Lessons Learned from Replicating a Randomized Control Trial Evaluation of an App-Based Sexual Health Program

Manlove, Jennifer; Whitfield, Brooke; Finocharo, Jane; Cook, Elizabeth

doi:10.3390/ijerph18063305

Cited by 11 publications

(6 citation statements)

References 30 publications

(32 reference statements)

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“…The results of this study are different from the previous studies which stated that education using application media can increase knowledge [16], [17], [18], [19], [20]. However, there were several differences, for example, in the research of Vanestanagh et al, which found smartphone-based education can increase knowledge about reproductive health.…”

Section: Discussioncontrasting

confidence: 99%

“…The choice of using media applications or mobile phone interventions is also considering that reproductive health and adolescent sexuality education services have not been routinely provided in public health services [22]. In the study of Manlove et al, giving a pulse reproductive health application could also increase adolescent self-confidence in using contraception [18].…”

Section: Discussionmentioning

confidence: 99%

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The Effect of the Commander Application (Gender Equality-Based Adolescent Reproductive Health Education) on Knowledge, Attitudes, and Self-efficacy of High School Students in Yogyakarta City

Nisman

Parmawati²,

Lailatussa’adah³

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Teenage dating behavior can lead to unsafe dating behavior. There has been an increase in the incidence of sexual violence, involving adolescent girls as victims of abuse. It is imperative to provide more proactive protection and violence prevention by gender equality-based reproductive health education through application media. AIM: The aim of the study was to determine the effect of the Commander application (gender equality-based adolescent reproductive health education) on knowledge, attitudes, and self-efficacy of high school students in Yogyakarta, Indonesia. METHODS: This quasi-experimental study was conducted with a non-equivalent design (pretest and posttest) and a control group. The intervention group received gender-based adolescent reproductive health education with the media application that was made by the research team, while the control group received routine reproductive health education with lectures organized by the local public health center (Puskesmas). The research population was all high school students in the Yogyakarta City, and the schools were selected based on those in the target area of the Puskesmas that had adolescent health services. School selection based on school characteristic type of school and number of students. Two schools were selected as the intervention and control groups with a minimum sample of 30 male and 30 female students from each school. The total sample was 170 people. The questionnaire used to measure attitude, knowledge, and self-efficacy was previously tested for validity and reliability and declared valid and reliable. Comparative analysis has been carried out in two paired groups using a dependent t-test, while for two unpaired groups using an independent t-test. RESULTS: The mean values of knowledge in the intervention and control groups were 0.628 versus −0.183 and the difference between the two groups was not significant (p = 0.108). The average attitude values of the intervention and control groups were 0.557 versus −2.283 and the difference between the two groups was significantly different (p = 0.000). The average self-efficacy values of the intervention and control groups were 3.785 versus −3.350 and the difference between the two groups was significantly different (p = 0.012). CONCLUSIONS: Gender-based adolescent reproductive health education interventions with application media can improve adolescent attitudes and self-efficacy.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effect of the Commander Application (Gender Equality-Based Adolescent Reproductive Health Education) on Knowledge, Attitudes, and Self-efficacy of High School Students in Yogyakarta City

Nisman

Parmawati²,

Lailatussa’adah³

et al. 2022

Open Access Maced J Med Sci

View full text Add to dashboard Cite

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Section: Implications For Addressing Social Determinants In Shaping E...mentioning

confidence: 99%

“…84 There are also innovative approaches to leverage other types of technologies, beyond telehealth, to address the reproductive 85 and mental health 86 needs of adolescents, but there is a paucity of research in this area that pertains specifically to EPT. 87 Despite these efforts, there is a need for increasing the number and strength of community partnerships across the public and private sectors. For instance, summer internship programs, such as for EPT, provide job training, offer linkages to health screenings and care, as well as parenting and lifeskills training and support.…”

Section: Implications For Addressing Social Determinants In Shaping E...mentioning

confidence: 99%

Understanding the Psychological Impacts of Teenage Pregnancy through a Socio-ecological Framework and Life Course Approach

Tebb¹,

Brindis

2022

Semin Reprod Med

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The relationship between mental health and teenage pregnancy is complex. Mental health can be both an antecedent and contributing factor to teenage pregnancy and a concurrent factor wherein pregnancy itself can contribute to depression. Expectant and parenting teens (EPT) are faced with the simultaneous challenges of pregnancy and parenting while navigating the developmental tasks of adolescence which increases their risk for mental health problems. In addition, adolescents growing up in stressful community or home situations where their parents experienced depression, further places them and their children at greater risk of repeated patterns over time. However, adverse mental health outcomes are not inevitable. The socio-ecological model combined with a life course perspective provides a framework for understanding the complexity of risk and protective factors at multiple levels that influence knowledge, attitudes, behaviors, and other health outcomes later in life and across generations. This approach has important implications for reducing adolescents' risk of an unintended/mistimed pregnancy and improving mental health and other outcomes for EPT. This paper describes the prevalence of mental health problems in EPT and using a socio-ecological framework and life course perspective explains variations in mental health outcome among EPT. Implications for interventions and innovative approaches are also discussed.

