224759 Testing the usability of a web-based parent-adolescent communication program

Monday, November 8, 2010

Anne E. George, MPH , Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh Medical Center, Pittsburgh, PA
Denise Charron-Prochownik, PhD, RN, CPNP, FAAN , School of Nursing, Department of Health Promotion and Development, University of Pittsburgh, Pittsburgh, PA
Margaret Hannan, PhD, RN, CPNP-PC , School of Nursing, University of Pittsburgh, Pittsburgh, PA
Carol Washburn, EdD , Center for Instructional Development and Distance Education, University of Pittsburgh, Pittsburgh, PA
Patricia Schmitt, MPM , School of Nursing, University of Pittsburgh, Pittsburgh, PA
Aletha Y. Akers, MD, MPH , Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, Pittsburgh, PA
Background: Parent-adolescent communication about sex improves sexual health outcomes among adolescents. No web-based programs that teach parents communication skills exist. Objective: To evaluate the usability of and satisfaction with a web-based program to improve parents' skills for communicating with their adolescents about sexual health issues. Methods: We recruited urban African American mothers of adolescent females, aged 11 to 18, from Allegheny County, Pennsylvania and adolescent health experts nationally. Between April-September 2009, a Think Aloud protocol (TAP) was used by mothers and experts to critique a 30-minute web-based program to improve mothers' communication skills. With TAP, participants' vocalized their thoughts as they navigated the program. Their non-verbal responses and answers to questions imbedded in the program were documented using a standardized observation guide. Participants also completed a semi-structured interview and completed a 9 item satisfaction scale. Interviews were analyzed using grounded theory and the constant comparison method. Results: Five mothers and four adolescent health experts participated. All experts and 4 mothers thought the program was easy to use. Both felt the literacy level was too high; wanted more detailed navigation instructions and a shorter program length; and expressed concern about the unbalanced number of negative versus positive images of minority and non-minority families. Experts suggested more detailed comments such as specific wording revisions. Conclusions: Web-based interventions are an acceptable format for delivering parental skills training. Web interventions targeting racial minorities must be attuned to cultural issues and how their visual presentation of minorities could be perceived.

Learning Areas:
Implementation of health education strategies, interventions and programs

Learning Objectives:
1. Describe how web-based programs can be used to teach parents communication skills. 2. Explain strategies to create culturally sensitive programs.

Keywords: Technology, Communication

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because I designed the study, obtained funding, collected and analyzed the data and supervised the research team that assisted with these activities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.