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Automated adolescent preventive services using computer-assisted video multimedia
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POSTERPRFSENTATIONS
JOURNALOF ADOLESCENTHEALTHVol. 15, No,
AUTOMATED ADOLESCENT PREVENTATIVE SERVICES USING COMPUTERASSISTED VIDEO MULTIMEDIA. David M. N. Paperny M.D,, Dept. of pediatrics, Univ of Hawaii School of Medicine, Honolulu, Hawaii. The 1992 AMA Guidelines for Adolescent Preventative Services recommend age-specific anticipatory guidance and identification of high-risk behaviors and health needs. A computer program was designed to obtain an accurate, comprehensivebehavioral and health history, identify problem areas and health needs, give selective anticipatory guidance, then provide problem-specifichealth advice and local referrals. Teens enjoy anonymously engaging the nonjudgmental computer, which facilitates acceptance of automated medical advice. Within minutes, the computer completes the interview,printsfeedback, dispenses specific handouts, then administers relevant selections from a library of ultra-succinct,high impact health education videos designed for computer use. Evaluation of educationalmedia used at outpatient physical exams assessed improvementsin users' knowledge regarding smoking and sex. Test instruments based on the content of each video script were developed to assess impact of two different automated interventions. One third of a random sample of 595 anonymous teen computer users (average age 15.4 years, 51% female) had videos administered;the second matched third had no videos but were dispensed handouts identical to the scripts, and one third as matched controls were computer users without handouts or videos. Measures of six knowledge items about smoking and sex were separately made on control and two experimental groups. Media users increased their knowledge of oral contraceptives,HIV testing, Depo-Provera, cigarette costs, smoker health care costs, and non-smoker longevity. The 215 computer/videousers had 57% more knowledge improvementsthan the 194 computer/handoutusers; both groups showed significantlygreater knowledge gains (p/0.05) than the control group of 186. There were 81% of teens who preferred the computer system over a personal interview. Physicians found computer-assistedvideo a reliable, time-saving health education tool. Computerized health assessment with video multimedia advice is a promising interventionfor adolescent health promotion,
COMPARISON OF A COMPUTER INTERACTIVE VIDEODISC PROGRAM TO TEACHER LED SEXUALITY EDUCATION. Howard
Schubiner, M.D.; Anju Sikand, M.D. Departments Of Pediatrics and Internal Medicine. Wayne State University, Detroit, MI. Computer technologies which combine consistentlyaccurate information with interactive video images have potential to be an effective form of health education for adolescents. This study compares the response of high school students to a computer interactive videodisc program (CIVD) designed for African-Americanyouth with their response to traditional teacher-led health education (TLHE). Students at an urban high school were randomized to receive the CIVD or the TLHE program on day one and then crossed over to the other proqram on day two. Each program lasted one school hour. The CIVD program offers information on sexuality in database and game formats, allows students to see video images of youth discussing sexual issues with peers and the direct consequences of decisions made by the students for the actors. In the TLHE program, students were taught through the use of role plays using identical situations to that of the CIVD program. Students evaluated the programs each day using a 16 item instrument scored on a 5 point Likert scale. 94 students (mean age 15.8, 77% female) participatedon both days. 6 of the 16 items were found to be statisticallysignificant (~~0.05 by paired ttest) in favor of the CIVD: "1 liked the presentation,lt"it answered my questions about sex,II"it helped me understand the other sex's point of view," "it gave me good ideas on how to talk about sex," "1 was comfortablewith how the topics were covered," and "I could relate to people I heard about." One item was found to be significantly in favor of the TLHE: @*my parents could relate to this presentation." The CIVD program was preferred by students and has great promise for health education for adolescents.
POSTERPRFSENTATIONS
JOURNALOF ADOLESCENTHEALTHVol. 15, No,
AUTOMATED ADOLESCENT PREVENTATIVE SERVICES USING COMPUTERASSISTED VIDEO MULTIMEDIA. David M. N. Paperny M.D,, Dept. of pediatrics, Univ of Hawaii School of Medicine, Honolulu, Hawaii. The 1992 AMA Guidelines for Adolescent Preventative Services recommend age-specific anticipatory guidance and identification of high-risk behaviors and health needs. A computer program was designed to obtain an accurate, comprehensivebehavioral and health history, identify problem areas and health needs, give selective anticipatory guidance, then provide problem-specifichealth advice and local referrals. Teens enjoy anonymously engaging the nonjudgmental computer, which facilitates acceptance of automated medical advice. Within minutes, the computer completes the interview,printsfeedback, dispenses specific handouts, then administers relevant selections from a library of ultra-succinct,high impact health education videos designed for computer use. Evaluation of educationalmedia used at outpatient physical exams assessed improvementsin users' knowledge regarding smoking and sex. Test instruments based on the content of each video script were developed to assess impact of two different automated interventions. One third of a random sample of 595 anonymous teen computer users (average age 15.4 years, 51% female) had videos administered;the second matched third had no videos but were dispensed handouts identical to the scripts, and one third as matched controls were computer users without handouts or videos. Measures of six knowledge items about smoking and sex were separately made on control and two experimental groups. Media users increased their knowledge of oral contraceptives,HIV testing, Depo-Provera, cigarette costs, smoker health care costs, and non-smoker longevity. The 215 computer/videousers had 57% more knowledge improvementsthan the 194 computer/handoutusers; both groups showed significantlygreater knowledge gains (p/0.05) than the control group of 186. There were 81% of teens who preferred the computer system over a personal interview. Physicians found computer-assistedvideo a reliable, time-saving health education tool. Computerized health assessment with video multimedia advice is a promising interventionfor adolescent health promotion,
COMPARISON OF A COMPUTER INTERACTIVE VIDEODISC PROGRAM TO TEACHER LED SEXUALITY EDUCATION. Howard
Schubiner, M.D.; Anju Sikand, M.D. Departments Of Pediatrics and Internal Medicine. Wayne State University, Detroit, MI. Computer technologies which combine consistentlyaccurate information with interactive video images have potential to be an effective form of health education for adolescents. This study compares the response of high school students to a computer interactive videodisc program (CIVD) designed for African-Americanyouth with their response to traditional teacher-led health education (TLHE). Students at an urban high school were randomized to receive the CIVD or the TLHE program on day one and then crossed over to the other proqram on day two. Each program lasted one school hour. The CIVD program offers information on sexuality in database and game formats, allows students to see video images of youth discussing sexual issues with peers and the direct consequences of decisions made by the students for the actors. In the TLHE program, students were taught through the use of role plays using identical situations to that of the CIVD program. Students evaluated the programs each day using a 16 item instrument scored on a 5 point Likert scale. 94 students (mean age 15.8, 77% female) participatedon both days. 6 of the 16 items were found to be statisticallysignificant (~~0.05 by paired ttest) in favor of the CIVD: "1 liked the presentation,lt"it answered my questions about sex,II"it helped me understand the other sex's point of view," "it gave me good ideas on how to talk about sex," "1 was comfortablewith how the topics were covered," and "I could relate to people I heard about." One item was found to be significantly in favor of the TLHE: @*my parents could relate to this presentation." The CIVD program was preferred by students and has great promise for health education for adolescents.