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![Least favorite parts
The time
seemed short
[Youth] would rather
just go home and
sleep. Go smoke and
drink.
They didn’t go
over other
jobs
I was tired
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In the Know: Comprehensive sexual health education with wraparound digital technologies
The document discusses the outcomes and challenges of the youth-centered initiative 'In the Know,' which provided comprehensive sexual health education to underserved youth in Fresno, California. It highlights lessons learned about limited sexual health education resources and the program's objectives to improve health awareness, relationship knowledge, and access to services. The initiative included innovative design processes involving youth input, and preliminary results indicated some positive impacts on participants' sexual health knowledge and resource utilization.
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In the Know: Comprehensive sexual health education with wraparound digital technologies
- 2. Successes and LessonsLearned From An Innovative Youth-Centered Initiative the youth + tech + health conference (May 6-7, 2018) yth live Ythlive.org Melisa Price (UCSF), Mariela Uribe (YTH), and Emma Schalmm
- 3. The views expressedin written training materials, publications, or presentations by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. Funded by Department of Health and Human Services, Family and Youth Services Bureau, under grant #90AP2688 2
- 4. • 5-year randomized-controltrial in Fresno, California • In-person, group-based, comprehensive sexual health education + phone app • Homeless and unstably housed youth, youth of color, LGBTQ youth, and Native American youth • Ages 13-19 What is In the Know? 4
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- 6. Adolescent Birth Rates:US, California 70.9 46.7 31.6 17.6 61.8 47.7 22.3 0 10 20 30 40 50 60 70 80 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 CA US 34.2 BirthRate(per1,000femalesage15-19) Sources: California Department of Public Health and Office of Adolescent Health (2017) 7
- 7. Fresno County Sources: (Map)California Adolescent Sexual Health Needs Index. California Department of Public Health, Maternal, Child and Adolescent Health Program; 2016. 2016 STD Surveillance Report. STD Control Branch. Adolescent birth rate • Fresno: 32.6 • CA: 17.6 • Chlamydia rate (females 15-24) • Fresno: 3637 (#1) • CA: 2747 • Gonorrhea rate (females 15-24) • Fresno: 605 (#3) • CA: 355 8
- 8. Lessons learned • SRHeducation often limited • Lacking connections to local services • Curricula out-of-date, not designed by youth • Often missing youth who most need the information 10
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- 10. Objectives 1. Increase useof condoms and contraceptives among those who are sexually active. 2. Improve awareness about healthy relationships and decrease the incidence of sexual, physical, and emotional violence among youth. 3. Improve educational and career skill development and attainment. 4. Develop healthy life skills including goal setting and stress management. 5. Increase access to healthcare and other services through referrals and information. 12
- 11. positive youth development positiveyouth development human-centered design We involve & engage youth as partners & respect their knowledge, strength, & leadership. We design, iterate, & share solutions that meet the needs of youth & reflect their experiences. 13
- 12. Youth-Centered Health Design Inspiration Duringthis phase, we conduct interviews, research, and learn as much about the issue as possible. 15
- 13. Youth Centered HealthDesign in Fresno Photo: Decker, 2017 16
- 14. Youth-Centered Health Design Ideation Duringthis phase, we brainstorm solutions to make prototypes. 18
- 15. Youth-Centered Health Design:Ideation 19 Photo: YTH, 2017
- 16. Youth-Centered Health Design RapidPrototyping Before implementation… We start to rapid prototype. This means we are bringing one of the ideas to life, using creative materials. 20
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- 18. Youth-Centered Health Design:Prototyping Photo: Decker, 2017 23
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- 23. 32 WHAT DOES IT LOOKLIKE IN PRACTICE?
- 24. Setting • Alternative schools •Foster care • Reservations • Genders & Sexualities Alliance • Boys and Girls Clubs • Fresno Housing Authority 34
- 25. What Has WorkedWell • Implementation after school or evening • Referring to “In the Know” as an adolescent development program • Incentives for completing all the modules • Food and drinks • Flexibility with schedule • Success with other implementation sites 40
- 26. Challenges • Intervention vscontrol group • Difficult to schedule with site • In school implementation because of comprehensive sex education • Not all youth have cell phones • Data, space, battery, share with siblings • Retention of youth • Too many days? Length? Priorities? 41
- 27. 43 DOES IT MAKEA DIFFERENCE?
- 28. Sample and ResearchQuestion • Groups of 10-20 students (cohorts) • Estimated 136 cohorts/1360 participants • Enrolled over 2 years • To what extent does In the Know impact short term and long term outcomes? • What sociodemographic variables moderate the impact of In the Know? 46
- 29. Sexual and reproductivehealth (n=133) 48.1 11.0 59.4 0 10 20 30 40 50 60 70 80 90 100 Ever had vaginal sex Ever pregnancy Know of SRH clinic Source: Preliminary PREIS baseline results March, 2018 % 51
- 30. Baseline use oftech for health (n=133) To look for sexual health info: 21% To find or schedule health services: 23% 53Source: Preliminary PREIS baseline results March, 2018
- 31. Focus group quotes Itexplained a lot…things like you actually need. I thought it was going to be boring. It was good actually. 56
- 32. Favorite parts Budgets Healthy relationships andcommunicating without fighting The first day – it was funny Interviewing The jobs because it’s going to prepare us for our future 57
- 33. Least favorite parts Thetime seemed short [Youth] would rather just go home and sleep. Go smoke and drink. They didn’t go over other jobs I was tired 58
- 34. Acknowledgements • Mara Decker,our PI • The talented teams at YTH, Fresno EOC, and IHPS/UCSF • All the youth who helped to develop In the Know and continue to offer their insights 60 Photo: Sullivan, 2017
- 35. References Resources • YTH.org– Youth-centered tech solutions • Healthpolicy.ucsf.edu – Evaluation resources • Kahoot.com – Game-based learning • Amaze.org – Sexual and reproductive health educational videos 61 • California Department of Public Health. 2017. Adolescent Births in California 2000-2015. Sacramento, CA: California Department of Public Health. • (Map) California Adolescent Sexual Health Needs Index. 2016.California Department of Public Health, Maternal, Child and Adolescent Health Program. • 2016 STD Surveillance Report. 2016. STD Control Branch.
- 36. Melisa Price University ofCalifornia, San Francisco [email protected] Mariela Uribe YTH [email protected] Emma Schlamm YTH [email protected]