Reynaud Danielle, Bouscaren Nicolas, Cartron Emmanuelle, Marimoutou Catherine
Department of Nursing, Rehabilitation and Medical Techniques (South Site), University Hospital Center, BP 350 avenue François Mitterand, Terre Sainte, Saint-Pierre, Reunion Island, 97410, Reunion, 262 0262 35 90 00 ext 55214.
Centre d'Investigation Clinique 1410 - INSERM, University Hospital Center, Saint-Pierre, Reunion.
JMIR Pediatr Parent. 2024 Nov 1;7:e52557. doi: 10.2196/52557.
BACKGROUND: Sexual health indicators for adolescents and young adults (AYAs) aged between 13 and 25 years are particularly poor on Reunion Island. Access to accurate information as well as sexual health and contraceptive services are vital to maintaining sexual well-being. Teleconsultations offer a promising approach to addressing the sexual health and contraceptive needs of AYAs who are more susceptible to engaging in unprotected sexual intercourse. However, the literature on digital sexual health services for this demographic group is limited. OBJECTIVE: This study aims to describe the feasibility of a pilot sexual health and contraceptive teleconsultation web service used by AYAs on Reunion Island. METHODS: A descriptive, retrospective study was conducted at the Reunion Island University Hospital Center using a convenient sample. Eligible participants were informed about the program through various communication channels, including seminars for health care professionals, radio broadcasts, posters, flyers, press articles, videos, and social media posts. AYAs accessed a web-based platform named SEXTUOZE from December 15, 2021, to September 30, 2022, that offered sexual health information and teleconsultations. Data collected included participant and teleconsultation characteristics, patient satisfaction, and the quality of completeness of medical records. RESULTS: A total of 22 teleconsultations were scheduled and 7 were completed, all via synchronous video communication (duration: median 35 min). Overall, 4731 sessions were generated on the SEXTUOZE website. Reasons cited for accessing the web services were to seek sexual health advice (8/22, 36%), receive an initial birth control prescription (12/22, 55%), and inquire about condom prescriptions (2/22, 9%). CONCLUSIONS: While teleconsultation use for sexual health was initially low, it rose toward the end of the study period. Considering all elements of the implementation theory, future research should design interventions that not only are more operative and tailored but also ensure their adoption and sustainability in various health contexts.
背景：在留尼汪岛上，13至25岁青少年及青年（AYAs）的性健康指标特别差。获取准确信息以及性健康和避孕服务对于维持性健康至关重要。远程会诊为满足更容易进行无保护性行为的AYAs的性健康和避孕需求提供了一种有前景的方法。然而，针对这一人群的数字性健康服务的文献有限。 目的：本研究旨在描述留尼汪岛上AYAs使用的性健康和避孕远程会诊网络服务的可行性。 方法：在留尼汪岛大学医院中心进行了一项描述性回顾性研究，采用方便抽样。通过各种沟通渠道，包括面向医疗保健专业人员的研讨会、广播、海报、传单、新闻文章、视频和社交媒体帖子，让符合条件的参与者了解该项目。2021年12月15日至2022年9月30日期间，AYAs访问了一个名为SEXTUOZE的基于网络的平台，该平台提供性健康信息和远程会诊。收集的数据包括参与者和远程会诊特征、患者满意度以及病历的完整性质量。 结果：共安排了22次远程会诊，其中7次完成，均通过同步视频通信（时长：中位数35分钟）。总体而言，SEXTUOZE网站产生了4731次会话。访问网络服务的原因包括寻求性健康建议（8/22，36%）、获得初始避孕处方（12/22，55%）以及询问避孕套处方（2/22，9%）。 结论：虽然最初用于性健康的远程会诊使用率较低，但在研究期结束时有所上升。考虑到实施理论的所有要素，未来的研究应设计不仅更具操作性和针对性，而且能确保在各种健康环境中被采用和可持续的干预措施。
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