268773 Prevention and wellness for teenagers: An evidence-based intervention to reduce risky behaviors- The role of parents and peers in promoting wellness

Tuesday, October 30, 2012 : 11:30 AM - 11:50 AM

Kathleen A. Sternas, PhD, RN , College of Nursing, Seton Hall University, South Orange, NJ
MaryAnn Scharf, EdD , College of Nursing, Seton Hall University, South Orange, NJ
Rosemarie Peterkin, MAT , Newark Best Friends and Best Men, Newark, NJ
Janet Summerly, MSN, RN , Seton Hall University, South Orange, NJ
Teenagers are at risk for health problems related to alcohol/drug use, smoking and sexual activity like STD's, HIV/AIDS. Teenagers are vulnerable to negative peer pressures like engaging in sex,drinking. Parental communication and positive peer pressure can reduce risky behaviors. This presentation describes: an intervention to reduce risky behaviors and promote wellness in teenagers which fosters positive peer/parental relationships; outcomes for intervention and comparison group teenagers(no intervention). Methods: Pretest posttest design. Intervention (223girls/165 boys)/comparison(151 girls/158 boys) participants from four intervention/five comparison schools. Intervention participants were randomly selected. Comparison participants were convenience sample. Schools were matched on demographic variables. Instruments: AFL Core and Demographic Questionnaires. Pearson Chi Square, Mann Whitney U statistics and .05 level of significance were used. Bandura's social learning theory guided the intervention focusing on sexuality discussions, mentoring, health classes, cultural events, community service, recognition. Post-test II Results: Significantly more intervention than comparison participants reported: saying no to wrong activities(p=.003); staying away from trouble(p=.007); dating/party rules(p=.034);important to remain abstinent (p<.001);abstinence avoids pregnancy/STD's/health problems (p=.047); friends who think no sex(p<.001). Significantly more comparison participants reported:drinking (p<.001); friends who drink(p<.001)/tried marijuana/drugs (p=.001); smoking (p=.005); pressure to do things leading to trouble (p=.004). Intervention girls(p=.038) and boys (p=.042) reported parents do not ignore breaking rules. Conclusions: Intervention participants have more significant outcomes related to less risky behaviors like drug/alcohol use, positive parental communication, supportive peers than comparison participants. Findings have implications for development of interventions which prevent risky behaviors, promote wellness and foster positive peer and parental communication with teenagers.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related nursing

Learning Objectives:
Describe an evidence-based intervention which fosters effective parent communication and positive peer relationships to reduce risky behaviors and promote wellness in teenagers. Describe outcomes for girls and boys who participated in an evidence-based intervention and a comparison group who did not participate in the intervention.

Keywords: Adolescent Health, Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a partner on the federally funded grant project upon which the proposed presentation is based, and have collaborated with the other authors on this project.
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.