 units on a scale
Standard Error 0.11
3.53 units on a scale
Standard Error 0.08

PRIMARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to use protection (if you were to have vaginal sex, how likely would you be to use birth control other than condoms?). (adapted from Jemmott and Jemmott, 1991)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=123 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=235 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Birth Control Use Intentions (Other Than Condoms)
2.89 units on a scale
Standard Error 0.13
2.99 units on a scale
Standard Error 0.11

PRIMARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to use protection (if you were to have vaginal sex, how likely would you be to use birth control other than condoms?). (adapted from Jemmott and Jemmott, 1991)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=57 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=185 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Birth Control Use Intentions (Other Than Condoms)
2.76 units on a scale
Standard Error 0.17
2.83 units on a scale
Standard Error 0.12

PRIMARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to use protection (if you were to decide to have oral sex, how likely would you be to use a condom or dental dam?). (adapted from Jemmott and Jemmott, 1991)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=124 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=236 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Protection Intentions During Oral Sex
2.77 units on a scale
Standard Error 0.11
2.94 units on a scale
Standard Error 0.10

PRIMARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to use protection (if you were to decide to have oral sex, how likely would you be to use a condom or dental dam?). (adapted from Jemmott and Jemmott, 1991)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=57 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=186 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Protection Intentions During Oral Sex
2.68 units on a scale
Standard Error 0.15
2.83 units on a scale
Standard Error 0.11

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) the degree to which they agreed that teens on the media (e.g., Teens in the media do things that average teens do.). (adapted from Austin and Johnson, 1997, α=0.80)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=137 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=250 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Perceived Realism of Media Messages
2.23 units on a scale
Standard Error 0.06
2.02 units on a scale
Standard Error 0.05

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) the degree to which they agreed that teens on the media (e.g., Teens in the media do things that average teens do.). (adapted from Austin and Johnson, 1997, α=0.80)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=59 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=217 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Perceived Realism of Media Messages
2.19 units on a scale
Standard Error 0.11
2.03 units on a scale
Standard Error 0.08

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=strongly 2=disagree; 3=disagree; 4=agree; strongly agree) their level of agreement on several items pertaining to dating violence (e.g., It is okay for people to hit their girlfriends/boyfriends if they did something to make them mad.). (adapted from Foshee, Bauman, Ennett, Suchindran, Benefield, and Linder, 2005 α=0.73)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=135 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=249 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Acceptance of Dating Violence
1.48 units on a scale
Standard Error 0.04
1.40 units on a scale
Standard Error 0.04

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=strongly 2=disagree; 3=disagree; 4=agree; strongly agree) their level of agreement on several items pertaining to dating violence (e.g., It is okay for people to hit their girlfriends/boyfriends if they did something to make them mad.). (adapted from Foshee, Bauman, Ennett, Suchindran, Benefield, and Linder, 2005 α=0.73)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=60 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=219 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Acceptance of Dating Violence
1.36 units on a scale
Standard Error 0.11
1.36 units on a scale
Standard Error 0.07

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are shown an advertisement and asked to describe it in detail including noting marketing strategies and any missing information (e.g., How are advertisers trying to get someone to buy this product?). Qualitative responses to the questions are coded by trained project staff members once inter-coder reliability is established, and scores will be summed to create an overall deconstruction skills composite variable. (adapted from Kupersmidt, Scull, \& Benson, 2012)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=131 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=250 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Advertisement Deconstruction Skills
3.47 units on a scale
Standard Error 0.53
4.46 units on a scale
Standard Error 0.52

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are shown an advertisement and asked to describe it in detail including noting marketing strategies and any missing information (e.g., How are advertisers trying to get someone to buy this product?). Qualitative responses to the questions are coded by trained project staff members once inter-coder reliability is established, and scores will be summed to create an overall deconstruction skills composite variable (adapted from Kupersmidt, Scull, \& Benson, 2012).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=60 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=223 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Advertisement Deconstruction Skills
5.37 units on a scale
Standard Error 0.55
5.30 units on a scale
Standard Error 0.35

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are shown an advertisement and asked to indicate on a 4-point Likert scale (1=incomplete to 4=complete) how complete the information included in an advertisement is (e.g., How complete is the information in this advertisement?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=130 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=247 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Media Message Completeness
2.20 units on a scale
Standard Error 0.11
2.17 units on a scale
Standard Error 0.10

