Intervention to Improve Parent Communication About Sexuality
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Dalmacio D Flores, PhD
- Telefonnummer: 4043944593
- E-Mail: dalmacio@nursing.upenn.edu
Studienorte
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Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19104
- Rekrutierung
- University of Pennsylvania
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Kontakt:
- Dalmacio D Flores, PhD
- Telefonnummer: 404-394-4593
- E-Mail: dalmacio@nursing.upenn.edu
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Kind
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Youth participants are:
- identify as a cisgender sexual minority male (e.g., gay or bisexual)
- be between ages 12-18 years
- able to comprehend spoken English
- resides in the United States
- consents or assents to study participation
Parent participants are:
- the parent, legal guardians, legal custodians (hereinafter "parent") of gay or bisexual adolescent
- age 18 or older
- able to comprehend spoken English
- resides in the United States
- consents to study participation
- consents to their child's study participation
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Verhütung
- Zuteilung: Zufällig
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Single
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: Intervention Arm
Parents randomized to receive the intervention (n=238) will be assigned to a 5-session online intervention that comprise 8-12 parents per cohort.
They will register their profiles via our secure, password-protected Parents ASSIST website.
Parents in the intervention arm will complete one session per week where they watch two videos focused on sexual health and family communication.
They will also be asked to complete homework tasks with their GBQ child.
GBQ adolescents will not be intervened upon directly; rather, we will instruct parents to engage their sons based on the information and skills learned weekly through the intervention.
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Parents ASSIST is a 5-session intervention where an interventionist will facilitate sessions that will include 8-12 parents per group.
Each parent will have access to intervention content (e.g., videos, activities) across the i five synchronous sessions.
Session I will focus on the issue of coming out and its impact on the family as well as on youth mental health.
Session II centers on communication-based content.
Sessions III and IV focuses on topic-centered content to address the knowledge gap parents have reported regarding general LGBTQ concerns and specific GBQ issues and builds on the communication skills learned in Session I. Session V provides a communication recap and focuses on how parents may have follow-up conversations.
In between the sessions, asynchronous interactive homework assignments will be provided to review concepts learned in the previous sessions and to initiate joint activities between parents and GBQ youth.
Andere Namen:
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Aktiver Komparator: Control Arm
Control group participants (n=238 parents) will be assigned to the health promotion arm and similarly asked to register into our secure Parents ASSIST study site but will be assigned to the control group educational resources: alcohol use, bullying, sleep hygiene, tobacco use, and body image issues.
Individual participants will access via the website the videos on these non-sexual health focused conditions.
|
Parents ASSIST is a 5-session intervention where an interventionist will facilitate sessions that will include 8-12 parents per group.
Each parent will have access to intervention content (e.g., videos, activities) across the i five synchronous sessions.
Session I will focus on the issue of coming out and its impact on the family as well as on youth mental health.
Session II centers on communication-based content.
Sessions III and IV focuses on topic-centered content to address the knowledge gap parents have reported regarding general LGBTQ concerns and specific GBQ issues and builds on the communication skills learned in Session I. Session V provides a communication recap and focuses on how parents may have follow-up conversations.
In between the sessions, asynchronous interactive homework assignments will be provided to review concepts learned in the previous sessions and to initiate joint activities between parents and GBQ youth.
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Parent-Adolescent Communication Quality
Zeitfenster: Baseline, 3 months, 6 months, 12 months
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The quality of sexuality-sensitive communication will be determined using the Family Sexuality Communication Quotient - a measure of a general family orientation to discussion about sexuality between parents and children; this is an 18-item scale with options (1-Strongly Agree to 5-Strongly Disagree).
The first subscale on comfort measures the perceived degree of openness with which sexuality is discussed in the family (e.g., I feel free to ask my parents questions about sexuality).
The second subscale on information measures perception of the amount of information learned and shared during discussions (e.g., I feel better informed about sexuality if I talk to my parents.)
(18 items; alpha = .91)
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Baseline, 3 months, 6 months, 12 months
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Parent-Adolescent Communication Quantity
Zeitfenster: Baseline, 3 months, 6 months, 12 months
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The Parent- Teen Sexual Risk Communication Topic Scale will be adopted and used to measure the quantity of topics discussed.
