Technology-Based Interventions to Reduce Sexually Transmitted Infections and Unintended Pregnancy Among Youth.
Technology-Based Interventions to Reduce Sexually Transmitted Infections and Unintended Pregnancy Among Youth.
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DOI：
10.1016/j.jadohealth.2018.02.007
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Stewart JL
中科院分区：
文献类型：
--
作者：
Widman L;Nesi J;Kamke K;Choukas-Bradley S;Stewart JL
近年来，以技术为基础的促进性健康的干预措施激增，但其在青少年中的有效性尚未进行meta分析。本研究综合了有关以科技为基础的青少年性健康干预措施的文献。如果研究包括：1)抽样13-24岁的青年；2)利用技术型平台；3)衡量安全套使用或禁欲的结果；4)通过实验或准实验设计评估方案效果；和5)用英文发表。共合成了16项研究，共11,525名青年。基于技术的干预措施对安全套使用（d= 0.23, 95% CI [0.12, 0.34], p< 0.001）和禁欲（d= 0.21, 95% CI [0.02, 0.40], p= 0.027）有显著的加权平均影响。效果不因年龄、性别、国家、干预剂量、互动性或方案定制而异。然而，与长期随访（大于6个月）相比，短期随访（1-5个月）的效果更强。与对照组相比，技术干预在提高性健康知识（d=.40, p<.001）、安全性行为规范（d=.15, p=.022）和态度（d=.12, p=.016）方面也更有效。在对以青少年为中心的基于技术的干预措施进行了15年的研究之后，这项荟萃分析表明，它们有望改善更安全的性行为和认知。未来的工作应调整干预措施，以延长其保护作用。
Technology-based interventions to promote sexual health have proliferated in recent years, yet their efficacy among youth has not been meta-analyzed. This study synthesizes the literature on technology-based sexual health interventions among youth. Studies were included if they: 1) sampled youth ages 13-24; 2) utilized technology-based platforms; 3) measured condom use or abstinence as outcomes; 4) evaluated program effects with experimental or quasi-experimental designs; and 5) were published in English. 16 studies with 11,525 youth were synthesized. There was a significant weighted mean effect of technology-based interventions on condom use (d=.23, 95% CI [0.12, 0.34], p<.001) and abstinence (d=.21, 95% CI [0.02, 0.40], p=.027). Effects did not differ by age, gender, country, intervention dose, interactivity, or program tailoring. However, effects were stronger when assessed with short-term (1-5 months) compared to longer-term (greater than 6 months) follow-ups. Compared to control programs, technology-based interventions were also more effective in increasing sexual health knowledge (d=.40, p<.001) and safer sex norms (d=.15, p=.022) and attitudes (d=.12, p=.016). After 15 years of research on youth-focused technology-based interventions, this meta-analysis demonstrates their promise to improve safer sex behavior and cognitions. Future work should adapt interventions to extend their protective effects over time.
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