Wednesday, March 11, 2015

Assessment Results

Our group conducted a focus group at the Salt Lake Center for Science Education (SLCSE) on February 12, 2015. A small group of parents and educators attended the meeting and provided their input on three main questions: the importance of sex education in their community, how they are providing sex education to their children and how comfortable they are providing that information, and what type of tools they feel they are missing when trying to address sex education with the children in this community.
       Several key themes emerged from this discussion upon analysing the transcribed data.  All parents in this discussion agreed that sex education is very important for their youth and that discussions around sex and sexuality is normal and should be present and ongoing.  However, parents feel that although they would like to be the ones providing information about sex education to their children,  they don’t think their children will take the conversations seriously because it’s coming from them. The majority of parents present agreed on this matter, one even stating,  “I don’t feel all that comfortable talking to my son about some things. Well, actually it’s not that I don’t feel comfortable, he doesn’t feel comfortable talking to me”.  Several educators present in the meeting who have experience talking to youth about sexuality identified with this discomfort in discussing this information with their own children.  One woman stated, “I’m an in-home therapist, so I have access to that information. I work with human and family services and I use the information with my clients, but I will admit the thought of using them with my own kids gives me a lot of anxiety.”  Another stated, “I feel like my son is very unlikely to talk to me about it, I’ve talked to hundreds of kids about it… but my own son is probably not going to talk to me about it, but he might talk to one of you”. These findings are concurrent with previous literature on the topic of parents and youth discussing sex education with one another. A study by Klitsch (1992) surveyed 84 high school students and their parents on the level of communication they have with one another in regard to sex education.  The researchers found a that parents and their children reported different levels of comfort in discussing these issues. Less than one fifth of the parents acknowledged that discussing this topic with their children is uncomfortable, whereas half of the male students, and one third of the female students reported feeling uncomfortable discussing the topic with their parents (pg. 51). Another recent study surveying 317 teenagers and 575 of their parents found similar results: parents rated themselves as “comfortable” or “very comfortable” with providing these discussions, while the majority of children in the study reported that they would “definitely not talk to” their parents about these topics, stating embarrassment as the central reason (Ogle, Glasier, & Riley, 2008, p. 283). These findings from our focus group and the literature is problematic for youth because if they’re uncomfortable or unable to take their parents seriously during these discussions, then it’s unlikely that parents are able to effectively deliver information about sex and sexual health without the help of the schools or a community program. This ties into our second prominent theme from the discussion: an overall dislike for the current legislated sexual education program being implemented in state-funded schools.
Parents identified several reasons why the current school-based sex education program does not adequately meet the needs of their youth. They expressed disappointment with the limited content, concerns about the risk of an abstinence only approach and the overt values taught concurrently with the material.  One parent expressed frustration, stating, “I actually signed a document I didn’t want him to be a part of that, and one reason why...is because the Utah legislature basically mandates that abstinence only is taught, and they don’t talk about ways of preventing STIs, and they don’t talk about it in a high school class and I think that is inappropriate...they also talk about the only appropriate place for sex is within a marriage, which to me is inappropriate because it excludes an entire population of people who couldn’t be married at the time.”  The legitimacy of this parent’s concern about the efficacy of abstinence-only curriculum is validated by research comparing the behavior of teens who made a virginity pledge prior to marriage to those who did not.  A study found that over 80% of the students denied having ever made a virginity pledge just five years after making their vow, and that “pledgers” are less likely to protect themselves from pregnancy and disease before marriage (Rosenbaum, 2009, p. 110). In fact, virginity pledges do not affect sexual behavior but appear to decrease the likelihood of taking precautions during sex.
