Evidence and Learning Advisor, Population Services International, Nairobi, Kenya.
Research Advisor, Population Services International, Washington, DC, USA.
Sex Reprod Health Matters. 2023 Dec;31(4):2269008. doi: 10.1080/26410397.2023.2269008. Epub 2023 Nov 20.
Integrating pleasure may be a successful strategy for reaching young people with sexual and reproductive health and rights (SRHR) interventions. However, sexual pleasure-related programming and research remains sparse. We aimed to assess chatbot acceptability and describe changes in SRHR attitudes and behaviours among Kenyan young adults engaging with a pleasure-oriented SRHR chatbot. We used an exploratory mixed-methods study design. Between November 2021 and January 2022, participants completed a self-administered online questionnaire before and after chatbot engagement. In-depth phone interviews were conducted among a select group of participants after their initial chatbot engagement. Quantitative data were analysed using paired analyses and interviews were analysed using thematic content analysis. Of 301 baseline participants, 38% (115/301) completed the endline survey, with no measured baseline differences between participants who did and did not complete the endline survey. In-depth interviews were conducted among 41 participants. We observed higher satisfaction at endline vs. baseline on reported ability to exercise sexual rights (), confidence discussing contraception () and sexual feelings/needs () with their sexual partner(s). Qualitative interviews indicated that most participants valued the chatbot as a confidential and free-of-judgment source of trustworthy "on-demand" SRHR information. Participants reported improvements in sex-positive communication with partners and safer sex practices due to new learnings from the chatbot. We observed increases in SRHR empowerment among young Kenyans after engagement with the chatbot. Integrating sexual pleasure into traditional SRHR content delivered through digital tools is a promising strategy to advance positive SRHR attitudes and practices among youth.
将愉悦感融入其中可能是将性健康和生殖健康及权利 (SRHR) 干预措施推向年轻人的一种成功策略。然而,与性愉悦相关的项目和研究仍然很少。我们旨在评估肯尼亚年轻人对以愉悦为导向的 SRHR 聊天机器人的接受程度,并描述他们在与该聊天机器人互动后对 SRHR 态度和行为的变化。我们采用了探索性混合方法研究设计。在 2021 年 11 月至 2022 年 1 月期间,参与者在与聊天机器人互动之前和之后完成了一份自我管理的在线问卷。在一组参与者最初与聊天机器人互动之后,对他们进行了选择性的电话访谈。使用配对分析对定量数据进行分析,使用主题内容分析对访谈进行分析。在 301 名基线参与者中,38%(115/301)完成了终点调查,完成和未完成终点调查的参与者之间没有测量到基线差异。进行了 41 次深入访谈。我们观察到,与基线相比,报告的行使性权利的能力()、与性伴侣讨论避孕措施的信心()和性感受/需求()在终点更高。定性访谈表明,大多数参与者认为聊天机器人是一个机密、无评判的值得信赖的“按需”SRHR 信息来源。参与者报告说,由于从聊天机器人中学到了新的知识,他们与伴侣的性沟通变得更加积极,安全性行为也有所改善。我们观察到,肯尼亚年轻人在与聊天机器人互动后,在 SRHR 赋权方面有所提高。将性愉悦融入通过数字工具提供的传统 SRHR 内容是一种很有前途的策略,可以促进年轻人对积极的 SRHR 态度和实践的接受。