Participants are asked if they had ever discussed the topics with their child/parent, and if so, which ones.
To measure quantity, sample questions would be "To what extent have you ever discussed any of the following topics with your mother/father?" Sample items: coming out/disclosure of sexual orientation, using a condom, peer pressure and sexual pressure from dating partners, penilevaginal or other types of intercourse.
Response options: (1) none, (2) a little, (3) some, (4) a lot, or (5) extensive.
(8 items; alpha = .85-.95)
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Baseline, 3 months, 6 months, 12 months
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Adolescent and Parent Mental Health (Depression)
Zeitfenster: Baseline, 3 months, 6 months, 12 months
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The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity.
These characteristics plus its brevity make the PHQ-9 a useful clinical and research tool.
This 9-item questionnaire lists varying depression symptoms and inquires about how much each depression symptom has been noted as bothersome within the past two weeks.
Response options are: (0) not at all, (1) several days a week, (2) more than half the days, (3) nearly every day.
(9 items; alpha = .95)
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Baseline, 3 months, 6 months, 12 months
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Adolescent and Parent Mental Health (Anxiety)
Zeitfenster: Baseline, 3 months, 6 months, 12 months
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The GAD-7 is a valid and efficient tool for screening for Generalized Anxiety Disorder and assessing its severity in clinical practice and research.
There was good agreement between self-report and interviewer-administered versions of the scale.
This 7-item questionnaire lists varying anxiety symptoms and inquires about how much each symptom has been noted as bothersome within the past two weeks.
Response options are: (0) not at all, (1) several days a week, (2) more than half the days, (3) nearly every day.
(7 items; alpha = .92)
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Baseline, 3 months, 6 months, 12 months
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Parent-Adolescent Health Behavior (Wellness Appointment)
Zeitfenster: Baseline, 3 months, 6 months, 12 months
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We will measure successful setting up by both parent and GBQ child of screening appointments with an LGBTQ-competent provider during each follow-up survey.
Three questions will asked: (1) Since the last survey, have you and your parent/GBQ child looked up LGBTQ-friendly health providers in your area?
(Yes/No); (2) Since the last survey, have you and your parent/GBQ child made an appointment for a wellness appointment?
(Yes/No); and (3) Since the last survey, have you and your parent/GBQ child seek out a healthcare provider to be screened for a sexually-transmitted infection?
(Yes/No).
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Baseline, 3 months, 6 months, 12 months
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Family Functioning
Zeitfenster: Baseline, 3 months, 6 months, 12 months
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The Family Assessment Device (FAD) is based on the McMaster Model of Family Functioning (MMFF), a clinically oriented conceptualization of families.
It is a screening instrument consisting of 60-items.
The model identifies seven dimensions of family functioning and this study will use the questions from three subscales (affective response, communication and general functioning).
Response categories are as follows: strongly agree, agree, disagree, and strongly disagree.
Scores range from 1 to 4 with 1 reflecting healthy functioning and 4 reflecting unhealthy functioning.
(24 items; alpha = .92)
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Baseline, 3 months, 6 months, 12 months
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Ermittler
Ermittler
- Hauptermittler: Dalmacio D Flores, PhD, University of Pennsylvania
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Flores DD, Hennessy K, Rosario A, Chung J, Wood S, Kershaw T, Villarruel A, Bauermeister J. Parents ASSIST: Acceptability and Feasibility of a Video-Based Educational Series for Sexuality-Inclusive Communication between Parents and Gay, Bisexual, and Queer Sons. Int J Environ Res Public Health. 2021 Dec 30;19(1):379. doi: 10.3390/ijerph19010379.
- Flores DD, Rosario AA, Bond KT, Villarruel AM, Bauermeister JA. Parents ASSIST (Advancing Supportive and Sexuality-Inclusive Sex Talks): Iterative Development of a Sex Communication Video Series for Parents of Gay, Bisexual, and Queer Male Adolescents. J Fam Nurs. 2020 May;26(2):90-101. doi: 10.1177/1074840719897905. Epub 2020 Jan 31.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- 856192 (24-1002)
- R01HD111516 (US NIH Stipendium/Vertrag)
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