The conservative values taught alongside abstinence only curriculum generated much conversation and concern.  One parent noted the limited scope of the material, referring to its heteronormative position.  Another stated, “I really dislike the state’s approach to it. I think it’s discriminatory, it’s disrespectful, and yeah, I just don’t like it.”  In response to the Abstinence Only Until Marriage (AOUM) movement, much scholarly discussion has been conducted on this oversimplified message and the damage it does to particular groups of people.  In a 2006 Harvard Educational Review Article it was reported,  “the adverse consequences of state policies that curtail education and health are not equally distributed….they fall unevenly on girls, poor and working-class youth, teens with disabilities, Black and Latino adolescents, and lesbian/gay/bisexual and transgender youth.” (Fine & McClelland, p. 299).  The parents speaking at our focus group repeatedly voiced the concerned that the incomplete information provided in public schools left their children and others at risk while promoting Utah’s mainstream societal values and behaviors.  
Lastly, parents and educators in this focus group provided some alternative ways these discussions could be had with youth that would be more effective. Parents discussed the possibility of a school-based workshop for both parents and children to attend together. If parents participated, there would a forum for a more flexible, comprehensive discussion.  One parent felt this would offer a chance to “talk about more than what’s legislated.  I would think that in general for our community of this school, people would be in agreement about this, that it not be heterosexist, that it talk about the full range.”  Other parents remarked on the strengths of programs available through other community based resources.  The opinions about content were diverse, yet they demonstrated the parents’ desire for their children to have access to broader information within the context of sex education.  
Action Plan
Throughout the course of the year, our group has been collecting information regarding the current approach to sexual education and sexually transmitted infection (STI) trainings in Utah.  We have learned that there are several programs that exist statewide that encourage open discussion about the aforementioned issues, but they are not integrated into schools due to restrictions by abstinence-only legislation.  Our focus group expressed concerns with the gaps in the current sexual education programs (like the Healthy Relationships toolkit) that are being taught to their children (Utah Department of Health).  To address these concerns, our group has created the following plan: increase the sexual education knowledge among parents and their children at SLCSE  by April 28, 2015.   We chose the SLCSE because one of our group members could assist us in creating a focus group there, and we liked that the population within this school is diverse and representative of the Salt Lake Valley, even though it was relatively small. Once we established our first focus group, we began thinking about our objectives.
In thinking about our process objective, we want to help empower parents to talk about their concerns regarding the gaps in the current sex education curriculum.  For our outcome objectives, we want to help empower parents to play a role in supplementing the current sex education program by engaging in community-based educational opportunities that can provide them with tools necessary to talk to their children about sex and STIs.  
When exploring which social change model would be most appropriate to meet our goal, the Inclusive Program Development model stood out among the rest (Gamble & Weil, 2010). The model, which focuses on expanding and developing programs through participatory engagement in order to improve service effectiveness (p. 26), is in line with our group’s efforts to collaborate with parents in expanding the current sex education curriculum being taught to their children in order to improve its effectiveness.  In attending focus groups to identify and voice the changes they want to see in the program, these parents are working towards a future collaboration with school administrators and community agencies in improving their children’s sex education.  The hope is that this effort will spark interest and create dialogue among parents in other schools and districts on how to supplement the current sex education program, which will hopefully grow into a larger effort towards changing the curriculum citywide.  Should that happen, then the Coalition model would likely be utilized to help reach the larger goal.
Ultimately, evaluation of our efforts will be determined by a post-test which we conduct with parents to measure their level of perceived knowledge, and perhaps comfort level, with talking to their teens.  We plan on creating a pre-test to establish a baseline and compare to the post-test to determine what changes have occurred. The formal measure will reflect the amount of knowledge parents indicate they gleaned.   Indeed, a tell-tale, informal measure of this would be some parents’ willingness to continue the discussion with other parents in a safe, peer-based environment.  
