Media-Smart Youth Program Evaluation Study
Condition: Adolescent
Study type: Observational

Summary: 
      This study will evaluate the impact of a Media-Smart Youth (MSY) curriculum on adolescent
      knowledge and behavioral intent regarding media messages, nutrition, and physical activity.
      The study is part of the U.S. Government's efforts to fight obesity and increase physical
      activity among American youth. The MSY program seeks to empower adolescents to make healthful
      choices about nutrition and physical activity by helping them understand how media can
      influence their lives. This is important because it is estimated that young people view as
      many as 40,000 commercial messages a year on television alone, many of which promote
      unhealthy snack foods and beverages.

      Youth between 11 and 13 years of age who are participating in selected after-school programs
      in the Washington, D.C., metropolitan area may be eligible for this study.

      Participants are randomly assigned to either receive the MSY curriculum or serve as controls.
      Youth in the MSY group participate in a workshop consisting of 10 lessons and a creative
      project to create a media message for their peers on the topic of nutrition and physical
      activity. During the sessions, the young people receive information on nutrition and physical
      activity and learn about media production and how to critically examine the media. Youth in
      the control group participate in after-school programs unrelated to MSY. All participants
      fill out questionnaires measuring their knowledge, skills, and behavioral intent related to
      media analysis, nutrition and physical activity both at the start of the study and at its
      completion.
    

Detailed description: 
      A. Objectives of Study

      The purpose of this study is to determine the impact of the Media-Smart Youth (MSY)
      curriculum on adolescent knowledge skills and behavioral intent in the areas of media
      analysis, nutrition, and physical activity. The study asks whether youth participating in the
      MSY curriculum 1) increase their skills in analyzing media messages; 2) increase their
      knowledge of the basic principles of healthful and nutritious foods and increase their skills
      and behavioral intent to make healthful food choices in real-life settings; and 3) increase
      their knowledge of the importance of daily physical activity in promoting health and increase
      their skills and behavioral intent to be more active in their daily lives.

      B. Study Design

      The evaluation will use a group randomization design, in which 18 after-school programs will
      be randomly assigned to either receive the MSY curriculum or serve as controls. Nine
      youth-serving agencies running pre-existing structured after-school programs in the
      Washington, DC metropolitan area will be solicited to participate in the evaluation. For each
      agency, two program sites will be selected with each pair of sites matched for socioeconomic
      status, race and ethnicity, all factors that may affect the program outcomes. The sites will
      then be randomly assigned to either the treatment or control group. During the implementation
      of the MSY curriculum at the treatment sites, participants in the control sites will receive
      after-school programming unrelated to MSY. Fifteen youth in each after-school program, or 270
      youth, will be recruited to participate in the study. Parental consent and youth assent will
      be obtained. At the end of the program implementation, program staff from the treatment and
      control sites will be offered training in implementing the MSY curriculum.

      C. Outcome Measures

      The MSY program outcomes on knowledge, skills and behavioral intent related to media
      analysis, nutrition, and physical activity will be measured using a paper-and-pencil
      self-administered questionnaire (SAQ). All 270 youth will complete the SAQ pretest before the
      start of the MSY curriculum. Following the completion of the curriculum, all 270 youth will
      complete the SAQ posttest. For the treatment of after-school participants, data collection is
      incorporated into the MSY curriculum delivery. Following implementation of the MSY
      curriculum, the treatment group facilitators will be interviewed to identify any
      modifications made to the ascribed curriculum. Program directors of the control groups will
      also be interviewed to determine the general content of the program(s) in which the control
      youth participated.
    

Keywords: Media Analysis; Nutrition; Physical Activity; After-School; Exercise