Parents' Reported Adolescent Health-Related Educational Needs
1
Results: A total of 306 participants from 43 states completed inter- views (130 medical providers, 52 immunization program managers, 42 STD program managers, 39 Title X program managers, 26 pharmacists, and 17 lawyers). Participants’ attitudes and beliefs varied significantly by vaccine type. When asked how important each vaccine was for adolescents, the proportions who responded ‘‘extremely important’’ were 73% for Tdap, 65% for HPV, and 45% for influenza (p < .001). The proportions who strongly agreed with current vaccine-specific ACIP recommenda- tions were 86% for Tdap, 79% for HPV, and 65% for influenza (p < .001). The proportions who perceived that current vaccine- specific ACIP recommendations were controversial among the general public in their community were 9% for Tdap, 67% for HPV, and 21% for influenza (p < .001). The proportions who re- ported that it was moderate to extremely difficult for adolescents to get specific vaccines were 26% for Tdap, 66% for HPV, and 34% for influenza (p < .001); results were similar when participants were specifically asked about adolescents’ difficulty overcoming financial barriers. To examine differences in vaccine-specific atti- tudes and beliefs by professional roles, we conducted a series of across-group comparisons. We found significant differences across professional groups for all attitudes and beliefs related to Tdap (p < .01), attitudes about ACIP recommendations and beliefs about financial access for HPV (p < .001), and beliefs about controversy related to influenza vaccine (p < .01). In general, attitudes and beliefs were most similar among medical provider and immuniza- tion program manager groups, and among STD and Title X family planning program manager groups. Conclusions: Attitudes and beliefs about Tdap, HPV and influenza vaccines for adolescents vary significantly among key stake- holders/opinion leaders, and by professional role. Understanding different perspectives and finding common ground among profes- sionals who influence choice of strategies to increase adolescent vaccination may be important to enhancing success. Sources of Support: Centers for Disease Control and Prevention. SESSION II: HEALTH EDUCATION AND HEALTH BEHAVIOR 122. PARENTS’ REPORTED ADOLESCENT HEALTH-RELATED EDUCATIONAL NEEDS Carol Ford, MD 2 , Donna Miles, PhD 1 , Tamera Coyne-Beasley, MD, MPH 2 , Michael Sanderson, MPH 1 . 1 NC Division of Public Health; 2 University of North Carolina at Chapel Hill Purpose: Parents influence adolescent health and health behaviors, yet little is known about parents’ perceptions of their own educa- tional needs related to adolescent health. Our purpose is to: (1) Describe parents’ self-reported educational needs regarding adolescent health issues; and (2) Examine variation in parental reports of adolescent health educational needs based on child’s age, and parent socio-demographic and behavioral factors. Methods: In 2008, 1078 parents of adolescents 11-17 years of age in North Carolina (NC) participated in two state-wide population- based telephone surveys: the Behavior Risk Factor Surveillance Survey (NC BRFSS) and a follow-up Child Health Assessment Monitoring Program survey (NC CHAMP). Parents were asked whether it would be helpful to learn about teen health issues, and if so, how helpful it would be to learn about specific issues. Analyses were conducted using weighted survey data (SAS 9.1) to provide population-based descriptions of parents’ reported educational needs, and to test whether perceived need varied by age of child, parent socio-demographic (gender, race, education, income), or parent behavioral risk factors linked to specific educa- tional topic (e.g., Is parent BMI associated with parents’ perceived educational needs about teens and healthy weight?). Results: The majority (72%) of participants reported it would be helpful to learn more about adolescent health issues. Of parents who reported educational needs, the proportions who reported it would be ‘very helpful’ to learn about teens and the following topics were: driving safety (80%); preventing pregnancy (79%); STDS (78%); marijuana and other drugs (76%); communication (75%); alcohol (74%); depression (73%); healthy weight (69%); healthy sleep (68%); tobacco (67%); and immunizations (66%). Fifty-four percent of participants reported that it would be ‘very helpful’ to learn about 6 or more topics, and were coded as ‘‘high-need parents.’’ Black non-Hispanic parents were more likely to report high need than white non-Hispanic parents (66% vs. 46%, p < .01); parents with lower levels of education (HS or less) were more likely to report high need than parents with education beyond HS (66% vs. 49%, p < .01); parents with incomes < 100% FPL were more likely to report high need than those with incom- es > 400% FPL (64% vs. 42%, p < .01). Adolescent age and parent gender were not associated with parents’ report of high need. Multivariate analyses revealed that parent race was independently associated with report of high need, above and beyond education and income. Parent behavior/risk factors were not associated with reported educational need about specific adolescent health topics with one exception: parents at lower risk of motor vehicle injury were more likely to report that it would be very helpful to learn about teens and driving safety when compared to parents at higher risk of motor vehicle injury (81% vs. 69%, p ¼ .04). Conclusions: Most parents of adolescents 11-17 years of age perceive that it would be very helpful to learn more about adoles- cent health topics. Future research is needed to better understand parents’ preferred content and mode of delivery, impact of parent education on adolescent behaviors, and variation based on culture, race, and ethnicity. Sources of Support: The Duke Endowment. 123. PAHO STRENGTHENING FAMILY PROGRAM FOR PARENTS AND YOUTH 10-14. EVALUATION OF A CHILEAN TRAINING OF TRAINERS Lilianette Nagel, Assistant Professor of Pediatrics 4 , Olivia Salas, Pediatrician 5 , Debora Galvez, Psychologist 1 , Tamara Zubarew, MD, MPH 3 , Maria Loreto Correa, Pediatrician 1 , Matilde Maddaleno, Regional Advisor in Adolescent and Youth Health 2 . 1 P. Universidad Catolica; 2 PAHO; 3 Pontificia Universidad Catolica de Chile; 4 universidad De Chile, Clinica Alemana De Santiago; 5 Universidad Finis Terrae Purpose: The video-based Iowa State University Strengthening Families Program for Parents and Youth (SFP 10-14) aims to reduce adolescent substance abuse and problematic behaviors in youth 10- 14 years old. It’s the school-based program with the best track record (Cochrane Collaboration Systematic Review) being deliv- ered through parent, youth, and family sessions using narrated videos portraying typical family situations. Highly interactive sessions include role-playing, discussions, and learning games de- signed to improve parenting skills. This program was adapted by PAHO (Pan-American Health Organization) who developed "The Strengthening Families Program: For Parents and Youth (SFP 10-14)"). This "SFP’’ curriculum is oriented to prevent risk Abstracts / 46 (2010) S17–S81 S72
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Transcript of Parents' Reported Adolescent Health-Related Educational Needs
Abstracts / 46 (2010) S17–S81S72
Results: A total of 306 participants from 43 states completed inter-views (130 medical providers, 52 immunization programmanagers, 42 STD program managers, 39 Title X programmanagers, 26 pharmacists, and 17 lawyers). Participants’ attitudesand beliefs varied significantly by vaccine type. When asked howimportant each vaccine was for adolescents, the proportions whoresponded ‘‘extremely important’’ were 73% for Tdap, 65% forHPV, and 45% for influenza (p < .001). The proportions whostrongly agreed with current vaccine-specific ACIP recommenda-tions were 86% for Tdap, 79% for HPV, and 65% for influenza (p< .001). The proportions who perceived that current vaccine-specific ACIP recommendations were controversial among thegeneral public in their community were 9% for Tdap, 67% forHPV, and 21% for influenza (p < .001). The proportions who re-ported that it was moderate to extremely difficult for adolescentsto get specific vaccines were 26% for Tdap, 66% for HPV, and34% for influenza (p< .001); results were similar when participantswere specifically asked about adolescents’ difficulty overcomingfinancial barriers. To examine differences in vaccine-specific atti-tudes and beliefs by professional roles, we conducted a series ofacross-group comparisons. We found significant differences acrossprofessional groups for all attitudes and beliefs related to Tdap (p<.01), attitudes about ACIP recommendations and beliefs aboutfinancial access for HPV (p < .001), and beliefs about controversyrelated to influenza vaccine (p < .01). In general, attitudes andbeliefs were most similar among medical provider and immuniza-tion program manager groups, and among STD and Title X familyplanning program manager groups.Conclusions: Attitudes and beliefs about Tdap, HPVand influenzavaccines for adolescents vary significantly among key stake-holders/opinion leaders, and by professional role. Understandingdifferent perspectives and finding common ground among profes-sionals who influence choice of strategies to increase adolescentvaccination may be important to enhancing success.Sources of Support: Centers for Disease Control and Prevention.
SESSION II: HEALTH EDUCATION ANDHEALTH BEHAVIOR
122.