In addition to our focus group, we are continuing to gather information on our population through follow-up meetings with the stakeholders at SLCSE and our community partners, Planned Parenthood and University Neighborhood Partners (UNP).  Directly after our first focus group meeting, a representative from our team attended a speaking engagement with spokeswoman Leslie Kantor entitled, A Conversation About Sex Education. As Planned Parenthood Federation of America’s Vice President of Education, Kantor stressed the importance of evidence based practice in the field of sexual education.  Kantor compared sex education to helping the homeless to demonstrate her field’s particular need for validation.  “No one disagrees with efforts to help the homeless, right?” Kantor states (Feb. 17, 2015).  In contrast, she stated that the controversial nature of sex education necessitates using validated educational material due to the scrutiny of sex education in the United States. One such program mentioned by Kantor was Families Talking Together.
Families Talking Together (FTT) is described as, “ A brief parent-based intervention to prevent/reduce adolescent sexual behavior” (Resources for parents; 2011).  With goals including increasing parental behavior proven to have an impact on adolescent sexual decision making, FTT is categorized as an effective program by the U.S. Department of Health and Human Services.  In addition, FTT included face to face sessions with parents, teens, and trained educators.  Facilitating invivo  conversation with families was a request by our partners at UNP: Alma Yanagui (community advocate coordinator) and Guadalupe (community advocate and para professional at SLCSE).  Both Alma and Guadalupe are partners through UNP as well as parents of teens at SLCSE.  Alma and Lupe provide us with inside information to SLCSE and direct contact with spanish speaking parents. They will also be responsible for future implementation of FTT not only at SLCSE, but also at addition UNP education pathway partner sites, including East and West High School.
After finding a curriculum that fits the needs of our partners, a representative from our group contacted the educational team at Planned Parenthood in order to plan the event. Coordinating with Annabel Sheinberg, the director of education at Planned Parenthood Utah, we were given a training manual and parent handbook in order to get more familiar with the program components.  Essentially, Sheinberg explained that the FTT consists of three main components:
  • Think Health: Explores why parents need to talk to teens about sex, love, and relationships, and provide them with an understanding of the health stats for teens in their community and any cultural factors that may exist
  • Talk Social: Teen motivations and decision making is different than adults.  This explores how social factors are highly influential whether they are between a teen and friends, a dating partner, or peers.
  • Stay Involved: Explores why monitoring and supervision help teens stay safe, and helps identify ways to communicate with your teen about expectations.
Besides the curriculum, Sheinberg and our partners from UNP will help design how our event will be facilitated.  Since SLCSE has forty percent latino/latina student population, UNP suggested that two facilitators will present, one speaking in spanish and one in english.  In addition, Sheinberg and UNP offered to help provide funds for a small dinner for families who attend. Our team will coordinate with SLCSE advisory instructor Lisa Prucell to have a volunteer on hand to provide childcare for families with younger children.   On Thursday March 12th, a representative from our group will attend the School Community Council (SCC) and the Parent Teacher Student Organization (PTSO) in order to present our planned event.
Based on our analysis of the focus group we feel confident that our target population, in this case parents of teenaged students, will be receptive and fully participatory in our efforts.  It’s evident that our focus group echoed the findings of a 2008 study that focused on how parents and adolescents communicate with each other about sex and how that can increase anxiety and avoidance on the part of the parent and teen (Afifi, Joseph, & Aldeis).  Ultimately, the findings suggest that when parents are informal, receptive and “composed” during conversations, their teenagers were less anxious and avoidant (p. 689).  Simply by their desire to communicate with their teens on some level about sex, parents’ resulting receptivity to and participation in our workshop is tantamount to the success of our outreach.  We believe the outline of a revised and robust curriculum could be realized.  




