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The design & development of an intervention about young men & unintended teenage pregnancy

ICL Conference, QUB Feb 2014

Maria Lohan, Áine Aventin, Peter O’Halloran, Marion Henderson & Carmel Kelly

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Aims of today’s talk

1.Why we developed the educational resource

2. How we went about it

3. What are some key lessons we learned?

Why?

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5Source: Wilkinson & Pickett, The Spirit Level (2009)

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What’s men got to do with it?

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How?

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What the UK MRC Guidelines say

Phase 1 development work :

identification of the relevant evidence base;

modelling of a theoretical understanding of the phenomenon and

exploratory mixed methods research to consult with end users and key stakeholders 8

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Development of evidence base

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Movie-based Approach

Method: a computer based interactive video drama (IVD)

• Brings to life a story…

• Participants have to role play

• Potential as an educational intervention

What the UK MRC Guidelines say

Phase 1 development work :

identification of the relevant evidence base;

modelling of a theoretical understanding of the phenomenon and

exploratory mixed methods research to consult with end users and key stakeholders 11

Modelling of Theoretical Understanding

Self-efficacy in communicating about UP

Perceptions of negative consequences associated with UP

High rates of unintended adolescent

pregnancy (UP)

Problem Curriculum Activities

Psychosocial Factors Affected

Knowledge about support services and the consequences of UP and pregnancy resolution decisions

If I Were Jack Educational Resource

Theory of Change Model

Sexual Health Outcome

Educational Outcomes

Neglected focus on young men

Attitudes, values and beliefs about UP and its consequences

Increased Intention to

avoid adolescent pregnancy

Perceptions of gender norms associated with UP

Negative impacts of UP on emotional, psychological and physical

wellbeing

If I were Jack educational

resource

Improved self-efficacy in communicating about UP

Increased awareness of personal attitudes, values and beliefs in relation to UP

Increased awareness of potential negative consequences of UP and available support services

Increased awareness of gender norms associated with UP

Refining the content in consultation

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Some lessons Learned

1. Know & engage the target population

2. Know the behaviours to be targeted & model a process of change

3. Look beyond development to evaluation by engaging stakeholders.

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Acknowledgement of Research Team

Present and past team members:Dr Sharon Cruise, QUBDr Carmel Kelly, QUBDr Marion Henderson , Medical Research Council's

Social and Public Health Sciences Unit. Prof. Fiona Alderdice QUBProf. Abbey Hyde, University College Dublin

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Acknowledgement of Research Funding

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References • Lohan M (2007) How Might We Understand Men's

Health Better? Integrating Explanations From Critical Studies On Men And Inequalities In Health. Social Science & Medicine, 65: 493-504.

• Lohan, M., Cruise, S., O’Halloran, P., Alderdice, F., and Hyde, A. (2010) Adolescent men’s attitudes in relation to pregnancy and pregnancy outcomes: A systematic review of the literature from 1980-2009. Journal of Adolescent Health 47 (4), 327-345.

• Lohan, M., Cruise, S., O’Halloran, P. Alderdice, F., and Hyde, A.  (2011) Adolescent men’s attitudes and decision-making in relation to an unplanned pregnancy. Responses to an interactive video drama, Social Science & Medicine, 72, 1507-1514.

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References • Hyde, A. Carney, M., Drennan, J. Butler, M., Lohan,

M. and Howlett, E (2010) The silent treatment: parents’ narratives on sexuality education with their adolescent children. Culture Health and Sexuality 12, (4), 359-371.

• Hyde, A., Drennan, J., Lohan, M., Carney, M. and Howlett, E. (2013 in press) Parent's Communication about Safer Sex with their Children. Journal of Clinical Nursing.

• Lohan, M., Olivari, M.G., Corkindale, C., Milani, L., Confalonieri, E., Cruise, S., O'Halloran, P., Alderdice, F. and Hyde, A. (2013). Adolescent Men's Pregnancy Resolution Choices in Relation to an Unintended Pregnancy: A Comparative Analysis of Adolescent Men in Three Countries. Journal of Family Issues, 34(8), 1037

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