PARENTS’ REPORTED ADOLESCENT HEALTH-RELATED
EDUCATIONAL NEEDS
Carol Ford, MD2, Donna Miles, PhD1,
Tamera Coyne-Beasley, MD, MPH2, Michael Sanderson, MPH1.1NC Division of Public Health; 2University of North Carolina
at Chapel Hill
Purpose: Parents influence adolescent health and health behaviors,yet little is known about parents’ perceptions of their own educa-tional needs related to adolescent health. Our purpose is to: (1)Describe parents’ self-reported educational needs regardingadolescent health issues; and (2) Examine variation in parentalreports of adolescent health educational needs based on child’sage, and parent socio-demographic and behavioral factors.Methods: In 2008, 1078 parents of adolescents 11-17 years of age inNorth Carolina (NC) participated in two state-wide population-based telephone surveys: the Behavior Risk Factor SurveillanceSurvey (NC BRFSS) and a follow-up Child Health AssessmentMonitoring Program survey (NC CHAMP). Parents were askedwhether it would be helpful to learn about teen health issues,and if so, how helpful it would be to learn about specific issues.
Analyses were conducted using weighted survey data (SAS 9.1)to provide population-based descriptions of parents’ reportededucational needs, and to test whether perceived need varied byage of child, parent socio-demographic (gender, race, education,income), or parent behavioral risk factors linked to specific educa-tional topic (e.g., Is parent BMI associated with parents’ perceivededucational needs about teens and healthy weight?).Results: The majority (72%) of participants reported it would behelpful to learn more about adolescent health issues. Of parentswho reported educational needs, the proportions who reported itwould be ‘very helpful’ to learn about teens and the followingtopics were: driving safety (80%); preventing pregnancy (79%);STDS (78%); marijuana and other drugs (76%); communication(75%); alcohol (74%); depression (73%); healthy weight (69%);healthy sleep (68%); tobacco (67%); and immunizations (66%).Fifty-four percent of participants reported that it would be ‘veryhelpful’ to learn about 6 or more topics, and were coded as‘‘high-need parents.’’ Black non-Hispanic parents were more likelyto report high need than white non-Hispanic parents (66% vs. 46%,p < .01); parents with lower levels of education (HS or less) weremore likely to report high need than parents with educationbeyond HS (66% vs. 49%, p < .01); parents with incomes< 100%FPL were more likely to report high need than those with incom-es> 400% FPL (64% vs. 42%, p < .01). Adolescent age and parentgender were not associated with parents’ report of high need.Multivariate analyses revealed that parent race was independentlyassociated with report of high need, above and beyond educationand income. Parent behavior/risk factors were not associatedwith reported educational need about specific adolescent healthtopics with one exception: parents at lower risk of motor vehicleinjury were more likely to report that it would be very helpful tolearn about teens and driving safety when compared to parentsat higher risk of motor vehicle injury (81% vs. 69%, p¼ .04).Conclusions: Most parents of adolescents 11-17 years of ageperceive that it would be very helpful to learn more about adoles-cent health topics. Future research is needed to better understandparents’ preferred content and mode of delivery, impact of parenteducation on adolescent behaviors, and variation based on culture,race, and ethnicity.Sources of Support: The Duke Endowment.
123.
PAHO STRENGTHENING FAMILY PROGRAM FOR
PARENTS AND YOUTH 10-14. EVALUATION OF
A CHILEAN TRAINING OF TRAINERS
Lilianette Nagel, Assistant Professor of Pediatrics4,
Olivia Salas, Pediatrician5, Debora Galvez, Psychologist1,
Tamara Zubarew, MD, MPH3, Maria Loreto Correa, Pediatrician1,
Matilde Maddaleno, Regional Advisor in Adolescent and Youth
Health2. 1P. Universidad Catolica; 2PAHO; 3Pontificia Universidad
Catolica de Chile; 4universidad De Chile, Clinica Alemana De Santiago;5Universidad Finis Terrae
Purpose: The video-based Iowa State University StrengtheningFamilies Program for Parents and Youth (SFP 10-14) aims to reduceadolescent substance abuse and problematic behaviors in youth 10-14 years old. It’s the school-based program with the best trackrecord (Cochrane Collaboration Systematic Review) being deliv-ered through parent, youth, and family sessions using narratedvideos portraying typical family situations. Highly interactivesessions include role-playing, discussions, and learning games de-signed to improve parenting skills. This program was adapted byPAHO (Pan-American Health Organization) who developed"The Strengthening Families Program: For Parents and Youth(SFP 10-14)"). This "SFP’’ curriculum is oriented to prevent risk
