Study of Long-term Efficacy and Mechanisms Underlying the Impact of a Web-based Sexual and Relationship Health Promotion Program With Young Adult Community College Students

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

2184 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-21

Study Completion Date

2024-03-24

Brief Summary

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Community college students are an underserved and at-risk population in terms of their sexual and relationship health. This is a three-arm randomized control trial to evaluate the long-term efficacy of a web-based sexual and relationship health promotion program among U.S. community college students (expected N = 2010) and explore the mechanisms underlying the program efficacy.

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Detailed Description

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Community college students are an underserved and at-risk population in terms of their sexual and relationship health. One promising avenue for improving sexual decision making among this population is media literacy education (MLE). Though studies show MLE is an effective approach to sexual health promotion there is a need to better understand the mechanisms by which MLE programs impact health outcomes. The ultimate goals of this study are to 1) advance theoretical frameworks of media literacy to better understand the underlying mechanisms that lead to sexual health behavior change and 2) enhance the sexual and relationship health of community college students by identifying successful methods of health promotion and strategies to implement health programs at community colleges. This study is a three-arm randomized control trial (RCT) with 2010 community college students (ages 18-19) from 30 colleges across the U.S. All components of this study (i.e., interventions, surveys) are web-based.

Participating students will be randomized to one of three conditions: 1) students who receive a sexual health program grounded in MLE (Media Aware); 2) students who receive a sexual health program with no MLE; and 3) a wait-list control group. Participants will complete pretest, posttest, 6-month follow-up, and 12-month follow-up surveys to examine changes across the three groups in our primary outcomes (e.g., risky sexual behavior) and secondary outcomes (e.g., sexual health knowledge, rape myth acceptance, perceived realism of media messages).

Conditions

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Sexual Behavior Sexual Assault Violence, Domestic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Participants will not be informed which conditions are considered intervention versus control. All measures are assessed using a web-based data collection system rather than a human outcomes assessor.

Study Groups

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Intervention - Media Aware for Young Adults

This arm will receive Media Aware for Young Adults between the pretest and posttest questionnaire. Media Aware for Young Adults is a web-based sexual and relationship health promotion program that uses a media literacy education (MLE) approach. The program is self-paced and includes four modules.

Group Type EXPERIMENTAL

Media Aware for Young Adults

Intervention Type BEHAVIORAL

Media Aware for Young Adults is a web-based sexual and relationship health promotion program designed for young adults that uses a media literacy education (MLE) approach.

Active Control - Health Aware for Young Adults

This arm will receive Health Aware for Young Adults in between the pretest and posttest questionnaire. Health Aware for Young Adults is a web-based sexual and relationship health promotion program. The program contains the same health content as Media Aware for Young Adults but without the media literacy education components. The program is self-paced and includes four modules.

Group Type ACTIVE_COMPARATOR

Health Aware for Young Adults

Intervention Type BEHAVIORAL

Media Aware for Young Adults is a web-based sexual and relationship health promotion program designed for young adults.

Delayed Intervention Control

Participants in this condition will not receive a sexual or relationship health promotion program until after the 12-month follow-up survey. After that survey is complete, they will receive access to the Media Aware for Young Adults program.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Media Aware for Young Adults

Media Aware for Young Adults is a web-based sexual and relationship health promotion program designed for young adults that uses a media literacy education (MLE) approach.

Intervention Type BEHAVIORAL

Health Aware for Young Adults

Media Aware for Young Adults is a web-based sexual and relationship health promotion program designed for young adults.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Students must be 18 or 19 years of age.
* Students must attend one of the community colleges from which this study is recruiting participants.
* Students must have an email address to receive study communication.
* Students must have access to a computer, tablet, or phone device with internet access as the questionnaires and programs are web-based.
* Students must be able to speak and read English because the study materials (e.g., questionnaires, programs) are in English.