Department of Reproductive Health and Research including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Avenue Appia 20, 1201, Geneva, Switzerland.
Population Council, Department of Reproductive Health, 1 Dag Hammarskjold Plaza, New York, NY, 10017, USA.
Reprod Health. 2018 Jul 11;15(1):126. doi: 10.1186/s12978-018-0568-6.
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. TRIAL REGISTRATION: This trial was retrospectively registered with the ISRCTN Registry and assigned registration number ISRCTN85156148 on 29 May, 2018.
背景:年轻人在获取所需的性健康和生殖健康(SRH)信息和支持方面面临特殊挑战。由于手机的高普及率和可及性,为接触年轻人提供了一个新的渠道,但关于数字干预措施对改善健康结果的影响的证据很少。青少年/青年生殖移动获取和交付倡议,以实现爱与生命的成果(ARMADILLO)研究将评估通过肯尼亚和秘鲁的手机短信向年轻人提供 SRH 信息的干预措施对其健康结果的影响。本方案详细介绍了一项为期七周的开放、个体随机、三臂试验,以评估 ARMADILLO 干预措施对消除与避孕相关的误解和误解的效果。次要目标是确定通过短信获得 SRH 信息的年轻人是否能够准确保留该信息。
方法:在进行家庭普查后,每个家庭将随机选择一名符合条件的年轻人参加,并通过计算机随机分配到三个组之一。干预组的参与者将获得 ARMADILLO 内容,对照组将不提供任何信息,而“第 3 臂”参与者的互动将因地点而异:在肯尼亚,他们将被提醒注意各种 SRH 领域,并鼓励他们自行学习;在秘鲁,他们将收到每个领域的关键内容,并可选择如果愿意,了解更多信息。参与者将在基线(随机分组前)、干预期结束(第七周后)和干预期结束后八周完成数据收集者管理的多项选择问卷。
讨论:可持续发展目标承诺确保所有年龄段所有人的健康生活和促进福祉的一部分包括承诺“确保普遍获得性健康和生殖保健服务,包括计划生育、信息和教育”。如果被证明是有效的,像 ARMADILLO 这样的干预措施可以弥合向一个难以接触的群体普遍提供 SRH 信息和教育的重要差距。
试验注册:该试验于 2018 年 5 月 29 日在 ISRCTN 注册中心进行了回顾性注册,并分配了注册号 ISRCTN85156148。
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