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are shown an advertisement and asked to indicate on a 4-point Likert scale (1=incomplete to 4=complete) how complete the information included in an advertisement is (e.g., How complete is the information in this advertisement?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=58 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=217 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Media Message Completeness
2.23 units on a scale
Standard Error 0.16
2.27 units on a scale
Standard Error 0.11

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) the degree to which they agree with several statements about media (e.g., Media are dishonest about what happens if people have sex.). (adapted from Scull, Malik, and Kupersmidt, 2014, α=0.86)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=136 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=251 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Media Skepticism
2.78 units on a scale
Standard Error 0.08
2.93 units on a scale
Standard Error 0.07

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) the degree to which they agree with several statements about media (e.g., Media are dishonest about what happens if people have sex.). (adapted from Scull, Malik, and Kupersmidt, 2014, α=0.86)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=60 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=218 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Media Skepticism
3.01 units on a scale
Standard Error 0.14
3.04 units on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) their level of agreement on several items pertaining to strict gender role stereotypes (e.g., Raising children is primarily a woman's responsibility.). (adapted from Foshee, Bauman, Ennett, Suchindran, Benefield, and Linder, 2005 α=0.87)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=136 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=252 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Acceptance of Strict Gender Role Stereotypes
1.52 units on a scale
Standard Error 0.05
1.51 units on a scale
Standard Error 0.04

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) their level of agreement on several items pertaining to strict gender role stereotypes (e.g., Raising children is primarily a woman's responsibility.). (adapted from Foshee, Bauman, Ennett, Suchindran, Benefield, and Linder, 2005 α=0.87)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=60 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=219 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Acceptance of Strict Gender Role Stereotypes
1.45 units on a scale
Standard Error 0.09
1.44 units on a scale
Standard Error 0.06

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) their level of agreement on several items pertaining to myths about rape (e.g., It shouldn't be considered rape if a guy is drunk and didn't realize what he was doing.). (adapted from Illinois Rape Myth Acceptance-Short Form (IRMA-SF; 7 pt. scale); Payne et al., (1999); McMahon \& Farmer (2011), α=0.88)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=135 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=251 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Acceptance of Rape Myths
1.33 units on a scale
Standard Error 0.04
1.35 units on a scale
Standard Error 0.04

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) their level of agreement on several items pertaining to myths about rape (e.g., It shouldn't be considered rape if a guy is drunk and didn't realize what he was doing.). (adapted from Illinois Rape Myth Acceptance-Short Form (IRMA-SF; 7 pt. scale); Payne et al., (1999); McMahon \& Farmer (2011), α=0.88)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=58 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=219 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Acceptance of Rape Myths
1.28 units on a scale
Standard Error 0.07
1.31 units on a scale
Standard Error 0.05

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=not likely at all; 2=Unlikely; 3=Likely; 4=Extremely likely) how likely they would be to intervene as a bystander (e.g., Approach a friend if I thought they were in an abusive relationship and let them know that I am here to help.). (adapted from Banyard, 2005)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=136 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=247 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Intentions to Intervene as Bystander
3.08 units on a scale
Standard Error 0.06
3.10 units on a scale
Standard Error 0.06

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=not likely at all; 2=Unlikely; 3=Likely; 4=Extremely likely) how likely they would be to intervene as a bystander (e.g., Approach a friend if I thought they were in an abusive relationship and let them know that I am here to help.). (adapted from Banyard, 2005)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=58 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=217 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Intentions to Intervene as Bystander
3.11 units on a scale
Standard Error 0.15
3.13 units on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a scale of 0 (Can't do) to 100 (Very Certain) their degree of confidence in several behaviors (e.g., I could talk to a friend who I suspected is in an abusive relationship.). (adapted from Banyard, 2005)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=136 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=251 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Efficacy to Intervene as Bystander
71.28 units on a scale
Standard Error 1.85
74.26 units on a scale
Standard Error 1.68

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a scale of 0 (Can't do) to 100 (Very Certain) their degree of confidence in several behaviors (e.g., I could talk to a friend who I suspected is in an abusive relationship.). (adapted from Banyard, 2005)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=57 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=217 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Efficacy to Intervene as Bystander
70.97 units on a scale
Standard Error 2.70
75.96 units on a scale
Standard Error 1.90

