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


Home-Based Programs for Parents and their Children

Another approach to involve parents in their children's sexuality education would reach them in their homes through video or written materials.

Home-based video programs have several possible advantages. First, they do not require parents to go to a particular location at a particular time. Instead, health clinics, schools, or libraries can loan the materials to parents. In addition, parents can review the program and make certain they are comfortable with both the values discussed and the activities suggested prior to using them with their own children. And finally, the home-based programs can teach skills that parents can practice and use in the home to teach their children.

On the other hand, home-based video programs have several disadvantages. One is that families may not complete the activities or may simply view them (which is relatively easy to do), without completing the role playing or skill practice (which requires much more initiative, involvement, and thinking and may feel threatening). In addition, the videos may seem unrealistic to both young people and parents.Youth often think the teens in videos dress or act differently than they themselves do and that the situations are not realistic. Both the youth and their parents may also have difficulty relating to the youth and the situations in the video because they feel they are contrived.

Home-based video programs are often quite comprehensive. For example, Facts and Feelings was a video program that included six videos and written materials.1 The videos provided information, modeled parent-child communication in dramatic scenarios, and emphasized sexual values consistent with abstinence. Each of the six videos was brief (about 15 to 20 minutes) so that families could discuss the topics after viewing each video.The written materials suggested questions and topics for discussion.Together they covered changes in puberty, facts about reproduction, parent-teen communication, values and sexual behavior, sexuality in the media, decision-making skills, and communication skills. Because of the targeted age group (10 to 14 year olds), the program focused on abstinence. In addition, phone calls were made biweekly to encourage the use of the materials.

In a study that employed an experimental design and both three-month and one-year follow-ups, results indicated that the program increased teen knowledge and parent-child communication during the first three months after the families had the videotapes but that those increases dissipated within the year.

The program did not significantly affect students' values, their perceptions of parents' values, their perception of peer values, their perceived likelihood of having intercourse before marriage, the likelihood of intercourse during the following year, or the actual onset of intercourse.The last finding was not surprising, since less than five percent of the preteens and young teens in the treatment and control groups had initiated intercourse.

In sum, the results indicated that the program did increase parent-child communication about sexuality in the short run, but this effect did not endure and did not have an impact upon other values, intentions, or behavior of the young people.

This study and others demonstrate it is possible to develop comprehensive video-based materials for families to watch together and that under some conditions—particularly with encouragement—families will watch them.2 However, families and their children may not engage in all the suggested discussions and/or activities.The videos can increase parent-child communication about sexuality, but they may not prove sufficiently powerful to cause many other measured effects upon the teens.

In addition to these videos, hundreds of written materials have been designed to send home to parents.These range from postcards with a simple message, to parent newsletters, to thoughtful manuals, to book-length guides on talking with children about sexuality. No evaluations of these materials met the criteria for inclusion in this analysis. However, it appears likely that these materials—especially the short ones—might slightly increase parent knowledge and might briefly and slightly increase their motivation to talk with their children.

The periodic newsletters might prove somewhat more effective, and the lengthy instructional guides might help those parents who actually use them. Unfortunately, many parents, especially those of young people at highest risk, are not likely to read much of the text and act upon it. Despite their impact, which is likely to be modest at best, the low cost of most of these materials may mean they are actually cost effective.


References

  1. B. C. Miller, M. C. Norton, G. O. Jenson,T. R. Lee, C. Christopherson, and P. K. King, "Impact Evaluation of Facts & Feelings: A Home-Based Video Sex Education Curriculum," Family Relations, 1993, vol. 42, no. 4, pp. 392-400.
  2. R. A. Winett, E. S. Anderson, J. F. Moore, K. J. Sikkema, R. J. Hook, D. A.Webster, C. D.Taylor, J. E. Dalton,T. H. Ollendick, and R. M. Eisler, "Family/Media Approach to HIV Prevention: Results with a Home-based, Parent-Teen Video Program," Health Psychology, 1992, vol. 11, no. 3, pp. 203-6; R. A. Winett, E. S. Anderson, J. F. Moore, C. D.Taylor, R. J. Hook, D. A.Webster,T. E. Neubauer, M. C. Harden, and L. L. Mundy, "Efficacy of a Home-Based Human Immunodeficiency Virus Prevention Video Program for Teens and Parents," Health Education Quarterly, 1993, vol. 20, no. 4, pp. 555-67.

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