Adelante Ambassadors: Using Digital Media to Facilitate Community Engagement and Risk-Prevention for Latino Youth
DOI:
https://doi.org/10.5195/jyd.2017.513Keywords:
youth, adolescents, positive youth development, Latinos, immigrants, Hispanics, user-generated content, social media, preventionAbstract
Digital and social media are now widely used to promote engagement in health programs and improve health behaviors across a variety of age groups and domains. However, limited research exists on applying culturally relevant, new media interventions specific to Latino immigrant youth. This paper describes the pilot Adelante Youth Ambassador program for Latino immigrant youth, which used digital media and community-based participatory research to build positive youth development (PYD) assets as a prevention mechanism to reduce co-occurring health risks of substance use, sexual risk, and interpersonal violence. We worked collaboratively with adolescents to create video content as a conduit for Adelante-branded messages to be disseminated on the program’s social media platforms. Using an active audience engagement methodology, youth participants informed the development of prevention messages, scripts for the videos, and acted in videos. Participants disseminated content to their social media networks and engaged peers in dialogue about topics addressed in the videos. Using pre and post tests, we evaluated changes in PYD assets (Civic Action Competence, Confidence, Connection to Community, and Connection to Peers) and skills related to digital media use, communication, and advocacy. The program used innovative branding and social media strategies to engage Latino youth in health risk prevention.
References
Andrade, E. L., Evans, W. D., Barrett, N., Kierstead, L., Beltran, A., Villalba, R. O., Cleary, S. D. (2016). Development of the place-based Adelante social marketing campaign for prevention of substance use, sexual risk and violence among Latino immigrant youth. Unpublished manuscript.
Andrade, E. L., Evans, W. D., Edberg, M. C., Cleary, S. D., & Villalba, R. (2015). Victor and Erika webisodes for the Adelante brand: An innovative audience engagement strategy for prevention. Journal of Health Communication, 20(12), 1465–1472. doi:10.1080/10810730.2015.1018648 http://www.tandfonline.com/doi/full/10.1080/10810730.2015.1018648
Backinger, C. L., Fagan, P., Matthews, E., & Grana, R. (2003). Adolescent and young adult tobacco prevention and cessation: Current status and future directions. Tobacco Control, 12 (Supplement IV), iv46–iv53. http://tobaccocontrol.bmj.com/content/12/suppl_4/iv46.long
Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology & Health, 13(4), 623–649. http://www.tandfonline.com/doi/abs/10.1080/08870449808407422
Bottorff, J. L., Struik, L. L., Bissell, L. J. L., Graham, R., Stevens, J., & Richardson, C. G. (2014). A social media approach to inform youth about breast cancer and smoking: An exploratory descriptive study. Collegian, 21(2), 159–168. doi:10.1016/j.colegn.2014.04.002 http://www.sciencedirect.com/science/article/pii/S1322769614000377
Bull, S. S., Levine, D. K., Black, S. R., Schmiege, S. J., & Santelli, J. (2012). Social media-delivered sexual health intervention: A cluster randomized controlled trial. American Journal of Preventive Medicine, 43(5), 467–474. doi: 10.1016/j.amepre.2012.07.022
Calzada, E. J., Fernandez, Y., & Cortes, D. E. (2010). Incorporating the cultural value of respeto into a framework of Latino parenting. Cultural Diversity & Ethnic Minority Psychology, 16(1), 77–86. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4403003/
Cavazos-Rehg, P.A., Zayas, L. H., & Spitznagel, E. L. (2007). Legal status, emotional well-being and subjective health status of Latino immigrants. Journal of the National Medical Association, 99(10), 1126–1131. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2574408/
Centers for Disease Control and Prevention. (2011). The health communicator's social media toolkit. Retrieved from http://www.cdc.gov/socialmedia/tools/guidelines/pdf/socialmediatoolkit_bm.pdf
Colby, S. L., & Ortman, J. M. (2015, March). Projections of the size and composition of the U.S. population: 2014 to 2060. United States Census Bureau. Retrieved from https://census.gov/content/dam/Census/library/publications/2015/demo/p25-1143.pdf
Cubilla-Batista, I., Andrade, E. L., Cleary, S. D., Edberg, M., Evans, W. D., Simmons, L. K., & Sojo-Lara, G. (2016). Picturing Adelante: Latino youth participate in CBPR using place-based PhotoVoice. Social Marketing Quarterly, 23(1), 18–35. doi: 10.1177/1524500416656586 http://journals.sagepub.com/doi/full/10.1177/1524500416656586
Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Flint, K. H., Hawkins, J., . . . Wechsler, H. (2012). Youth Risk Behavior Surveillance – United States, 2011. Centers for Disease Control and Prevention. Atlanta, GA.
