Parent peer education: Lessons learned from a community-based initiative for teen pregnancy prevention.

PURPOSE The Parent Peer Education program addresses a community-identified need to increase parent-child communication about sexuality, teen pregnancy prevention, and related issues. Community members are trained to lead workshops of peers on how to talk with their children about these topics. METHODS The program was pilot tested in 1997; three waves of workshops were conducted by 35 parent peer educators for 721 community residents between 1999 and 2002. They focused on providing information, increasing participants' comfort in discussing sexuality, and demonstrating how to use age-appropriate guidebooks. The evaluation used a pre- and post- workshop design. All participants completed a survey before the workshop, and a random sample of 25% responded to a telephone follow-up survey four weeks later. In addition, before the first wave, a random sample telephone survey was conducted of 104 parents in the community. Parent peer educators completed surveys after their training and each workshop. RESULTS After the workshop, participants were more likely to feel comfortable talking with their children about sexuality-related issues, talk to their children about these issues, discuss multiple topics, recognize the importance of talking with children at an early age, and use the provided guidebooks. Parent peer educators found their training valuable and enjoyed involvement in the program. Lessons learned include strategies for improving program implementation, improving program evaluation, and involving the community. CONCLUSIONS This program is a promising, low-cost, community-based method of promoting parent-child communication, an important element of teen pregnancy prevention.