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Photovoice: A Capacity Building Experience for Sexual Health Promoters Working with Adolescent in Puerto Rico

Photovoice: A Capacity Building Experience for Sexual Health Promoters Working with Adolescent in Puerto Rico

This Participatory Action Research uses photography and group dialogue to increase awareness of strengths and concerns to facilitate personal and community changes. Facilitators require specific knowledge and skills to facilitate the process and activities. The objective of this project was to evaluate a capacity building training about Photovoice offered to PREP’s health promoters, personnel and health teachers from the PR Department of Education.

Method: A ‘train the trainer’ workshop was offered to discuss basic concepts, examine and promote its use in the prevention of sexual risk behavior among adolescents and demonstrated the methodology with participants. Pre- and post-questionnaires were used to evaluate adequate knowledge (80% of correct answers) and group facilitation skills (3-completely dominated/0 –no skills). A qualitative questionnaire was used to evaluate participant’s opinion about Photovoice benefits.

Results: There was an increase in Pre- and Post-knowledge (0%/ 75%) and in group facilitation skills that promoted, among others, team work (2.4/2.8), group participation (2.5/2.8), critical thinking (2.2/2.4), individual and group creativity (2.2/2.8), affirmative communication (2/2.7), consensus decision making (2.4/2.7), use of adequate feedback (2.1/2.8), evaluation of group objectives (2.2/2.7) and harmonized divergent opinions (2.3/2.6). Participants recognized the importance of Photovoice in their work as sexual health promoters of responsible sexual behavior among adolescents.

Conclusion: Photovoice provides a valuable opportunity to increase adolescents’ participation and empowerment in sexual health promotion and prevention interventions.