School + Internet + Sexual Health Program = MyHealthEd. Despite supportive laws and strong health education standards, high quality comprehensive sexual health education is still not accessible to all youth in North Carolina, particularly in rural counties. Therefore, MyHealthEd aims to provide this important education to students during the school day and strives to decrease rates of teen pregnancy and STIs through its adapted version of Reducing the Risk. Using their teaching experience to inform their research, co-founders Liz Chen and Vichi Jagannathan are pilot testing the MyHealthEd intervention in several Eastern North Carolina high schools and are eager to share preliminary results, implementation barriers, and lessons learned. If you are interested in the intersection of public schools and public health, this is the session for you!

1. : The feasibility of
implementing an online, sexual health
intervention in schools with African American
youth in North Carolina
Liz Chen, MPH
Vichi Jagannathan
Co-Founders
April 26-28, 2015
San Francisco, CA
#YTHLive
Annual Conference on Youth + Tech + Health

2. #YTHLive

3. • April 2013: Liz and Vichi pitched MyHealthEd at IntraHealth’s
SwitchPoint Conference
• July 2013: Successfully crowdfunded $25K using
www.experiment.com
• January 2014: Awarded Institute for Emerging Issues Prize for
Innovation and received 15-month $50K SECU Foundation Grant
• April 2014: Named as finalists for Teach For America’s Social
Innovation Competition
Where it began…
#YTHLive

4. • CDC’s ADAPT Framework
– Assess
– Select
– Prepare
– Pilot
– Implementation
Adaptation Process
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5. #YTHLive
• Target population
• NC YRBS data
• Key informant interviews (students, teachers,
administrators, parents)
• Interventions
• Organizational Capacity
• Healthy Youth Act of 2009
• Health Living Essential Standards
Assess

6. • Adopt, adapt, or select a new intervention?
• Reducing the Risk Overview
• Traditional classroom curriculum (teacher-led)
• 16 distinct lessons
• Pregnancy and HIV prevention focus
• Activities include role plays, modeling, performance
feedback, and lectures
Select
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7. • Population (9th grade students in rural Eastern North
Carolina, 80%+ African American)
• Content (additional reinforcement activities)
• Mode/pedagogy (online instead of teacher-led)
• Logistics (online instead of teacher-led)
Select
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8. • Green light adaptations: instructional videos
• Yellow light adaptation: additional skill-building activities
with chat simulator modules
Prepare
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11. • MyHealthEd can be facilitated with or without a trained health
educator
• Students can pace themselves with the online format
• MyHealthEd presents information in multiple formats (text,
audio through text-to-speech, and animated videos)
• Classroom teachers are blinded from student responses
(confidentiality is maintained)
How is MyHealthEd different from RTR?
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12. • MyHealthEd Pilot Study Phase I (Fall 2014)
• 34 ninth grade students in one ENC high school
• MyHealthEd Pilot Study Phase II (Spring 2015)
• ~150 ninth grade students in four ENC high schools
• Semi-structured student focus groups
• Semi-structured health teacher interviews
Pilot
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13. • Teachers and students have different proficiency levels with
regards to technology use (e.g. accessing emails)
• Students want to choose how information is presented to them (e.g.
text, audio, animated video, etc.)
• Students want more immediate feedback on their daily progress
• BONUS: Students are logging into the MyHealthEd site outside of
school
Lessons Learned
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14. • The Moodle platform does not facilitate easy grading of open
response questions
• Pacing varied widely from student to student; some students were
consistently absent versus others were consistently finishing
lessons early during class periods
• Only 60% of students completed their homework assignments
consistently
Lessons Learned
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15. • Students completed user feedback surveys for each of
Reducing the Risk’s 16 lessons in addition to one
overall user feedback survey
• The health teacher completed daily feedback surveys at
the end of each class
Fall 2014 Student Feedback
#YTHLive

16. • Would you recommend MyHealthEd to a friend? Why or
why not?
• “I feel it give[s] all information needed to stay healthy, have
protected sex, and know what to do when you’re ready. If
you aren’t [ready], MyHealthEd would teach you how to say
“no”. It [was] a good website to use.”
• “Yes because it could save their life.”
• “It was a great site” and “It’s easy to use.”
Fall 2014 Student Feedback
#YTHLive

17. • We have created an online tutorial that goes over the basics of
logging into the Moodle site and the online course features
• We are presenting the information in multiple ways and students
can choose how they access the information
• We’ve added additional pre-tests/post-tests at the start/end of
each lesson so students get more immediate feedback
Revisions Made
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18. Tutorial video for
answering open
response
questions
Tutorial video to
use text-to-
speech feature

19. • Qualitative/quantitative data analyses (summer 2015)
• MyHealthEd course revisions (summer 2015)
• Implementation (fall 2015?)
Stay tuned!
Implement
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20. Follow us on Twitter: @MyHealthEdNC, @lizccchen, @vichij
Or on our website: www.myhealthed.org
Contact us!
liz@myhealthed.org
vichi@myhealthed.org
#YTHLive