References
Afifi, T., Joseph, A., Aldeis, D. (2008). Why can’t we just talk about it?: An observational study              of parents’ and adolescents’ conversations about sex.  Journal of Adolescent Research, 23(6), 689-721.


Fine, M. & McClelland, S. (2006). Sexuality education and desire: Still missing after all
these years. Harvard Educational Review, 76(3), 297-338.


Gamble, D. N., & Weil, M. (2010). Conceptual frameworks and models for community practice. In Gamble, D.N. & Weil, M. (Eds.), Community practice skills: Local to global perspectives (p. 24-46). New York, NY: Columbia University.


Guilamo-Ramos, V., Lee, J., & Jaccard, J. (2012). Families talking together: Creating healthy family conversations to prevent teen pregnancy. The National Campaign to Prevent Teen and Unplanned Pregnancy. New York; Center for Latino Adolescent and Family Health.


Kantor, L. (Director). (2015, February 17). A conversation about sex education. Contraception Week. Lecture conducted from Planned Parenthood of Utah, Park City .


Klitsch, M. (1992). When parents and kids talk sex. Family Planning Perspectives,
24(2), 50-51.


Ogle, S., Glasier, A., & Riley, S. C. (2008). Communication between parents and their
children about sexual health. Contraception, 77(4), 283-288. doi:10.1016/j.contraception.2007.12.003


Resources for parents; Families talking together. (2011, January 1). Retrieved from http://www.clafh.org/resources-for-parents/parent-materials/


Rosenbaum, J. E. (2009).  Patient teenagers? A comparison of the sexual behavior of
virginity pledgers and matched nonpledgers.  Pediatrics, 123(1), 110-120.


Utah Department of Health. (n.d.). Healthy relationships toolkit. Retrieved from http://health.utah.gov/vipp/pdf/DatingViolence/Healthy%20Relationships%20Toolkit.pdf

Wednesday, January 28, 2015

Assessment Plan and Semi-Structured Assessment Guide

ASSESSMENT PLAN:

       Based on our preliminary research, it’s evident that the chosen maturation and sexual education programs for Utah teens are heavily influenced by multiple boards and agencies, as well as some vocal parents and community members who believe the home, not the school, is the best forum for such an education.  Despite the varied and powerful forces that shape the sexual education curriculum in public schools, it’s uncertain if parents understand or support what is being taught to teens. To gain a better understanding of this issue, our group has developed an assessment plan to obtain information from parents and teachers regarding attitudes about sex education in public schools, how and if these topics are effectively taught at home, and the resources parents rely upon to obtain the requisite expert information.  We have chosen to conduct a focus group at the Salt Lake Center for Science Education (SLCSE). This is a Title 1 charter school located in Rose Park and was created in partnership with the Salt Lake School District and the University of Utah.  The student body includes a diverse population of teens in grades 6th through 12th.  Admission is open and non-discriminatory.  Many students commute to SLCSE from a radius as wide as 15 miles.  We hope the unique nature of this institution will provide a diverse sample group of households and parents.

           SLCSE has an active Parent Teacher Student Organization (PTSO) and School  Community Council (SCC) that both meet monthly.  Our group member, Jamie Stolp, has an existing relationship with this school and will arrange with the PTSO meeting facilitator, Donna Drown permission for select members of our group to attend the February 12th, 2015 SCC meeting at 5:00pm and the PTSO meeting at 6:00pm.   Arrangements have been made with Larry Madden, SLCSE principle, for our group to have time at the end of each meeting.  We expect to be included on the evening’s agenda and be able to conduct a focus group directly following both meetings.  The SCC has planned a discussion regarding school policy related to the public display of affection by students. The following meeting with the PTSO may continue with the discussions, since parents will attend this meeting directly after SCC.  We are hopeful that the related nature of this subject matter will transition into strong focus group participation.

We plan to recruit parents to participate in our focus groups prior to each meeting through a 1) brief introduction during the meeting and 2) by individual invitation of parents directly following each of the meetings.  We expect to recruit 5 to 8 focus group participants following each meeting to be led by 3 to 4 group members. Our group believes this will allow us to obtain sufficient data to inform our action plan.  However, following the focus group, should we feel additional data is needed, we are prepared to expand our assessment plan and conduct parent interviews and/or surveys.  At this time, Jamie, Amanda and Debra plan to co-facilitate the focus group while Janet takes notes and provides additional support should the number of participants be large.  We hope to obtain permission to audiotape the discussion.   Roxane and Sarah will perform data analysis on what is collected from the group.



