Social Marketing @ Griffith, Department of Marketing, Griffith University, 170 Kessels Road, Nathan, Queensland 4111, Australia.
School of Medicine, Griffith University, Gold Coast Campus, Building G01, Gold Coast, Queensland 4215, Australia.
Health Promot Int. 2023 Feb 1;38(1). doi: 10.1093/heapro/daac104.
There has been a proliferation of digital sexual health interventions targeting adolescents; however, limited evaluative reviews have compared the effectiveness of multiple digital tools for sexual health literacy and behaviour change. This study conducted a systematic literature review, screened 9881 records and analysed 61 studies. Findings suggest that websites and mobile phones dominate digital sexual health interventions, with a majority effectively delivering cognitive (e.g. awareness and attitudes about sexual and reproductive health) and behavioural outcomes (e.g. abstinence and use of contraception). The most popular sexual health promotion mechanisms were interactive websites, text messaging and phone calls, and online education programmes, followed by mobile applications-fewer studies in this review utilized social media, games and multimedia. Previous reviews focused on single outcome measures (e.g. sexually transmitted infection testing) to assess interventions' effectiveness. The current review moves beyond single outcome measures to cover a wider range of behavioural and non-behavioural sexual health issues and contexts covered in the literature. Four main categories were analysed as outcomes: cognitive perceptions, promoting sexual health-related behaviours, promoting sexual health-related products and services, and impact (viral load). Seventy-nine per cent of interventions focused on preventive sexual health behaviours and products (e.g. condoms) and services (e.g. HIV testing). Overall, 75% of studies effectively changed sexual health behaviour and cognitive perceptions. However, the digital-only tools did not vary from the blended formats, in influence outcomes, even after categorizing them into behavioural or non-behavioural outcomes. Compared to previous systematic reviews, more studies from the last decade used rigorous research design in the form of randomized controlled trials, non-randomized control trials, and quasi-experiments and lasted longer.
针对青少年的数字性健康干预措施已经大量涌现；然而，很少有评估性的综述比较了多种数字工具对性健康素养和行为改变的有效性。本研究进行了系统的文献综述，筛选了 9881 条记录并分析了 61 项研究。结果表明，网站和移动电话主导着数字性健康干预措施，其中大多数有效地提供了认知（例如对性和生殖健康的认识和态度）和行为结果（例如禁欲和使用避孕措施）。最受欢迎的性健康促进机制是互动网站、短信和电话以及在线教育计划，其次是移动应用程序-本综述中较少的研究利用了社交媒体、游戏和多媒体。以前的综述侧重于单一的结果测量（例如性传播感染测试）来评估干预措施的有效性。本综述超越了单一的结果测量，涵盖了文献中更广泛的行为和非行为性健康问题和背景。分析了四个主要类别作为结果：认知感知、促进与性健康相关的行为、促进与性健康相关的产品和服务以及影响（病毒载量）。79%的干预措施侧重于预防性健康行为和产品（例如避孕套）以及服务（例如 HIV 测试）。总体而言，75%的研究有效地改变了性健康行为和认知感知。然而，即使将数字工具分类为行为或非行为结果，它们在影响结果方面也与混合格式没有差异。与以前的系统综述相比，过去十年中更多的研究采用了随机对照试验、非随机对照试验和准实验等严格的研究设计，且研究时间更长。