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] of teens engage in sexual activity (e.g., oral sex, vaginal sex, anal sex). (adapted from Scull, Kupersmidt, Malik, and Keefe, 2018)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=129 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=238 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Descriptive Norms Regarding Teen Sexual Activity
43.02 percentage of teens sexually active
Standard Error 2.01
36.10 percentage of teens sexually active
Standard Error 1.85

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] of teens engage in sexual activity (e.g., oral sex, vaginal sex, anal sex). (adapted from Scull, Kupersmidt, Malik, and Keefe, 2018)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=55 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=192 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Descriptive Norms Regarding Teen Sexual Activity
40.89 percentage of teens sexually active
Standard Error 4.11
38.65 percentage of teens sexually active
Standard Error 2.67

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] of teens engage in risky sexual activities (e.g., What percentage of teens have sex with someone who is much older?). (adapted from Scull, Kupersmidt, Malik, and Keefe, 2018)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=123 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=235 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Descriptive Norms Regarding Teen Risky Sexual Activity
37.35 percentage of teens having risky sex
Standard Error 2.18
30.89 percentage of teens having risky sex
Standard Error 2.00

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] of teens engage in risky sexual activities (e.g., What percentage of teens have sex with someone who is much older?). (adapted from Scull, Kupersmidt, Malik, and Keefe, 2018)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=51 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=190 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Descriptive Norms Regarding Teen Risky Sexual Activity
35.17 percentage of teens having risky sex
Standard Error 3.00
36.39 percentage of teens having risky sex
Standard Error 2.19

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked several multiple choice and True/False questions about sexual health (e.g., True or false: You can tell someone has an STI by looking at him/her.).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=124 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=236 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Sexual Health Knowledge
10.72 score on a scale
Standard Error 0.14
11.38 score on a scale
Standard Error 0.13

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked several multiple choice and True/False questions about sexual health (e.g., True or false: You can tell someone has an STI by looking at him/her.).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=56 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=207 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Sexual Health Knowledge
11.06 score on a scale
Standard Error 0.24
11.34 score on a scale
Standard Error 0.18

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] of teens communicate with parents, health providers, or another trusted adult (e.g., Before deciding to have sex, what percentage of teens talk with their boy/girlfriend about sexual health?). (adapted from Scull, Kupersmidt, Malik, and Keefe, 2018)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=123 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=236 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Descriptive Norms Regarding Sexual Health Communication
37.16 percentage of teens communicating
Standard Error 2.08
39.95 percentage of teens communicating
Standard Error 1.88

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] of teens communicate with parents, health providers, or another trusted adult (e.g., Before deciding to have sex, what percentage of teens talk with their boy/girlfriend about sexual health?). (adapted from Scull, Kupersmidt, Malik, and Keefe, 2018)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=52 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=191 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Descriptive Norms Regarding Sexual Health Communication
39.41 percentage of teens communicating
Standard Error 3.15
40.97 percentage of teens communicating
Standard Error 2.27

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) how effectively they could convince a partner to use contraception (e.g., If I decided to have sex, I could talk to any potential partner to make him/her understand why we should use condoms or other contraception.).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=131 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=239 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Efficacy to Negotiate Contraception/Protection Use
3.11 units on a scale
Standard Error 0.09
3.19 units on a scale
Standard Error 0.08

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) how effectively they could convince a partner to use contraception (e.g., If I decided to have sex, I could talk to any potential partner to make him/her understand why we should use condoms or other contraception.).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=56 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=190 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Efficacy to Negotiate Contraception/Protection Use
3.39 units on a scale
Standard Error 0.13
3.30 units on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) how effectively they could get and use contraception (e.g., If I wanted to, I could get condoms or another form of contraception.).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=131 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=239 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Efficacy to Use Contraception/Protection
3.00 units on a scale
Standard Error 0.08
3.06 units on a scale
Standard Error 0.07

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) how effectively they could get and use contraception (e.g., If I wanted to, I could get condoms or another form of contraception.).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=57 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=193 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Efficacy to Use Contraception/Protection
3.23 units on a scale
Standard Error 0.11
3.22 units on a scale
Standard Error 0.08

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] of teens use contraception (e.g., What percentage of teens who have oral sex use a condom or a dental dam?). (adapted from Scull, Kupersmidt, Malik, and Keefe, 2018)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=121 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=238 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Descriptive Norms Regarding Teen Birth Control Use
58.34 percentage of teens using BC
Standard Error 2.07
54.09 percentage of teens using BC
Standard Error 1.86