SEMI-STRUCTURED ASSESSMENT GUIDE:

The purpose of our assessment is to learn more about parent and teacher attitudes and their scope of knowledge as it pertains to sex education among middle school and high school students in the Utah schools system, community and at home. Our introductory script is as follows:  “Hello everyone.  My name is Jamie. Amanda, Debra and Janet are here with me tonight to facilitate a group discussion on sexual health education curricula for middle and high school students.  We are currently in our final semester of our Masters of Social Work program at the University of Utah and this is a year-long project our group of six has developed.  Based on our preliminary research, it’s clear that many Utah parents have supported the shift from comprehensive sexual health education curricula to a program that focuses instead on “healthy relationships.”  We’ve also learned that many parents have voiced the strong desire to teach sexual health education to their children at home rather than in schools. We are wondering if parents at our school may have different wants or needs for resources surrounding sexual health.  Thanks to Rachel for SCC and Donna for PTSO, we have come here tonight with the hope that you may be willing to speak with us about sexual health education curriculum in the school and at home for middle and high school students.  We hope to better understand where and how teens are getting information about sexual health. If possible, we would also like to have the opportunity to follow up with you via email or phone, whichever you prefer if we have further questions after tonight’s discussion.  We will pass around a contact sheet if you would like to add your information. Your participation is voluntary and confidential.  We will not publish or release names in association with the opinions expressed here tonight and you may choose to opt-out of the discussion at any time. We welcome all thoughts on the topic you may have, even if they are critical, or different from the majority, as those discussion points can sometimes be the most helpful.”



Focus Group Questions:

1)      How important is education about sexual health in your community? Why is it important or unimportant?

     

2) Who do you think should be responsible for teaching children/adolescents about sexual health, parents or schools?  Why or why not?



3)  How are you currently providing your child with information about sexual health? For example, as parents, do you access outside resources to get information about sexual health for your child?



4) Do you feel that you have enough information to teach your children about sexual health?  If not, what would you like more information on?



5) Do you feel that SLCSE has an appropriate role currently in your children’s sexual health education?  For example, how do you view Healthy Relationships as a curriculum?



 Our wrap up will be brief. “Thank you for your time tonight. We will be assimilating the information and opinions you provided for our final project report.  We appreciate your attention and participation. ”


Sunday, November 23, 2014

Blog post 6

All group members were present at our meeting on November 21st. 

We discussed our group paper, and who would be responsible for each particular section of the paper that needs to be addressed. The group also discussed ways we can narrow down our approach to this topic, and we decided on only focusing on HPV and Chlamydia among adolescents and teens because that national rates of pregnancy are currently declining. 


Roxane is going to be researching how abstinence-only programs compare to comprehensive sex education programs with regard to delaying sexual experimentation, STI rates, and pregnancy among teens. Debra is going to be researching nationwide stats on chlamydia and HPV. Janet is looking into public programs that address and support STI and HPV and Vaccines. Alexandra is currently researching how Utah ranks nationally on HPV and Chlamydia, and stigma as well as cultural problems associated with these two diseases. Sarah is looking into stakeholders and advocates in Utah who support sex education for adolescents and teens. And Amanda is looking into the current curriculum being used in Utah, which we found is called "Healthy Relationships" and why it is concerning to us. 

Thursday, November 20, 2014

Blog post 5


All group members were present when we met on 11/14.

Sarah and Debra continue to look up resources and information regarding sex education courses outside of Utah, paying close attention to how effective alternative courses are at STI/pregnancy prevention in teens.

 Amanda will work on scheduling a meeting with Kerry Jensen from Prevent Child Abuse, as she is familiar with the current sex education curriculum being used locally.  Once we are able to meet with her, our group may have a better understanding of what this curriculum looks like in practice and how it’s being received by school staff and students alike.

Roxy and Alex continue to research local STI/teen pregnancy rates in the area to help narrow down which school districts our group should focus on.

