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Does Binge-Watching eHealth Intervention Content Impact Outcomes?

Alyssa Lozano1, Alejandra Fernandez2, C Aubrey Rhodes3

  • 1School of Nursing and Health Studies, University of Miami, Coral Gables, Florida.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|July 9, 2023
PubMed
Summary
This summary is machine-generated.

Parental binge-watching of eHealth interventions impacts adolescent outcomes. While it decreased condomless sex, it increased depressive symptoms, highlighting the importance of intervention pacing.

Keywords:
Condom useDepressive symptomsExternalizing behaviorsFamily-based interventionsHispanicsParticipationeHealth

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Area of Science:

  • Digital Health
  • Adolescent Psychology
  • Family Interventions

Background:

  • eHealth interventions offer accessible parenting support.
  • Limited understanding exists regarding parental engagement patterns, specifically accelerated viewing (binge-watching).
  • The impact of binge-watching on intervention effectiveness and adolescent outcomes remains largely unexplored.

Purpose of the Study:

  • To identify predictors of binge-watching in parents participating in eHealth interventions.
  • To examine the effects of binge-watching on adolescent substance use, sexual behavior, and mental health.
  • To assess the influence of binge-watching on family functioning and parental monitoring.

Main Methods:

  • 142 Hispanic parents were enrolled in a 12-week eHealth intervention.
  • Baseline data on demographics, child behavior, and family functioning were collected.
  • Latent growth curve modeling analyzed the impact of binge-watching on adolescent outcomes over 36 months and family functioning over 6 months.

Main Results:

  • Parents with higher education and children's attention problems were more likely to binge-watch.
  • Adolescent depressive symptoms increased, while condomless sex decreased among parents who binge-watched.
  • Binge-watching was linked to reduced parental monitoring but did not affect adolescent drug use.

Conclusions:

  • The viewing pace of eHealth parenting interventions can influence adolescent outcomes.
  • Findings suggest potential differential impacts on adolescent sexual behavior and mental health.
  • Further research is needed to optimize eHealth delivery for diverse parental engagement styles.