Edberg, M. C., & Cleary, S. D. (2016). Adelante Langley Park demographic data. Unpublished manuscript.
Edberg, M. C., Cleary, S. D., Andrade, E. L., Evans, W. D., Simmons, L. K., & Cubilla-Batista, I. (2016). Applying ecological positive youth development theory to address co-occurring health disparities among immigrant Latino youth. Health Promotion Practice, 1–9. https://doi.org/10.1177/1524839916638302
Edberg, M. C., Cleary, S. D., Collins, E. C., Klevens, J., Leiva, R., Bazurto, M., Calderon, M. (2010). The SAFER Latinos project: Addressing a community ecology underlying Latino youth violence. Journal of Primary Prevention, 31(4), 247–257. doi: 10.1007/s10935-010-0219-3
Edberg, M. C., Cleary, S. D., Evans, W. D., Andrade, E. L., Rivera, M. I., Barrett, N., . . . Cubilla-Batista, I. (2014). [Adelante community youth survey data]. Unpublished raw data.
Edberg, M. C., Collins, E. C., Harris, M., McLendon, H., & Santucci, P. (2009). Patterns of HIV/AIDS, STI, substance abuse and hepatitis risk among selected samples of Latino and African-American youth in Washington, DC. Journal of Youth Studies, 12(6), 685–709. http://dx.doi.org/10.1080/13676260902897400
Evans, W., Andrade, E., Goldmeer, S., Smith, M., Snider, J., & Girardo, G. (2017). The Living the Example social media substance use prevention program: A pilot evaluation. Journal of Medical Internet Research Mental Health, 4(2), e24. doi: 10.2196/mental.7839
Evans, W. D., Andrade, E., Villalba, R., Cubilla, I., Rivera, I., & Edberg, M. (2016). Turning the corner: Development of the Adelante program brand for Latino youth. Social Marketing Quarterly, 22(1), 19–33. http://journals.sagepub.com/doi/full/10.1177/1524500415614838
Evans, W. D., & Hastings, G. (Eds.) (2008). Public health branding: Applying marketing for social change. Oxford, UK: Oxford University Press.
Evans, W. D., Holtz, K., White, T., & Snider, J. (2014). Effects of the above the influence brand on adolescent drug use prevention beliefs. Journal of Health Communication, 19(6), 721-37. doi:10.1080/10810730.2013.837559
Fergie, G., Hunt, K., & Hilton, S. (2016). Social media as a space for support: Young adults’ perspectives on producing and consuming user-generated content about diabetes and mental health. Social Science & Medicine, 170, 46–54. doi:10.1016/j.socscimed.2016.10.006 https://www.ncbi.nlm.nih.gov/pubmed/27750067
Flanagan, C. A., Syversten, A. K., & Stout, M. D. (2007). Civic measurement models: Tapping adolescents' civic engagement. College Park, MD: CIRCLE.
