College of Nursing, Kaohsiung Medical University, Kaohsiung.
School of Nursing, Sam Ratulangi University, Manado, Indonesia.
J Telemed Telecare. 2024 Feb;30(2):201-214. doi: 10.1177/1357633X211047762. Epub 2021 Dec 13.
Telehealth interventions to advance adolescent sexual health have evolved and are being used to promote adolescent sexual health knowledge and healthy sexual behaviors. However, as this area of intervention modality expands, there is a need to pause and examine the effects of telehealth interventions on adolescent sexual health outcomes. Addressing this knowledge gap will inform researchers and practitioners on the current state of evidence of telehealth interventions and inform further intervention development and testing. This study aimed to explore the meta-effects of telehealth interventions on self-efficacy of using condoms, condom use practices, and sexually transmitted infection testing behaviors among adolescents.
A systematic review and meta-analysis of randomized controlled trials were conducted. Seven databases (Academic Search Complete, CINAHL, EMBASE, MEDLINE, PubMed, OVID (UpToDate), and Web of Science) were searched for relevant full-text articles from the inception to May 2021. The revised Cochrane risk-of-bias tool for randomized trials was used to assess the methodological quality of the included studies. A meta-analysis was performed using a random effects model to calculate the pooled effects of telehealth interventions for adolescents. Stata 16.0 was used for statistical analysis.
A total of 15 studies ( = 5499) that used telehealth interventions with adolescents were included in the analysis. Telehealth interventions were found to increase self-efficacy for condom use (standardized mean difference: 0.22; 95% confidence interval: 0.08-0.36), practice for condom use (standardized mean difference: 0.35; 95% confidence interval: 0.23-0.47), and being screened/tested for sexual transmitted infections (standardized mean difference: 0.61; 95% confidence interval: 0.31-0.92).
Telehealth interventions show promise as effective intervention delivery solutions for improving self-efficacy and certain sexual health behaviors among adolescents. These telehealth strategies could be important alternatives to in-person visits to accessing sexual health information or services near where they live. Future research should consider testing telehealth strategies where there is evidence of impact to move the field forward.
远程医疗干预措施的发展和应用旨在促进青少年的性健康知识和健康性行为。然而，随着干预手段的扩展，我们需要暂停并评估远程医疗干预措施对青少年性健康结果的影响。解决这一知识空白将为研究人员和实践者提供有关远程医疗干预措施现状的证据，并为进一步的干预措施的发展和测试提供信息。本研究旨在探讨远程医疗干预措施对青少年使用避孕套的自我效能、避孕套使用行为和性传播感染检测行为的综合效果。
对随机对照试验进行了系统评价和荟萃分析。从建库到 2021 年 5 月，在 7 个数据库（学术搜索完整、CINAHL、EMBASE、MEDLINE、PubMed、OVID（UpToDate）和 Web of Science）中搜索了相关的全文文章。使用修订后的 Cochrane 随机试验偏倚风险工具评估纳入研究的方法学质量。使用随机效应模型进行荟萃分析，以计算远程医疗干预措施对青少年的综合效果。Stata 16.0 用于统计分析。
共有 15 项研究（ = 5499）纳入了对青少年使用远程医疗干预措施的分析。研究发现，远程医疗干预措施可提高使用避孕套的自我效能（标准化均数差：0.22；95%置信区间：0.08-0.36）、使用避孕套的实践（标准化均数差：0.35；95%置信区间：0.23-0.47）以及性传播感染的筛查/检测（标准化均数差：0.61；95%置信区间：0.31-0.92）。
远程医疗干预措施作为一种有效的干预手段，为提高青少年的自我效能和某些性健康行为提供了希望。这些远程医疗策略可能是在他们居住的地方获取性健康信息或服务的重要替代方式。未来的研究应考虑测试具有影响证据的远程医疗策略，以推动该领域的发展。
