scholarly journals Effects of Interventions Addressing School Environments or Educational Assets on Adolescent Sexual Health: Systematic Review and Meta-analysis

2018 ◽  
Vol 44 (3) ◽  
pp. 111 ◽  
Author(s):  
Peterson ◽  
Donze ◽  
Allen ◽  
Bonell
2021 ◽  
pp. 1357633X2110477
Author(s):  
Ita Daryanti Saragih ◽  
Santo Imanuel Tonapa ◽  
Carolyn M. Porta ◽  
Bih-O Lee

Introduction 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. Methods 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. Results A total of 15 studies ( N = 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). Discussion 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.


Author(s):  
Andy-Muller Nzinga ◽  
Stéphanie De Andrade Castanheira ◽  
Jessica Hermann ◽  
Véronique Feipel ◽  
Augustin Joseph Kipula ◽  
...  

2015 ◽  
Vol 47 (1) ◽  
pp. 37-50 ◽  
Author(s):  
Diane Santa Maria ◽  
Christine Markham ◽  
Shirley Bluethmann ◽  
Patricia Dolan Mullen

2021 ◽  
Author(s):  
Ellie Brown ◽  
Samantha L Lo Monaco ◽  
Brian O'Donoghue ◽  
Elizabeth Hughes ◽  
Melissa Graham ◽  
...  

Abstract Background Ensuring young people experience good sexual health is a key public health concern. Yet, some vulnerable groups of young people are at higher risk of poor sexual health, and consequently require additional support to achieve good sexual health. Therefore, the aim of this systematic review was to identify and assess the evidence base for behavioural and psychosocial interventions to improve sexual health for young people with additional vulnerabilities.Methods We searched for randomised controlled trials of interventions aimed at promoting sexual health, with any non-pharmacological comparator (e.g., waitlist control). Key outcomes of interest were indicators of sexual health (e.g., condom use, attitudes to contraception, knowledge of risk). Participants in eligible trials were under 25 years old and in a high-risk group (alcohol and other drug use; justice-involved; homeless; LGBTQI+; mental ill-health; ethnic minority, or out-of-home care). The final literature searches were performed on 16 September 2020, on MEDLINE, PsycINFO, EMBASE, CENTRAL, Web of Science, Scopus and clinical trial registries. Meta-analyses were conducted where possible.Results Forty-seven papers from 46 trials of the 5213 identified met inclusion criteria, with all but one of the included trials conducted in North America. Three focused predominantly on AOD, six on juvenile justice, two on homelessness, five on young men who have sex with men (YMSM), 26 on ethnic minorities, two on mental ill-health, three on out-of-home care, however no trials were identified in LGBTQI + groups outside of YMSM. The 47 included papers had a combined total of 21,543 participants. The vast majority (26/46) of trials were conducted with ethnic minority groups, with most of the interventions delivered as group therapy, and some involving parents and caregivers. Condom use was the most frequently reported outcome measure. In trials targeting ethnic minorities, the meta-analysis found a medium effect size (0.62, p = 0.0004) of the intervention on condom use.Conclusions There remains a dearth of research undertaken outside of North America, and in high-risk groups other than ethnic minorities. Future interventions should address sexual health more broadly than just the absence of negative biological outcomes with LGBTQI+, homeless and mental ill-health populations targeted for such work.This review was registered at Prospero (ref. 149810) and at osf.io/ukva9.


The Lancet ◽  
2014 ◽  
Vol 384 ◽  
pp. S85 ◽  
Author(s):  
Sonali Wayal ◽  
Julia V Bailey ◽  
Elizabeth Murray ◽  
Greta Rait ◽  
Richard W Morris ◽  
...  

2021 ◽  
Vol 27 (6) ◽  
pp. S139
Author(s):  
Ghufran l. Ismaeel ◽  
Shashank Joshi ◽  
Abhishek Jumani ◽  
Deepak Jumani

Author(s):  
Deepak Jumani ◽  
Abhishek Jumani ◽  
Ismaeel Ghufran Lufti ◽  
Hemant Phatale ◽  
Shashank Joshi

2016 ◽  
Vol 55 (1) ◽  
pp. 31-44 ◽  
Author(s):  
Wai Han Sun ◽  
Heidi Yin Hai Miu ◽  
Carlos King Ho Wong ◽  
Joseph D. Tucker ◽  
William Chi Wai Wong

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