the d esign & development of an intervention about young men & unintended teenage...
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The d esign & development of an intervention about young men & unintended teenage pregnancy. Maria Lohan, Áine Aventin, Peter O’Halloran , Marion Henderson & Carmel Kelly. ICL Conference, QUB Feb 2014. Aims of today’s talk. Why we developed the educational resource - PowerPoint PPT PresentationTRANSCRIPT
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The design & development of an intervention about young men & unintended teenage pregnancy
ICL Conference, QUB Feb 2014
Maria Lohan, Áine Aventin, Peter O’Halloran, Marion Henderson & Carmel Kelly
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Aims of today’s talk
1.Why we developed the educational resource
2. How we went about it
3. What are some key lessons we learned?
Why?
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5Source: Wilkinson & Pickett, The Spirit Level (2009)
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What’s men got to do with it?
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How?
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What the UK MRC Guidelines say
Phase 1 development work :
identification of the relevant evidence base;
modelling of a theoretical understanding of the phenomenon and
exploratory mixed methods research to consult with end users and key stakeholders 8
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Development of evidence base
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Movie-based Approach
Method: a computer based interactive video drama (IVD)
• Brings to life a story…
• Participants have to role play
• Potential as an educational intervention
What the UK MRC Guidelines say
Phase 1 development work :
identification of the relevant evidence base;
modelling of a theoretical understanding of the phenomenon and
exploratory mixed methods research to consult with end users and key stakeholders 11
Modelling of Theoretical Understanding
Self-efficacy in communicating about UP
Perceptions of negative consequences associated with UP
High rates of unintended adolescent
pregnancy (UP)
Problem Curriculum Activities
Psychosocial Factors Affected
Knowledge about support services and the consequences of UP and pregnancy resolution decisions
If I Were Jack Educational Resource
Theory of Change Model
Sexual Health Outcome
Educational Outcomes
Neglected focus on young men
Attitudes, values and beliefs about UP and its consequences
Increased Intention to
avoid adolescent pregnancy
Perceptions of gender norms associated with UP
Negative impacts of UP on emotional, psychological and physical
wellbeing
If I were Jack educational
resource
Improved self-efficacy in communicating about UP
Increased awareness of personal attitudes, values and beliefs in relation to UP
Increased awareness of potential negative consequences of UP and available support services
Increased awareness of gender norms associated with UP
Refining the content in consultation
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Some lessons Learned
1. Know & engage the target population
2. Know the behaviours to be targeted & model a process of change
3. Look beyond development to evaluation by engaging stakeholders.
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Acknowledgement of Research Team
Present and past team members:Dr Sharon Cruise, QUBDr Carmel Kelly, QUBDr Marion Henderson , Medical Research Council's
Social and Public Health Sciences Unit. Prof. Fiona Alderdice QUBProf. Abbey Hyde, University College Dublin
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Acknowledgement of Research Funding
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References • Lohan M (2007) How Might We Understand Men's
Health Better? Integrating Explanations From Critical Studies On Men And Inequalities In Health. Social Science & Medicine, 65: 493-504.
• Lohan, M., Cruise, S., O’Halloran, P., Alderdice, F., and Hyde, A. (2010) Adolescent men’s attitudes in relation to pregnancy and pregnancy outcomes: A systematic review of the literature from 1980-2009. Journal of Adolescent Health 47 (4), 327-345.
• Lohan, M., Cruise, S., O’Halloran, P. Alderdice, F., and Hyde, A. (2011) Adolescent men’s attitudes and decision-making in relation to an unplanned pregnancy. Responses to an interactive video drama, Social Science & Medicine, 72, 1507-1514.
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References • Hyde, A. Carney, M., Drennan, J. Butler, M., Lohan,
M. and Howlett, E (2010) The silent treatment: parents’ narratives on sexuality education with their adolescent children. Culture Health and Sexuality 12, (4), 359-371.
• Hyde, A., Drennan, J., Lohan, M., Carney, M. and Howlett, E. (2013 in press) Parent's Communication about Safer Sex with their Children. Journal of Clinical Nursing.
• Lohan, M., Olivari, M.G., Corkindale, C., Milani, L., Confalonieri, E., Cruise, S., O'Halloran, P., Alderdice, F. and Hyde, A. (2013). Adolescent Men's Pregnancy Resolution Choices in Relation to an Unintended Pregnancy: A Comparative Analysis of Adolescent Men in Three Countries. Journal of Family Issues, 34(8), 1037
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