Families Are Talking

The Impact of Interventions Designed to
Promote Parent-Child Communication about Sexuality

Douglas Kirby, Ph.D.
ETR Associates

Part 1: Table of Contents


Programs for Parents and their Children

When most educators envision model programs to increase parent-child communication, they usually think of those that involve both young people and their parents. Such programs have obvious advantages:

  • They increase the knowledge of both groups
  • They can model discussions of sexual topics and increase comfort with the discussion of sexual topics
  • They can provide opportunities in the group and immediately afterward for young people and their parents to talk about sexual topics with each other
  • They can do all of this in a comfortable climate where everyone expects they are going to talk about sexuality and where they see everyone else doing so

Hamrick conducted an unusual study about the impact of different formats for family life education: adolescents only, parents only, parents and adolescents together, parents and adolescents separately, and parents and adolescents first separately, and then together.1 Results indicated that the formats which included parents and adolescents together were the most effective in increasing parent-child communication.

One of the most intensive programs of this type was developed by the Family Guidance Center in St. Joseph, MO.2 It divided participants into four groups by gender (father-son groups and mother-daughter groups) and age (groups for young people nine to 12 years of age and groups for young people 13 to 17 years of age) and limited each group to 10 parent-child pairs.

The program included five two-hour sessions for the younger group and six two-hour sessions for the older group.The first session was exclusively for parents to give them an overview of the course; the remaining sessions involved both parents and their children.

The sessions included didactic material about topics common to sexuality education classes such as anatomy, changes during adolescence, sexual behavior, reproduction, contraception, teen pregnancy, and STDs. They also included numerous small group discussions, films, and experiential activities that facilitated parent-child communication during the class.

For example, as an ice breaker, parents competed against their kids in a relay race in which they had to blow up a balloon, retrieve the coiled question inside, read the question about sexuality, and answer it (either correctly or incorrectly).The excitement of the race diminished their embarrassment as they talked rapidly and generally about a range of sexuality-related topics.

In a subsequent session, groups of two parents and their two kids played a board game in which they rolled dice and moved around the board toward home base while landing on blue squares (requiring them to draw a card and answer a knowledge question) or red squares (requiring them to draw a card and answer a question about how they felt about some aspect of sexuality).

Another activity involved "Dear Abby" letters that described various situations and asked for advice. Again in small groups, parents and their own children read, answered, and discussed the letters.

This program ultimately succeeded in reaching large numbers of families, partly due to two factors:

  • Many youth-serving agencies in the county co-sponsored the program and recruited families
  • The program gained an excellent reputation over a number of years, word spread, and parents with more than one child repeated the program when their younger children reached the required ages

Despite its success in reaching many families over many years, this remained a labor-intensive effort.

Survey data were collected before the program, immediately after the program, and approximately three to five months later.3 Results showed increases in both the frequency of parent-child communication and comfort with that communication. These results, however, did diminish with time.

Results also indicated that the program increased knowledge among the youth in both the younger and older groups. Among the older group (where they were measured), the program also increased the clarity of personal sexual values, decreased permissive attitudes toward having intercourse, and increased the perceived importance of birth control.

Additional studies have also confirmed that programs that bring adolescents and their parents together for courses on sexuality can increase their communication about sexuality. For example, the Let's Talk program brought together parents and youth who were primarily Hispanic, conducted group exercises, facilitated parent-child communication during a three-and-a-half hour workshop, and thereby increased their communication about sexuality for at least three months.4 In addition, the Office of Adolescent Pregnancy Prevention Programs funded a large number of programs designed to improve parent-child communication about sexuality. Although many of the reports were not published, some of them indicated that the programs increased both communication and comfort with that communication. Other studies have produced similar results.5

Simply bringing adolescents and parents together does not, however, ensure greater communication about sexuality. At least one study failed to find a significant change.6 Thus, well-designed interactive activities such as structured mini-lectures, group activities, and games that actually get adolescents and their parents to talk with each other during the session(s) may prove important.

Few studies have measured the impact of these programs upon actual sexual behavior. One that did is the Growing Together study.7 Girls Inc. (formerly the Girls Clubs) developed and implemented a five-session program for mothers and their daughters. Although daughters in the program group appeared less likely to initiate intercourse, the program and comparison groups were probably not equivalent before the program, and the results collected over the two years following the program were borderline statistically significant.

In sum, most of these programs served only small numbers of families. The Family Guidance Center ultimately served many families, but that required many years. Other studies have confirmed the challenges of getting parents to come to meetings or special multi-session courses.8 Far too often, parents have practical obstacles or simply have too little time, energy, or motivation to attend.

Yet, when these programs are properly designed and when parents and their children do participate, their communication about sexuality does increase, as does their comfort with that communication. Unfortunately, that greater communication may not endure.

These programs may also have other positive effects, such as increasing knowledge or clarifying values. It is not known, however, if they actually reduce sexual risk-taking.


References

  1. M. H. Hamrick, "Parent, Adolescent FLE: An Evaluation of Five Approaches," Family Life Educator, 1985, vol. 4, no. 1, pp. 12-15.
  2. D. Kirby, L. Peterson, and J. Brown, "A Joint Parent-Child Sex Education Program," Child Welfare, 1982, vol. 61, no. 2, pp. 105-14.
  3. D. Kirby, Sexuality Education: An Evaluation of Programs and Their Effects (Santa Cruz, CA: ETR/Network Publications, 1984).
  4. ETR Associates, Final Report of the Let's Talk Program Evaluation (Scotts Valley, CA: ETR Associates, 1993).
  5. J. M. Benshoff and S. J. Alexander, "The Family Communication Project: Fostering Parent-Child Communication about Sexuality," Elementary School Guidance and Counseling, 1993, vol. 27, no. 4, pp. 288-300; M. L. Bundy and P. N. White, "Parents as Sexuality Educators: A Parent Training Program," Journal of Counseling and Development, 1990, vol. 68, no. 3, pp. 321-23; S. L. Caron, C. B. Knox, C. Rhoades, J. Aho, K. K.Tulman, and M.Volock, "Sexuality Education in the Workplace: Seminars for Parents," Journal of Sex Education and Therapy, 1993, vol. 19, no. 3, pp. 200-11; M. H. Hamrick, "Parent, Adolescent FLE: An Evaluation of Five Approaches," Family Life Educator, 1985, vol. 4, no. 1, pp. 12-15 ; R. L. Huston, L. J. Martin, and D. M. Foulds, "Effect of a Program to Facilitate Parent-Child Communication about Sex," Clinical Pediatrics, 1990, vol. 29, no. 11, pp. 626-33.
  6. S. R. Jorgensen,V. Potts, and B. Camp, "Project Taking Charge: Six-Month Follow-Up of a Pregnancy Prevention Program for Early Adolescents," Family Relations, 1993, vol. 42, no. 4, pp. 401-06.
  7. H. J. Nicholson and L.T. Postrado, Girls Incorporated Preventing Adolescent Pregnancy: A Program Development and Research Project (New York: Girls Incorporated, 1991).
  8. D. Kirby, M. Korpi, R. Barth, and H. Cagampang, Evaluation of Education Now and Babies Later (ENABL), Final Report (Berkeley, CA: University of California, School of Social Welfare,1995); K.Weeks, S. R. Levy, A. K. Gordon, A. Handler, C. Perhats, and B. R. Flay, "Does Parental Involvement Make a Difference? The Impact of Parent Interactive Activities on Students in a School-Based AIDS Prevention Program," AIDS Education and Prevention, 1997, vol. 9, pp. 90-106.

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