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate what percentage \[0% = no teens; 100% = all teens\] of teens use contraception (e.g., What percentage of teens who have oral sex use a condom or a dental dam?). (adapted from Scull, Kupersmidt, Malik, and Keefe, 2018)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=50 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=190 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Descriptive Norms Regarding Teen Birth Control Use
52.52 percentage of teens using BC
Standard Error 3.93
53.89 percentage of teens using BC
Standard Error 2.64

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) how effectively they could communicate with others about sexual health (e.g., I could talk with a boy/girlfriend about using condoms for sexually transmitted infection protection.). (adapted from Scull, Malik, \& Kupersmidt, 2014)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=131 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=240 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Efficacy to Communicate Before Sex
2.79 units on a scale
Standard Error 0.07
2.93 units on a scale
Standard Error 0.07

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree) how effectively they could communicate with others about sexual health (e.g., I could talk with a boy/girlfriend about using condoms for sexually transmitted infection protection.). (adapted from Scull, Malik, \& Kupersmidt, 2014)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=56 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=193 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Efficacy to Communicate Before Sex
2.74 units on a scale
Standard Error 0.09
2.92 units on a scale
Standard Error 0.07

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to communicate with others before sexual activity (e.g., Before deciding to have sex, how likely would you be to talk with your parents or another trusted adult about sexual health?). (adapted from Scull, Malik, \& Kupersmidt, 2014)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=128 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=237 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Intent to Communicate Before Sex
2.64 units on a scale
Standard Error 0.06
2.82 units on a scale
Standard Error 0.06

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked to indicate on a 4-point Likert scale (1=not at all likely; 2=unlikely; 3=likely; 4=extremely likely) how likely they are to communicate with others before sexual activity (e.g., Before deciding to have sex, how likely would you be to talk with your parents or another trusted adult about sexual health?). (adapted from Scull, Malik, \& Kupersmidt, 2014)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=57 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=187 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Intent to Communicate Before Sex
2.60 units on a scale
Standard Error 0.09
2.80 units on a scale
Standard Error 0.07

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are shown an advertisement and asked to indicate on a 4-point Likert scale (1=not much at all; 2=a little; 3=a good amount; 4=a lot) the extent to which they: 1) thought about the ad; 2) spent time thinking about the ad; and 3) paid attention to the ad. (adapted from Shiv, Britton, and Payne, 2004)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=133 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=249 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Cognitive Elaboration While Viewing an Advertisement
1.86 units on a scale
Standard Error 0.06
2.01 units on a scale
Standard Error 0.06

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are shown an advertisement and asked to indicate on a 4-point Likert scale (1=not much at all; 2=a little; 3=a good amount; 4=a lot) the extent to which they: 1) thought about the ad; 2) spent time thinking about the ad; and 3) paid attention to the ad. (adapted from Shiv, Britton, and Payne, 2004)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=59 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=217 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Cognitive Elaboration While Viewing an Advertisement
2.02 units on a scale
Standard Error 0.14
1.94 units on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked on a 4-point Likert scale (1never; 2=rarely; 3=sometimes; 4=often) about their frequency of sexual health communication with a doctor or other health professional (e.g., How often do you talk with a doctor or other health professional about sexual health?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=126 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=238 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Communication With a Doctor or Other Health Professional About Sexual Health
1.97 units on a scale
Standard Error 0.08
1.98 units on a scale
Standard Error 0.07

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked on a 4-point Likert scale (1never; 2=rarely; 3=sometimes; 4=often) about their frequency of sexual health communication with a doctor or other health professional (e.g., How often do you talk with a doctor or other health professional about sexual health?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=58 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=184 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Communication With a Doctor or Other Health Professional About Sexual Health
1.79 units on a scale
Standard Error 0.12
1.83 units on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked on a 4-point Likert scale (1never; 2=rarely; 3=sometimes; 4=often) about their frequency of sexual health communication with a doctor or trusted adult (e.g., How often do you talk with a parent or other trusted professional about sexual health?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=125 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=238 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Communication With a Parent or Other Trusted Adult About Sexual Health
1.95 units on a scale
Standard Error 0.09
2.15 units on a scale
Standard Error 0.08

