An Innovative Approach for Community Engagement: Using an Audience Response System

Community-based participatory research methods allow for community engagement in the effort to reduce cancer health disparities. Community engagement involves health professionals becoming a part of the community in order to build trust, learn from the community and empower them to reduce disparities through their own initiatives and ideas. Audience Response Systems (ARS) are an innovative and engaging way to involve the community and obtain data for research purposes using keypads to report results via power point. The use of ARS within communities is very limited and serves to widen the disparity gap by not delivering new advances in medical knowledge and technology among all population groups. ARS was implemented at a community town hall event sponsored by a National Institute on Minority Health and Health Disparities Exploratory Center of Excellence, the Center for Equal Health. Participants appreciated being able to see how everyone else answered and felt included in the research process. ARS is beneficial because the community can answer truthfully and provides instant research results. Additionally, researchers can collect large amounts of data quickly, in a non-threatening way while tracking individual responses anonymously. Audience Response Systems proved to be an effective tool for successfully accomplishing community-based participatory research

Mexican American and European American Adolescents\u27 Dating Experiences across the Ecosystem: Implications for Healthy Relationships within an Ecodevelopmental Framework

Dating health interventions that target the complex, multi-systemic spheres in which adolescents experience their first romantic relationships are required. This study utilizes an ecodevelopmental approach to better understand Mexican American and European American youths\u27 perceptions of how peers, parents, school, and the media act both independently and collectively to affect their dating lives, also elucidating how such systems are at times in conflict. Seventy-five middle adolescents participated in focus groups divided by gender and ethnicity to uncover differences and similarities within and across groups. Findings underscore the importance and widespread effects of romantic relationships for adolescents\u27 social development and the need for intervention programs that target multiple points of intervention while attending to mesosystemic conflicts across systems

Help-seeking and help-offering for teen dating violence among acculturating Mexican American adolescents

Help-seeking sources, motivations, and barriers concerning teen dating violence are rarely co-examined alongside help-offering processes and messages, and both are understudied among minority youth populations. This study sought the perspectives of Mexican American adolescents (ages 15 to 17) concerning their preferences and experiences with both help-seeking and help-offering. Twenty focus groups (N = 64 adolescents) were divided by gender and by acculturation level to allow for group comparisons. Friends and supportive family members were primary sources of help, although adolescents voiced a number of barriers to help-seeking. The most prominent barrier was fear they would be told to leave the relationship, an anticipated message that aligned with their tendency to tell others to do so. Help-seeking was viewed as a weakness, and help-offering was reserved for friends that asked for it. Recommendations for programs and practice with youth include promoting culturally and gender attuned teen dating violence services that emphasize confidentiality, and working at the family, peer, and school levels to foster healthy relationships

Trust, Cheating, and Dating Violence in Mexican American Adolescent Romantic Relationships

Many adolescents experience some aspect of cheating in their romantic relationships, yet developmental and cultural influences on this experience are not well understood. A grounded theory approach was used to uncover the processes through which cheating resulted in dating violence among 64 Mexican American adolescents (15 to 17 years old). Focus groups, separated by level of acculturation and gender (N = 20), revealed paradoxical expectations for trust and cheating in romantic relationships. Low acculturated youth, particularly males, held broader definitions of cheating behaviors, used peers to monitor cheating behaviors, and took breaches of cheating more seriously. Males were perceived as more likely to cheat, to cheat because of their diminished desire for commitment, and to use violence in reaction to cheating behavior. It is recommended that teen dating violence prevention programs use culturally attuned curricula that incorporate the integral role of peers and gendered norms and expectations within adolescents’ dating relationships