Protocol of an open, three-arm, individually randomized trial assessing the effect of delivering sexual and reproductive health information to young people (aged 13-24) in Kenya and Peru via mobile phones: adolescent/youth reproductive mobile access and delivery initiative for love and life outcomes (ARMADILLO) study stage 2
Protocol of an open, three-arm, individually randomized trial assessing the effect of delivering sexual and reproductive health information to young people (aged 13-24) in Kenya and Peru via mobile phones: adolescent/youth reproductive mobile access and delivery initiative for love and life outcomes (ARMADILLO) study stage 2
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DOI：
10.1186/s12978-018-0568-6
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发表时间：
2018-07-11
影响因子：
3.4
通讯作者：
Say, Lale
中科院分区：
文献类型：
--
作者：
Gonsalves, Lianne;Hindin, Michelle J.;Say, Lale
背景：年轻人在获得所需的性健康和生殖健康信息和支持方面面临特殊挑战。凭借高渗透率和高普及率，移动的手机为接触年轻人提供了一个新的渠道，但几乎没有证据表明数字干预措施对改善健康结果的影响。“青少年/青年生殖移动的获取和交付促进爱情和生命成果倡议”研究将评估肯尼亚和秘鲁通过青年人移动的手机短信向其提供性健康和生殖健康信息的干预措施的效果。该方案详细介绍了一项开放、个体随机、三组试验，持续7周，以评估ARMADILLO干预对消除与避孕相关的神话和误解的影响。第二个目标是确定是否青年获得性健康和生殖健康信息通过短信可以准确地保留该information.Methods：以下一个家庭查点，一个符合条件的青年每户将被随机选择参与和随机计算机到三个武器之一。干预组的参与者将可以访问ARMADILLO内容，对照组的参与者将不会收到任何信息，"第3组“参与者的互动将因研究中心而异：在肯尼亚，他们将被提醒注意多个SRH域，并鼓励他们自主学习;在秘鲁，他们将收到每个域的关键内容，如果愿意，还可以选择了解更多内容。参与者将在基线时完成由数据收集者管理的多项选择问卷（随机化前），干预期结束时（第七周后）和干预期结束后第八周。可持续发展目标承诺的一部分，即确保健康生活和促进健康-为所有年龄的所有人服务包括承诺“确保普遍获得性健康和生殖健康保健服务，包括计划生育、信息和教育”。ARMADILLO等干预措施如果被证明有效，可以弥补一个重要的差距，使难以接触到的群体普遍获得性健康和生殖健康信息和教育。
Background: Young people face special challenges to accessing needed sexual and reproductive health (SRH) information and support. With high penetration and access, mobile phones provide a new channel for reaching young people, but there is little evidence around the impact of digital interventions on improving health outcomes. The Adolescent/Youth Reproductive Mobile Access and Delivery Initiative for Love and Life Outcomes (ARMADILLO) study will assess the effect of an intervention providing SRH information to young people via text message on their mobile phones in Kenya and Peru. This protocol details an open, individually-randomized, three-arm trial lasting seven weeks to assess the effect of the ARMADILLO intervention on dispelling myths and misconceptions related to contraception. A secondary objective is to determine whether youth given access to SRH information via text message can accurately retain that information.Methods: Following a household enumeration, one eligible youth per household will be randomly selected for participation and randomized by computer into one of the three arms. Intervention arm participants will receive access to ARMADILLO content, control participants will receive no information, and 'Arm 3' participant interactions will vary by site: in Kenya, they will be alerted to various SRH domains and encouraged to learn on their own; in Peru, they will receive key content from each domain with the option to learn more if they wish. Participants will complete multiple-choice questionnaires administered by data collectors at baseline (prior to randomization), at intervention-period end (after week seven), and eight weeks after timing out of the intervention period.Discussion: Part of the Sustainable Development Goal commitment towards ensuring healthy lives and promoting well-being for all at all ages includes a commitment to 'ensuring universal access to sexual health and reproductive health-care services, including for family planning, information and education'. If proven to be effective, interventions like ARMADILLO can bridge an important gap towards achieving universal access to SRH information and education for an otherwise difficult-to-reach group.