Cost of Talking Parents, Healthy Teens: a Worksite-based Intervention to Promote Parent-Adolescent Sexual Health Communication

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Ladapo, Joseph A. ; Elliott, Marc N. ; Bogart, Laura M. ; Kanouse, David E. ; Vestal, Katherine D. ; Klein, David J. ; Ratner, Jessica A. ; Schuster, Mark A.
• Description:
  Purpose ; To examine the cost and cost-effectiveness of implementing Talking Parents, Healthy Teens, a worksite-based parenting program designed to help parents address sexual health with their adolescent children. ; Methods ; We enrolled 535 parents with adolescent children at 13 worksites in southern California in a randomized trial. Time and wage data from employees involved in implementing the program were used to estimate fixed and variable costs. Cost-effectiveness was determined with nonparametric bootstrap analysis. For the intervention, parents participated in eight weekly one-hour teaching sessions at lunchtime. The program included games, discussions, role plays, and videotaped role plays to help parents learn to communicate with their children about sex-related topics, teach their children assertiveness and decision-making skills, and supervise and interact with their children more effectively. ; Results ; Implementing the program cost $543.03 (SD=$289.98) per worksite in fixed costs, and $28.05 per parent (SD=$4.08) in variable costs. At 9 months, this $28.05 investment per parent yielded improvements in number of sexual health topics discussed, condom teaching, and communication quality and openness. The cost-effectiveness was $7.42 per new topic discussed using parental responses and $9.18 using adolescent responses. Other efficacy outcomes also yielded favorable cost-effectiveness ratios. ; Conclusions ; Talking Parents, Healthy Teens demonstrated the feasibility and cost-effectiveness of a worksite-based parenting program to promote parent-adolescent communication about sexual health. Its cost is reasonable and unlikely to be a significant barrier to adoption and diffusion for most worksites considering its implementation.
• Keywords:
  • adolescent sexual behavior
  • cost
  • cost-effectiveness
  • communication
  • health promotion
  • parent-child relations
  • sex education
  • workplace
  • Adolescent
  • Child
  More +
• Source:
  J Adolesc Health. 53(5):595-601
• Pubmed ID:
  23406890
• Pubmed Central ID:
  PMC4538929
• Document Type:
  Journal Article
• Funding:
  U48 DP000056/DP/NCCDPHP CDC HHSUnited States/ ; R01 MH61202/MH/NIMH NIH HHSUnited States/ ; R34 MH090790/MH/NIMH NIH HHSUnited States/ ; U48/DP000056/DP/NCCDPHP CDC HHSUnited States/ ; R01 MH061202/MH/NIMH NIH HHSUnited States/
• Volume:
  53
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/32937/cdc_32937_DS1.pdf
• File Type:
  [PDF - 205.27 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:dacf05f2c1ea3608d33ab7cbd3fad2b4de59183b4366b8ab8077231e709d3cb7