1. Connecting with Young People Project BITE’S BACK

3. Team members Kathy Phipps Prof Ruth Chambers Kate Ryan Ali Spender Peter Tyerman Matthew Nicholson Ceri Hodgson

4. Today’s aims To raise your awareness of the BITE project To report the outcomes of the project To allow you to interact with the software…… and each other To finish on time

5. Why do we need to act? High teenage pregnancy rates Unplanned pregnancy may damage education & career prospects Increasing rate of STIs in young women

6. Conception rates for under 16yrs in Barnsley 1991- 93 16.6 / 1000 girls 13-15 National rate 8.6 / 1000 1998-2000 10.5 / 1000 girls 13-15 National rate 8.5 / 1000

7. Under 18 conception rate Rate for 2000 – 56.2 / 1000 Rate for 2001 – 53.5 / 1000 Target for 2004 - 52 / 1000

8. Conception rates for under 16yrs in Barnsley

9. Project aims To engage with young people in Barnsley & ascertain their beliefs & values with regard to sexual health and contraception To use this information to develop a touch screen computer

10. How can we make a difference? The touch screen computer intervention will enable young people to: Understand the risks of unprotected sex Make informed choices about methods of contraception, including emergency contraception

11. Timetable Team began work Feb 2002 Official project launch Sept 2002 Focus Groups Aug 02- Jan 03 Touch screen development Feb-June 03 Evaluation July - Aug 03 Local Conference Jan 04 National Conference & final project report published March 04

12. User involvement “The active participation of young people is essential for the success of the Government’s teenage pregnancy strategy.” (Teenage Pregnancy Unit, 2000) Key element = work with young people in different ways to develop a touch screen that reflects young people’s views and needs to make it attractive to other young people

13. Development process Development process Recruitment of young people Clear objectivesInformed consent Resources Rewards Young person working group 3 boys and 4 girls, school aged Development Aug 02 - Jan 03 W orkshops and a residential

14. Topics covered in pilot version Profile of user Emergency contraception Current relationships inc. checking for under age sex, abusive relationships Contraception Sexually Transmitted Infections Reproductive organs & sexual intercourse Pregnancy & parenting Sexual behaviour

15. The IT Problem Two approaches teenage sex education  1 a personal approach  A population approach

16. The personal approach The drop in clinic Advisory service Help line etc Advantages Very effective once approach made Disadvantages Dependant on Professional with skills Very expensive Often only approached in crisis

17. A population approach Sex education in schools Internet sites, books etc Advantages Every body can get,relatively cheap Disadvantages Either no match of education to need or has to be searched for to access

18. Teenagers need and wants Research finding suggest knowledge Knowledge comes from education Teenagers want knowledge Don’t want ‘Education’ Want ‘Entertainment’

19. Professionals wants and needs Accurate health education Effective outcomes Access Low costs Population wide access Easy implementation and propagation

20. The touch screen solution can give easy universal access accurate information Is a fixed asset so is seen as a reliable information source Does not make judgements (have personality) Is easy to propagate

21. To create the BITE system Looked at teenagers and professional needs Created a interactive program to hold attention Made it personal Made it look seem like entertainment Gave it levels of knowledge Made it multi path

22. The result

23. Easy to use Popular Teenage centred Education system which can be Easily spread to a Whole population at low real cost

24. Evaluation - method Evaluation - method Pilot touch screen completed June 2003 Evaluation conducted July-August Aim: To assess the young people’s experience of the touch screen in two settings Settings Schools (n=56) Youth Centres (n=17) Feedback from health and education professionals

25. Evaluation – results summary Good method of learning this information 92% girls and 61% boys Easy to use 78% girls and 57% boys Would use it if available to them 63% girls and 65% boys

26. Evaluation – results summary Felt more knowledgeable after using touch screen 58% girls and 57% boys Touch screen was understandable 72% girls and 52% boys Overall rated as GOOD but needs some more work 52% girls and 52% boys

27. Media coverage Articles in GP Magazine Finalist at UK Medical Innovations Awards Getting it Right conferences: RCGP Adolescent Task Group: RCGP Finalist at UK Medical IT Awards

28. The Future

29. Getting it Right For Teenagers: Avoiding Teenage Pregnancy & Promoting Sexual Health Thursday, March 25 th Stoke-on-Trent

30. Today: Barnsley Tomorrow: The World!

31. http://www.medcal.co.uk For more information about MEDCAL and the touch screen kiosks http://www.teenwise.co.uk For more information about teenage and sexual health projects at Staffordshire University The Connecting with Young People in Barnsley project report will be available in pdf format on the Teenwise website from end of March 2004 Websites