CONTEXT: The relative effectiveness of interventions to improve parental communication with adolescents about sex is not known.
OBJECTIVE:To compare the effectiveness and methodologic quality of interventions for improving parental communication with adolescents about sex.
METHODS:We searched 6 databases: OVID/Medline, PsychInfo, ERIC, Cochrane Review, Communication and Mass Media, and the Cumulative Index to Nursing and Allied Health Literature. We included studies published between 1980 and July 2010 in peer-reviewed English-language journals that targeted US parents of adolescents aged 11 to 18 years, used an experimental or quasi-experimental design, included a control group, and had a pretest/posttest design. We abstracted data on multiple communication outcomes defined by the integrative conceptual model (communication frequency, content, skills, intentions, selfefficacy, perceived environmental barriers/facilitators, perceived social norms, attitudes, outcome expectations, knowledge, and beliefs). Methodologic quality was assessed using the 11-item methodologic quality score.
RESULTS:Twelve studies met inclusion criteria. Compared with controls, parents who participated in these interventions experienced improvements in multiple communication domains including the frequency, quality, intentions, comfort, and self-efficacy for communicating. We noted no effects on parental attitudes toward communicating or the outcomes they expected to occur as a result of communicating. Four studies were of high quality, 7 were of medium quality, and 1 was of lower quality. Funded by the National Institutes of Health (NIH).
CONCLUSIONS:
494AKERS et al by guest on May 10, 2018 http://pediatrics.aappublications.org/ Downloaded from Adolescent sexual behavior is a normal developmental milestone. However, the social and public health consequences of adolescent sexual activity are tremendous. Of the 18 million sexually transmitted infections diagnosed in the United States each year, 1,2 half occur in adolescents. [3][4][5] Pregnancy affects 750 000 adolescents annually, 80% of which are unintended. 6 Despite recent declines in the number of sexually active adolescents, engagement in risky sexual behaviors remains problematic. 7 Adolescents who recall a parent talking with them about sex are more likely to report delaying sexual initiation [8][9][10] and increasing condom 8,11,12 and contraceptive 11,13 use. In light of these findings, interventions for improving parental communication about sex have been developed. 14 Although dozens of interventions exist, they have not been rigorously compared. We sought to examine whether interventions for improving parental communication with adolescents about sex are effective at strengthening multiple communication domains and to assess the methodologic quality of these interventions.
METHODSWith the assistance of health science librarians, 6 databases were searched: OVID/Medline (1980 to July 2010), PsychInfo (1980 to July 2010), ERIC (1980 to July 2010), Cochrane Review (until...