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked on a 4-point Likert scale (1never; 2=rarely; 3=sometimes; 4=often) about their frequency of sexual health communication with a doctor or trusted adult (e.g., How often do you talk with a parent or other trusted professional about sexual health?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=58 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=184 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Communication With a Parent or Other Trusted Adult About Sexual Health
2.00 units on a scale
Standard Error 0.11
1.95 units on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are asked on a 4-point Likert scale (1never; 2=rarely; 3=sometimes; 4=often) about their frequency of sexual health communication with a boyfriend/girlfriend (e.g., How often do you talk with your boyfriend/girlfriend about sexual health?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=120 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=222 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Communication With a Boyfriend or Girlfriend About Sexual Health
1.77 units on a scale
Standard Error 0.10
1.93 units on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are asked on a 4-point Likert scale (1never; 2=rarely; 3=sometimes; 4=often) about their frequency of sexual health communication with a boyfriend/girlfriend (e.g., How often do you talk with your boyfriend/girlfriend about sexual health?).

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=55 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=170 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Communication With a Boyfriend or Girlfriend About Sexual Health
1.96 units on a scale
Standard Error 0.13
1.95 units on a scale
Standard Error 0.10

OTHER_PRE_SPECIFIED outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are shown an advertisement and asked to indicate on a 4-point Likert scale (1=not much at all; 2=a little; 3=a good amount; 4=a lot) the extent to which they: 1) wanted to argue back to what it was saying; 2) thought of ways they disagreed with what was presented; 3) thought of ways that the information being presented was inaccurate or misleading; and 4) found themselves looking for flaws in the way information was presented in the ad. (adapted from Moyer-Gusé and Nabi, 2010)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=133 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=248 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Counterarguing While Viewing an Advertisement
1.90 units on a scale
Standard Error 0.07
2.01 units on a scale
Standard Error 0.07

OTHER_PRE_SPECIFIED outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are shown an advertisement and asked to indicate on a 4-point Likert scale (1=not much at all; 2=a little; 3=a good amount; 4=a lot) the extent to which they: 1) wanted to argue back to what it was saying; 2) thought of ways they disagreed with what was presented; 3) thought of ways that the information being presented was inaccurate or misleading; and 4) found themselves looking for flaws in the way information was presented in the ad. (adapted from Moyer-Gusé and Nabi, 2010)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=59 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=216 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Counterarguing While Viewing an Advertisement
1.92 units on a scale
Standard Error 0.16
1.87 units on a scale
Standard Error 0.10

OTHER_PRE_SPECIFIED outcome

Timeframe: posttest (approximately one week after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points and participants were able to skip questions on the questionnaire.

Participants are shown an advertisement and asked to indicate on a 4-point Likert scale (variable) how 1) believable; 2) truthful; 3) trustworthy they find the advertisement. (adapted from MacKenzie, Lutz, and Belch, 1986)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=132 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=250 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Advertisement Credibility
2.20 units on a scale
Standard Error 0.08
2.12 units on a scale
Standard Error 0.07

OTHER_PRE_SPECIFIED outcome

Timeframe: follow-up (approximately three months after pretest)

Population: The number of participants analyzed for this measure differs from the numbers in the Participant Flow module due to the fact that not all participants completed questionnaires at all time points, participants were able to skip questions on the questionnaire. In addition, participants whose follow-up data were collected during the COVID-19 pandemic were excluded from the analyses.

Participants are shown an advertisement and asked to indicate on a 4-point Likert scale (variable) how 1) believable; 2) truthful; 3) trustworthy they find the advertisement. (adapted from MacKenzie, Lutz, and Belch, 1986)

Outcome measures

Outcome measures
Measure
Delayed-Intervention Control
n=59 Participants
Participants will receive their regular health education programming not related to sexual health education or media literacy education.
Intervention
n=216 Participants
Participants will receive access to Media Aware. Media Aware Sexual Health - High School: Media Aware is an online media literacy and sexual health education program developed for high school students that addresses the influence of media on sexual behaviors explicitly using established message processing theory. The program consists of 4 self-paced modules each with two to three lessons. Broadly, the modules cover healthy and unhealthy relationships, sexually transmitted infections, consent, substance use, pregnancy, protection and contraception, and communication between adolescents and their partners, parents, or health providers. Users also learn media literacy skills including message deconstruction to help examine the truth behind media messages.
Advertisement Credibility
2.14 units on a scale
Standard Error 0.12
2.01 units on a scale
Standard Error 0.08

Adverse Events

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Delayed-Intervention Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Tracy Scull

innovation Research & Training

Phone: (919) 493-7700

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place