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J Adolesc Health. 2013 Nov;53(5):595-601. doi: 10.1016/j.jadohealth.2012.11.015. Epub 2013 Feb 11.

Cost of talking parents, healthy teens: a worksite-based intervention to promote parent-adolescent sexual health communication.

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  • 1Department of Population Health, New York University School of Medicine, New York, New York. Electronic address: jladapo@post.harvard.edu.

Abstract

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. We used time and wage data from employees involved in implementing the program to estimate fixed and variable costs. We determined cost-effectiveness with nonparametric bootstrap analysis. For the intervention, parents participated in eight weekly 1-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 (standard deviation, $289.98) per worksite in fixed costs, and $28.05 per parent (standard deviation, $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 is unlikely to be a significant barrier to adoption and diffusion for most worksites considering its implementation.

Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Adolescent sexual behavior; Communication; Cost; Cost-effectiveness; Health promotion; Parent–child relations; Sex education; Workplace

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PMID:
23406890
[PubMed - indexed for MEDLINE]
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