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


Sexuality Education Homework Assignments

Since it is often difficult to get parents to attend a parent orientation program, many school sexuality education curricula include homework assignments to encourage students to talk with their parents at home.These assignments may involve dramatically more parents than any other type of program because so many young people participate in sexuality education programs. Research indicates that a substantial percentage of students complete these assignments.1

It may be difficult—possibly even harmful—for some youth to talk with their own parents or guardians about sexuality-related issues. Consequently, some instructors, if need be, often allow students to talk with other adults.

For one intervention, researchers developed and added a strong parent component to Managing Pressures before Marriage,2 a widely implemented middle school abstinence-only-until-marriage program designed to help young people postpone sexual involvement.The researchers developed five homework assignments to help parents reinforce the information and skills presented in the classroom and to describe and model desired behaviors.They included not only conversations between students and their parents about specific sexual topics but also discussions about a wider variety of topics such as media pressures, dating pressures, methods of handling pressures, individual teen strengths, and future goals. In addition, the students and their parents practiced multiple role plays together. About half of the students completed three or more of the five activities with their parents.3

The evaluation used an experimental design and compared both classroom instruction by itself and classroom instruction with homework assignments.4 However, the sample size was small, not allowing it to detect small effects. Given that caveat, the results indicated that the parent activities increased the frequency of communication but not the comfort level. In addition, they did not have a significant impact upon student knowledge, sexual attitudes, sexual behaviors, or intention to have intercourse. On the positive side, they did increase self-efficacy to avoid high-risk behaviors and the intention to avoid intercourse prior to completing high school.

Other studies have also found that homework assignments designed to help students discuss particular sexual topics with their parents do increase parent-child communication about those topics, at least in the short run.5 These assignments are sometimes quite long. For example, in one program, the median length of time that parents spent discussing sexuality was 30 minutes.6 Parents commented that the assignments provided a justification for talking about these issues and made it easier and more comfortable to talk about them.7 Some parents even indicated it was the first time they had talked about sexuality with their teens.

Another study is particularly important because it included random assignment of school districts to three conditions—classroom instruction plus parent component, classroom instruction only, and neither; a large sample size (N=1,669) with sufficient statistical power to detect relatively small effects; and long-term measurement of many outcomes. The Youth AIDS Prevention Project (YAPP), a middle school AIDS-prevention program, included two homework assignments in the seventh grade and one in the eighth grade.8 Prior to these homework assignments, parents received packets with information from the Centers for Disease Control and Prevention on how to answer their children's HIV-related questions. Also, parents were encouraged to attend parent meetings and to participate in additional AIDS-prevention activities. Process data revealed that between 65 and 74 percent of the students completed each homework assignment.Thus, these activities reached substantial numbers of parents. In contrast, only approximately 10 to 15 parents attended each of the parent meetings.

The impact results demonstrated that the parent component did not have a significant and positive impact over time on any of the following outcomes: knowledge, comfort talking with parents about sexuality, importance of parents' feelings about sexuality, perception of how upset parents would be if their children had sexual intercourse, initiation of sexual intercourse, frequency of sexual intercourse, or use of condoms.

This study provides rather strong evidence that homework assignments can involve many parents and presumably increase their communication with their children during the course. However, three homework assignments involving communication with parents do not have effects upon the students' subsequent sexual behavior.

Some programs have included multiple approaches. For example, in the Chicago area, schools encouraged eighth graders to view with their parents a six-part series on AIDS aired on television that was accompanied by a 16-page supplement in a major newspaper.9

With encouragement from the schools, at least 79 percent of the students viewed at least part of the program; in contrast, only nine percent of the control group viewed parts of the television program. As a result, both parent-child communication and knowledge about AIDS increased.This study demonstrates the potential effectiveness of combining homework assignments and mass media as a method of increasing short-term parent-child communication about a sexual topic.

In conclusion, studies of programs to reach parents through schools indicate that:

  • It is possible to reach large numbers of parents through student homework assignments
  • Large proportions will complete these assignments
  • Homework components can include at least five different assignments and various and more complex activities, such as role playing
  • These assignments do increase parent-child communication, at least in the short run
  • Homework assignments may not change the students' sexual attitudes or sexual behavior in the long run

References

  1. S. M. Blake, L. Simkin, R. Ledsky, C. Perkins, and J. M. Calabrese, "Effects of a Parent-Child Communications Intervention on Young Adolescents' Risk for Early Onset of Sexual Intercourse," Family Planning Perspectives, 2001, vol. 33, no. 2, pp. 52-61; D. Kirby, R. P. Barth, N. Leland, and J.V. Fetro, "Reducing the Risk: Impact of a New Curriculum on Sexual Risk-Taking," Family Planning Perspectives, 1991, vol. 23, no. 6, pp. 253-63.
  2. S. M. Blake, L. Simkin, R. Ledsky, C. Perkins, and J. M. Calabrese, "Effects of a Parent-Child Communications Intervention on Young Adolescents' Risk for Early Onset of Sexual Intercourse," Family Planning Perspectives, 2001, vol. 33, no. 2, pp. 52-61
  3. Ibid.
  4. Ibid.
  5. N. L. R. Anderson, D. Koniak-Griffin, C. K. Keenan, G. Uman, B. R. Duggal, and C. Casey, "Evaluating the OUtcomes of Parent-Child Family Life Education," Scholarly Inquiry for Nursing Practice: An International Journal, 1999, vol. 13, no. 3, pp. 211-34; D. Kirby, R. P. Barth, N. Leland, and J.V. Fetro, "Reducing the Risk: Impact of a New Curriculum on Sexual Risk-Taking," Family Planning Perspectives, 1991, vol. 23, no. 6, pp. 253-63.
  6. D. Kirby, R. P. Barth, N. Leland, and J.V. Fetro, "Reducing the Risk: Impact of a New Curriculum on Sexual Risk-Taking," Family Planning Perspectives, 1991, vol. 23, no. 6, pp. 253-63.
  7. Ibid.
  8. 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, (Supplement A), pp. 90-106.
  9. I. Crawford, L. A. Jason, N. Riordan, J. Kaufman, D. Salina, L. Sawalski, F. C. Ho, and E. Zolik, "A Multimedia-Based Approach to Increasing Communication and the Level of AIDS Knowledge within Families," Journal of Community Psychology, 1990, vol. 18, pp. 361-73.

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