Perceptions and effects of a brief media literacy intervention targeting adolescent alcohol use: Potential moderators of program effects Elvira Elek1, Kathryn Greene2, Kate Magsamen-Conrad2, Smita C. Banerjee3, Michael L. Hecht4, & Itzhak Yanovitzky2 1RTI International, Washington, DC; 2Rutgers University; 3Memorial Sloan Kettering Cancer Center; 4Pennsylvania State University 1. Introduction 3. Study Methods (continued) 4. Results (continued) 4. Results (continued) Media literacy-based interventions have been identified as promising Feasibility Test Gender (and interaction with Condition) – not significant for workshop involvement, perceived gain, positive alcohol expectancies, descriptive norms, or alcohol use intentions; significant interactions described below Sensation seeking (and interaction with Condition) – not significant for involvement, novelty, perceived gain, reflectiveness, overall liking, self-efficacy to counterargue, positive expectancies, descriptive norms, or substance use intentions approaches to address adolescent alcohol use, but existing interventions take too much classroom time and have not been evaluated rigorously or to assess mechanisms of change. Pre- and immediate post-test survey (5-month follow-up post-test not included in these analyses) Existing media literacy interventions generally utilize one of two modes of providing students with the relevant information – focusing lessons on message analysis activities and/or message planning/production activities. Potential differences in the effectiveness of these two modes also have not been examined. 63% female 73% White; 4% Black/African American; 4% American Indian/Alaska Native; 12% Asian American/Pacific Islander; and 10% Hispanic Measures Curriculum perceptions - involvement, novelty, perceived gain, reflectiveness, and The lack of rigorous evaluation of media literacy interventions also has resulted in a lack of assessment of potential moderators of such interventions. Lifetime alcohol use (and interaction with Condition) – not significant for workshop involvement, novelty, perceived gain, reflectiveness, overall liking, selfefficacy to counterargue, positive expectancies 174 10th grade high school students (age 14-16) ratings of the workshop Outcomes - self-efficacy to counter argue, positive alcohol expectancies, norms (perceived peer use) and alcohol use intentions Analyses 2. Purpose Time spent watching TV Average Weekday (and interaction with Condition) – not significant for novelty, perceived gain, reflectiveness, overall liking, selfefficacy to counterargue, positive expectancies, descriptive norms, or substance use intentions Views of Advertising (and interaction with Condition) – not significant for involvement, novelty, perceived gain, reflectiveness, overall liking, self-efficacy to counterargue, positive expectancies, descriptive norms, or substance use intentions Urbanicity (and interaction with Condition) - not significant for involvement, novelty, perceived gain, reflectiveness, overall liking, self-efficacy to counterargue, positive expectancies, or descriptive norms; significant interaction presented below Conclusions Found few significant moderating effects of the Youth Message Development media literacy curriculum in either the pilot or the feasibility study (the pilot study found similar gender effects). Some marginal effects need to be considered more closely. Gender should be considered when revising the curriculum Generalized Linear Model including Condition (Analysis vs. Planning) as a fixed effect and Gender (or one of the other moderators) as a random effect and examining their interaction to assess moderation This poster provides a preliminary look at a number of potential moderators of media literacy program effects including: Gender Prior lifetime alcohol use Urbanicity of school (small town/rural vs. city/suburban) 5. Discussion 4. Results Limitations Gender – Significant Interactions Time spent watching TV on an average weekday Sensation seeking effects Feasibility Study - Novelty Feasibility Study - Self-efficacy to Counter-argue 5 4.5 • Does the curriculum produce better outcomes for students more at risk (e.g. Low overall rates of alcohol use 4 3.5 Analysis 3 Planning Next Steps 3.5 Use findings about moderators to revise the brief Youth Message Analysis 3 Planning 2.5 • Do males and females differ in their perceptions of the curriculum? Students chosen for leadership program 4.5 4 Sample Research Questions: Representativeness 5 Prior perceptions of advertisements The examination of moderators took place in the context of two studies comparing the two versions (Analysis vs. Planning) of the brief Youth Message Development (YMD) curriculum. The two studies consisted of 1) a pilot test and 2) a feasibility test. Sample size – limited power to conduct analyses and examine interaction Gender – Significant Interactions 2.5 2 1.5 1 Male those who have already used alcohol)? 1 Female Male Selected References Female • Do pre-existing positive perceptions of advertising lessen the impact of the media literacy curriculum? Feasibility Study - Liking Austin, E. W., & Johnson, K. (1997). Effects of general and alcohol-specific media literacy training on children’s decision making about alcohol. Journal of Health Communication, 2, 17-42. Urbanicity – Significant Interaction Banerjee, S. C., & Greene, K. (2006). Analysis versus production: Adolescent cognitive and attitudinal responses to anti-smoking interventions. Journal of Communication, 56, 773-794. 5 Feasibility Study - Intentions to Use Alcohol 4.5 3. Study Methods Banerjee, S. C., & Greene, K. (2007). Anti-smoking initiatives: Examining effects of inoculation based media literacy interventions on smoking-related attitude, norm, and behavioral intention. Health Communication, 22, 37-48. 4 4 3.5 Both Studies Students attending a 3-day leadership training workshop; 4-10 students per school; over 50 schools from across Pennsylvania (representing rural, suburban, and urban school districts) persuasive techniques, and production features in the context of alcohol ads 3 Pilot Test Kubey, R. (2004). What is media education and why is it important? Television Quarterly, 34, 21- 27. Analysis 3 Planning Analysis 2.5 Planning 2.5 2 1.5 Contact Information 1.5 1 1 Rural/Small Town Male Urban/Suburban Female Immediate post-test only anonymous survey 149 10th grade high school students (age 14-16) 68% female 78% White; 13% Black/African American; 10% American Indian/Alaska Native; 3% Asian American/Pacific Islander; and 22% Hispanic Kupersmidt, J. B., Scull, T. M., & Austin, E. W. (2010). Media literacy education for elementary school substance use prevention. Pediatrics, 126, 525-531. 2 For the target activity, half of the students participated in an anti-alcohol poster planning session while the other half analyzed anti-alcohol ads Hobbs, R. (1998). The seven great debates in the media literacy movement. Journal of Communication, 48, 16-32. 3.5 75 minute curriculum (one lesson in workshop) All students received basic media literacy training – learning about ad claims, Conduct an efficacy study of the curriculum with a larger and more diverse sample in an out-of-school setting (4H clubs in Ohio, Pennsylvania, and New Jersey) 2 1.5 Development Media Literacy curriculum This poster was supported by grant #R21 DA027146 to Rutgers University, Kathryn Greene Principal Investigator. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institute for Drug Abuse or the National Institutes of Health. Presenting author: Elvira Elek For further information: RTI International, 701 13th Street NW, Suite 750; Washington, DC 20005-2967 Phone: 202-728-2048 • Email: [email protected] Presented at: American Public Health Association, 139th Annual Meeting, October 2011, Washington, DC RTI International is a trade name of Research Triangle Institute.
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