Friedman, A. L., Bozniak, A., Ford, J., Hill, A., Olson, K., Ledsky, R., Inokuchi, D., & Brookmeyer, K. (2014a). Reaching youth with sexually transmitted disease testing: Building on successes, challenges, and lessons learned from local Get Yourself Tested campaigns. Social Marketing Quarterly, 29(2), 116–138. http://journals.sagepub.com/doi/abs/10.1177/1524500414530386
Friedman, A. L., Brookmeyer, K. A., Kachur, R. E., Ford, J., Hogben, M., Havel, M. A., Kantor, L. M., Clark, E., Sabatini, J., & McFarlane, M. (2014b). An assessment of the GYT: Get Yourself Tested Campaign: An integrated approach to sexually transmitted disease prevention communication. Sexually Transmitted Diseases, 41(3), 151–157. doi: 10.1097/OLQ.0000000000000100
Gamst, G., Dana, R. H., Der-Karabetian, A., Aragon, M., Arellano, L. M., & Kramer, T. (2002). Effects of Latino acculturation and ethnic identity of mental health outcomes. Hispanic Journal of Behavioral Sciences, 24(4), 479–504. https://doi.org/10.1177/0739986302238216
Hecht, M. L., & Miller-Day, M. (2010). “Applied” aspects of the drug resistance strategies project. Journal of Applied Communication Research, 38(3), 215–229. doi:10.1080/00909882.2010.490848 http://www.tandfonline.com/doi/abs/10.1080/00909882.2010.490848
Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2012). Monitoring the future, national results on adolescent drug use: Overview of key findings, 2011. Ann Arbor: Institute for Social Research, the University of Michigan.
Karcher, M. J. & Finn, L. (2005). How connectedness contributes to experimental smoking among rural youth: Developmental and ecological analyses. Journal of Primary Prevention, 26(1), 25–36. doi: 10.1007/s10935-004-0989-6
Kotler, P. & Lee, N.R. (Ed.). (2008). Social marketing: Influencing behaviors for social good (3rd ed.). Thousand Oaks, CA: Sage Publications.
Laranjo, L., Arguel, A., Neves, A. L., Gallagher, A. M., Kaplan, R., Mortimer, N., . . . Lau, A. Y. S. (2015). The influence of social networking sites on health behavior change: A systematic review and meta-analysis. Journal of the American Medical Informatics Association, 22(1), 243–256. doi:10.1136/amiajnl-2014-002841 https://academic.oup.com/jamia/article-lookup/doi/10.1136/amiajnl-2014-002841
Lenzi, M., Vieno, A., Altoè, G., Scacchi, L., Perkins, D. D., Zukauskiene, R., & Santinello, M. (2015). Can Facebook informational use foster adolescent civic engagement? American Journal of Community Psychology, 55(3-4), 444–454. doi:10.1007/s10464-015-9723-1 http://onlinelibrary.wiley.com/doi/10.1007/s10464-015-9723-1/full
Lerner, R. M. (2005, September). Promoting positive youth development: Theoretical and empirical bases. White Paper Prepared for a Workshop on the Science of Adolescent Health and Development, National Research Council, Washington, DC.
Lerner, R. M., & Lerner, J. V. (2011). The positive development of youth: Report of the findings from the first seven years of the 4-H study on positive youth development. Medford, MA: Tufts University Institute for Applied Research in Positive Youth Development and the National 4-H Council.
Livingston, G. & Lopez, M. H. (2010, July 28). How young Latinos communicate with friends in the digital age. Washington, DC: Pew Hispanic Center. http://www.pewhispanic.org/2010/07/28/how-young-latinos-communicate-with-friends-in-the-digital-age/
Lopez, M. H., Gonzalez-Barrera, A. & Patten, E. (2013). Closing the digital divide: Latinos and technology adoption. Retrieved from http://www.pewhispanic.org/files/2013/03/Latinos_Social_Media_and_Mobile_Tech_03-2013_final.pdf
Martínez, O., Wu, E., Shultz, A. Z., Capote, J., Lopez Rios, J., Sandfort, T., . . . Rhodes, S. D. (2014). Still a hard-to-reach population? Using social media to recruit Latino gay couples for an HIV intervention adaptation study. Journal of Medical Internet Research, 16(4), 1–14. doi: 10.2196/jmir.3311
Migration Policy Institute. (2016). The immigration population in the Washington, D.C. region and the service needs of Central American child and family migrants. Regional Conference on Advancing Health Equity for Latino Youth & Families, Washington, DC.
Montgomery, K. C. & Chester, J. (2009). Interactive food and beverage marketing: Targeting adolescents in the digital age. Journal of Adolescent Health, 45(3), S18–S29. doi: https://doi.org/10.1016/j.jadohealth.2009.04.006
Moorman, J. E., Akinbami, L. F., Bailey, C. M., Zahran, H. S., King, M. E., Johnson, C.A., & Liu, X. (2012). National Surveillance of Asthma: United States, 2001-2010, table 2. Centers for Disease Control and Prevention. Atlanta, GA.