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“…These social and structural barriers have impeded STI prevention in SSA [56][57][58][59][60]. Digital health innovations for training SRH care providers can link adolescents and young people to needed services and allow for the social monitoring of SRH services for adolescents and young people [61,62].…”

Section: Principal Findingsmentioning

confidence: 99%

Pilot Implementation of a User-Driven, Web-Based Application Designed to Improve Sexual Health Knowledge and Communication Among Young Zambians: Mixed Methods Study

Sharma¹,

Mwamba²,

N’gandu³

et al. 2022

J Med Internet Res

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Background Digital health interventions show promise in improving the uptake of HIV services among adolescents and young people aged 15 to 24 years in sub-Saharan Africa. Objective This study aimed to pilot-test a theory-based, empirically grounded web-based application designed to increase condom-related knowledge, sexual and reproductive health (SRH) communication, and healthier choices among young Zambians. Methods We conducted a pre-post quasi-experimental evaluation of the user-driven Be in the Know Zambia (BITKZ) web application using web-based surveys and in-depth interviews (IDIs) on the phone. We enrolled participants using social media advertisements. Our final analysis set comprised 46.04% (749/1627) of participants in the intervention group (which received the BITKZ link) and 53.96% (878/1627) of participants in the comparison group (no intervention). We collected survey data at study enrollment (baseline) and 5 weeks after the first enrollment in each group. Approximately 85% (637/749) of BITKZ users completed a user survey, of whom 9.3% (59/637) participated in IDIs. We calculated the time interfacing with BITKZ using the application log files. We conducted descriptive analyses to describe baseline characteristics and the user experience. At the endline, we assessed association using a t test and adjusted logistic regression for binary outcomes and ordinal regression for ordered outcomes, conditioning on age, sex, marital status, and employment status. We used adjusted average treatment effects (aATE) to assess the effects of BITKZ intervention. We conducted rapid matrix analyses of IDI transcripts in Microsoft Excel, sorting the data by theme, gender, and experience rating. Results Users rated BITKZ highly (excellent: 352/609, 57.8%; good: 218/609, 35.8%). At the endline, the intervention group had a higher level of knowledge related to condoms (adjusted odds ratio [aOR]: 1.35, 95% CI 1.06-1.69) and on wearing condoms correctly (aOR: 1.23, 95% CI 1.02-1.49). Those who had full-time employment had increased odds of knowing how to wear condoms correctly (aOR: 1.67, 95% CI 1.06-2.63) compared with those who reported being unemployed, as did men when compared with women (aOR: 1.92, 95% CI 1.59-2.31). Those in the intervention group were more likely to score higher for intention to test for sexually transmitted infections (STIs; aATE 0.21; P=.01) and HIV (aATE 0.32; P=.05), as well as for resisting peer pressure (aATE 2.64; P=.02). IDIs corroborated increased knowledge on correct condom use among men and female condoms among women, awareness of STIs and testing, and resistance to peer pressure. Interviewees provided examples of more open SRH communication with partners and peers and of considering, adopting, and influencing others to adopt healthier behaviors. Conclusions Despite the high baseline awareness of SRH among Zambian adolescents and young people with internet access, BITKZ provided modest gains in condom-related knowledge, resistance to peer pressure, and intention to test for STIs and HIV.

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Lessons Learned from Replicating a Randomized Control Trial Evaluation of an App-Based Sexual Health Program

Cited by 11 publications

References 30 publications

The Effect of the Commander Application (Gender Equality-Based Adolescent Reproductive Health Education) on Knowledge, Attitudes, and Self-efficacy of High School Students in Yogyakarta City

The Effect of the Commander Application (Gender Equality-Based Adolescent Reproductive Health Education) on Knowledge, Attitudes, and Self-efficacy of High School Students in Yogyakarta City

Understanding the Psychological Impacts of Teenage Pregnancy through a Socio-ecological Framework and Life Course Approach

Pilot Implementation of a User-Driven, Web-Based Application Designed to Improve Sexual Health Knowledge and Communication Among Young Zambians: Mixed Methods Study

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