Momentos, the first-ever technology-based, culturally appropriate tool to empower H/L parents to openly talk with their children about sexuality and contraception in a practical and effective way.

1. Momentos: Using design thinking to
develop a teen pregnancy prevention
program for Hispanic parents
Sandra L. Paredes

2. Disclosure
I have no relationships to disclose.
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3. Learner Objectives
Describe innovative methods for prototyping
and testing interventions for adolescent
sexual health,
Highlight how design thinking can be applied
to interventions with the Hispanic
population,
Understand how developing original,
culturally-sensitive, Spanish-language
content can be effectively applied to
interventions with Hispanics.
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4. Innovation Next Grant
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5. Product: A teen pregnancy prevention program
for Spanish-dominant Hispanic parents
Place: Mobile text message & web
Price: Time and unlearning cultural norms.
Promotion: Mobile partner sent text messages
to their market research panelists eligible
parents inviting them to enroll.
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6. Design Thinking Mindsets
Empathy
Embrace Ambiguity
Creative Confidence
 Make It
 Learn From Failure
 Iterate, Iterate, Iterate
6 Source: Stanford d. school

7. Design Thinking Methods
7 Source: IDEO

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The Design Challenge

9. Design Challenge
Hispanic teens have the highest U.S. teen
birth rate
Parents strongly influence their sexual
decision-making
Scarce resources exist for Hispanic parents
in Spanish about teen pregnancy prevention
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10. Interviews
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11. Insights
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“I told him, ‘put the little thing on your thing’.”
“I told her I didn’t want her to ruin her life.”
“Take care of yourself.”

12. How might we …
How might we complement face-to-
face communications with a
technology-based solution that equips
parents to teach their children about
sexual health?
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13. Goals
Increase parents’ self-efficacy
Build parents’ communication skills
Fill the knowledge gap for parents about
sexual health with cultural respect
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14. 14
Momentos Prototypes

15. Pre-Test: one month & 100 parents
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16. Feedback
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17. Pilot: six months & 600 parents
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18. Text Message:
Handling uncomfortable questions
Hola Sandra, ¿que tipo de preguntas
incomodas teme que le haga su hijo? Como
contestaría usted? Haga clic aquí para ver
nuestro consejo [link]
Hello Sandra, what type of uncomfortable
questions do you fear your son would ask
you? How would you answer? Click here to
see our advice [link]
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19. Article: Talking about sexuality
… it’s important that you feel capable talking
about the subject. When you are by yourself
you can practice saying the names of men’s
genitalia (testicles, scrotum, penis) and
women’s (breasts, vagina, uterus) out loud.
This way you can talk about them with your child
without embarrassment or stigma…
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20. 20
Momentos Pilot Results

21. Feel more
confident talking
about sex with
their children
Result: Parents feel more confident
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22. Used content
to initiate
conversations
Result: Content helped start conversations
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23. Result: More conversations are happening
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55
13
10
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Pre Post
In the past 6 months, how many times
have you talked to your children about
pregnancy prevention, sexuality, or dating
relationships? (N=23)
1-2 times 3 or more times Not at all Linear (3 or more times) Linear (Not at all)

24. Testimonials
We have a tendency to judge our kids, because
we are the authority, without thinking about their
feelings. Not talking about their stuff with others
… that’s where trust starts.
- Ana, mother of 3
I feel the difference since participating in
Momentos: how to control my reactions to my
daughter. I try to breath and calm myself down
and try to think about what to say.
- Beatrice, mother of 2
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25. Lessons Learned
 Design thinking led us to a better understanding
for an intervention for adolescents sexual health.
 Text messages are a viable way to reach
Hispanic audiences via an established partner.
 Spanish-language content with an authentic,
natural voice can establish rapport.
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Questions?
Sandra Paredes
sandraparedes@westat.com