Neiger, B. L., Thackeray, R., Van Wagenen, S. A., Hanson, C. L., West, J. H., Barnes, M. D., & Fagen, M. C. (2012). Use of social media in health promotion: Purposes, key performance indicators, and evaluation metrics. Health Promotion Practice, 13(2), 159–164. doi: 10.1177/1524839911433467 http://journals.sagepub.com/doi/10.1177/1524839911433467
Ogden, C. L., Carroll, M. D., Curtin, L. R., Lamb, M. M., & Flegal, K. M. (2010). Prevalence of high body mass index in US children and adolescents, 2007-2008. Journal of the American Medical Association, 303(3), 242–249. doi:10.1001/jama.2009.2012
Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011-2012. Journal of the American Medical Association, 311(8), 806–814. doi:10.1001/jama.2014.732
O'Neill, B., Ziebland, S., Valderas, J., & Lupiáñez-Villanueva, F. (2014). User-generated online health content: A survey of internet users in the United Kingdom. Journal of Medical Internet Research, 16(4), 1–11. https://www.jmir.org/2014/4/e118/
Pew Research Center. (2016). U.S. Latino population growth and dispersion has slowed since onset of the great recession. Retrieved from http://www.pewresearch.org/fact-tank/2016/09/08/key-facts-about-how-the-u-s-hispanic-population-is-changing/
Potochnick, S. R., & Perreira, K. M. (2010). Depression and anxiety among first-generation immigrant Latino youth: Key correlates and implications for future research. The Journal of Nervous and Mental Disease, 198(7), 470–477. http://doi.org/10.1097/NMD.0b013e3181e4ce24
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Silbereisen, R. K., & Lerner, R. M. (2007). Approaches to positive youth development. London: Sage.
Smaldone, A., Stockwell, M. S., Osborne, J. C., Cortes, Y., Bekele, E., & Green, N. S. (2015). Adolescent and parent use of new technologies for health communication: A study in an urban Latino community. Journal of Public Health Research, 4(1), 13–18. doi:10.4081/jphr.2015.376 http://www.jphres.org/index.php/jphres/article/view/376/228
Smokowski, P. R. & Bacallao, M. L. (2007). Acculturation, internalizing mental health symptoms, and self-esteem: Cultural experiences of Latino adolescents in North Carolina. Child Psychiatry and Human Development, 37(3), 273–292. doi: 10.1007/s10578-006-0035-4
Trejos-Castillo, E. & Vazsonyi, A. T. (2009). Risky sexual behaviors in first and second generation Hispanic immigrant youth. Journal of Youth and Adolescence, 38(5), 719–731. https://link.springer.com/article/10.1007/s10964-008-9369-5
The Urban Institute. (2014). From cradle to career: The multiple challenges facing immigrant families in Langley Park promise neighborhood. Retrieved from http://www.urban.org/sites/default/files/alfresco/publication-pdfs/413164-From-Cradle-to-Career-The-Multiple-Challenges-Facing-Immigrant-Families-in-Langley-Park-Promise-Neighborhood.PDF
U.S. Census. (2010). QuickFacts Langley Park CDP, Maryland. Retrieved from http://www.census.gov/quickfacts/table/PST045215/2445525,00
Vyas, A. N., Landry, M., Schnider, M., Rojas, A. M., & Wood, S. F. (2012). Public health interventions: Reaching Latino adolescents via short message service and social media. Journal of Medical Internet Research, 14(4), e990. doi:10.2196/jmir.2178
Yi-Frazier, J., Cochrane, K., Mitrovich, C., Pascual, M., Buscaino, E., Eaton, L., . . . Malik, F. (2015). Using Instagram as a modified application of PhotoVoice for storytelling and sharing in adolescents with type 1 diabetes. Qualitative Health Research, 25(10), 1372–1382. doi: 10.1177/1049732315583282 http://journals.sagepub.com/doi/abs/10.1177/1049732315583282
Young, S. D., Szekeres, G., & Coates, T. (2013). Sexual risk and HIV prevention behaviours among African-American and Latino MSM social networking users. International Journal of STD & AIDS, 24(8), 643–649. http://journals.sagepub.com/doi/10.1177/0956462413478875
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