Abstract
Comprehensive sexual health education (SHE) is an effective strategy for improving adolescent sexual health. However, few of these programs address media influence on sexual cognitions and behaviors. Also, more research is needed on using web-based instruction for SHE. Seventeen classes (N = 331 students) in one high school in the United States were enrolled in a pre-post randomized controlled trial to assess the feasibility of Media Aware, a web-based SHE program that uses a media literacy education (MLE) approach. Compared to a delayed-intervention group, students who received Media Aware had significant reductions in their perceived realism of and similarity to media messaging, improved cognitive elaboration of media messages, more realistic perceptions of teen sex norms and risky sex norms, increased efficacy and intention to act as a bystander to potential sexual assault, increased intent to communicate before sex, and increased efficacy to use contraception/protection. These students reported being less willing to hook up, being less willing to have unprotected sex (for males), and positive feedback on their experiences using a web-based program. This study provides evidence that web-based MLE sexual health programming is a feasible and acceptable strategy for improving media-related and sexual health outcomes among adolescents.