 Janet contacted Terry Haven from Voices for Utah Children to gather information about the statistics used in the Kids Count report.  She stated that the stats regarding teen pregnancy and Chlamydia infection rates were gathered from the Department of Health.  Any other information is gathered using the Youth Risk Behavior Survey.  She acknowledged that the information regarding teen sexual behavior is limited, but that the state legislature didn’t want to have the “sex questions” included on the survey.  All of the data in the Kids Count report is used by a variety of organizations, the media, the legislature and service providing agencies for grant writing purposes.


Saturday, November 1, 2014

Blog Post 4


All group members were present when we met on Friday, Oct. 31st.

Amanda reported that she did speak wtih Cindy Taylor, the Education Coordinator of the Rape Recovery Center, who said that she is no longer teaching the 6th grade maturation classes.  She referred Amanda to Kerry Jensen from Prevent Child Abuse, who apparently is now teaching it.  She, Amanda and Deborah will meet with her next week to discss the curriculum.

Sarah is currently researching national websites, especially one in particular called, "Comprehensive Sex Ed: Research and Results", published by Advocates for Youth.  This publication outlines successful outcomes from various program saround the Country, as well as offering a plethora of teaching and information tools for parents.   http://www.advocatesforyouth.org/publications/1487.

Roxane and Alexandra are continuing to research the districts with both the highest and lowest teen pregnancy rates in the valley.  The group plans on using this information to help us curtail our outreach efforts, as well as gain information from the more successful schools to include in our parent outreach.

Friday, October 24, 2014

Blog post 3

Everyone in the group was present in our group meeting, we discussed that we wanted to find out the demographics of STI and pregnancy rates among teens in the different school districts and counties. Alexandra and myself (Roxane) are going to contact the Health Department about these statistics, and use these findings to contact the high and low areas about the sex education curriculum, and compare the differences.

Amanda contacted Cindy Taylor, who is a 6th grade maturation class expert through the rape recovery center, and we are currently waiting to hear back from her about what her particular curriculum is. Amanda also this past week met with Kristin Hodson, the Executive Director of The Healing Group to discuss with her how we can best find out what sex education local parents want for themselves and their youth.

Sarah is the liaison between us and planned parenthood, and what they have done already on the matter. She is currently getting a copy of the curriculum.

Janet and Debra are trying to locate Anna, who has familiarity with alternative sex education with adolescents. They are trying to get information on what curriculum she is using, and her success rates with her modality.

Friday, October 3, 2014

BLOG POST 2

Since our last post:

We connected with the Education and Research Director of The Healing Group, Erin Gibson, LCSW, to discuss approaches to the project overall. Erin suggested that we contact Heather Stringfellow of Planned Parenthood regarding policy questions and Cindy Taylor of the Rape Recovery Center regarding any questions about the sixth grade maturation class. She has been working with that program for many years. 

In a second meeting, we chatted with the Executive Director of The Healing Group, Kristin Hodson, LCSW. Kristin got “fired up” about our project and offered us several resources that might be useful as we collect information on our topic. Here they are:

http://www.siecus.org/index.cfm?fuseaction=Page.viewPage&pageId=514&parentID=477

http://www.salon.com/2014/09/15/youre_doing_sex_ed_wrong_how_teaching_kids_about_sex_is_like_teaching_toddlers_to_walk/

http://www.theculturalhallpodcast.com/2014/06/why-i-wont-be-giving-my-kids-the-talk/

http://www.sexedlibrary.org/

Kristin also suggested that if we would like to plan an education event for mothers and daughters that The Healing Group would be willing to sponsor our project by paying for a community space (such as Vitalize Studio in Sugarhouse), if the University will allow us to do so. 

One of our group members also spoke with Heather Stringfellow, who is the Policy Coordinator at Planned Parenthood. Our group member will report “live” in class on Friday, 10/3/14. The plan was to discuss what Planned Parenthood has on the agenda for the 2015 Legislative Session in relation to Sex Education, etc.

Next steps: 
- To hear from each other regarding new developments (in class on 10/3/14)
- To review resources
- To consider whether we want to make this about one event or several (or to hold the one event, but record it and use it for further training)
- Narrowing down our vision