African American Adolescents and Young Adults, New Media, and Sexual Health: Scoping Review

Teadt, Sierra; Burns, Jade; Montgomery, Tiffany M.; Darbes, Lynae A.

doi:10.2196/19459

Cited by 12 publications

(13 citation statements)

References 48 publications

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“…Additionally, while most participants had phones, some had limited storage or shared the phone with other family members, making them less inclined to download or keep an app, particularly one that stored sensitive information. By contrast, other studies have found that youth appreciate the anonymity available through technology-based sexual health interventions [ 34 ].…”

Section: Discussionmentioning

confidence: 83%

“…While ITK was designed for youth in underserved settings including foster care and shelters, health educators were more likely to encounter technology issues such as lack of Wi-Fi and other hardware in non–school settings. This made the implementation of the technology components of the program more challenging [ 34 ]. Additionally, while most participants had phones, some had limited storage or shared the phone with other family members, making them less inclined to download or keep an app, particularly one that stored sensitive information.…”

Section: Discussionmentioning

confidence: 99%

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Educators' Perspectives on Integrating Technology Into Sexual Health Education: Implementation Study

Decker¹,

Harrison²,

Price³

et al. 2022

JMIR Hum Factors

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Background In the last decade, the use of technology-based sexual health education has increased. Multiple studies have shown the feasibility of technology-based interventions, while a subset has also shown efficacy in improving youths’ sexual health outcomes such as increased condom use and knowledge. However, little is known about health educators’ experiences in integrating technology to augment sexual health curricula. Objective The purpose of this study was to assess the perceptions and experiences of health educators regarding the incorporation of technology into a sexual health education program designed for underserved youth in Fresno County, California, and to identify facilitators and challenges to incorporating technology into the in-person curriculum. Methods This implementation study used data collected as part of a cluster randomized controlled trial to evaluate In the Know (ITK), an in-person sexual health education curriculum that includes technology-based content, such as a resource locator, videos, and games, which can be accessed through a mobile app or website. Data from implementation logs from each cohort (n=51) and annual interviews (n=8) with health educators were analyzed to assess the health educators’ experiences using the technology and adaptations made during the implementation. Results The health educators reported that technological issues affected implementation to some degree: 87% of the time in the first year, which decreased to 47% in the third year as health educators’ familiarity with the app increased and functionality improved. Technology issues were also more common in non–school settings. Successes and challenges in 3 domains emerged: managing technology, usability of the ITK app, and youth engagement. The health educators generally had positive comments about the app and youth engagement with the technology-based content and activities; however, they also noted certain barriers to adolescents’ use of the mobile app including limited data storage and battery life on mobile phones. Conclusions Health educators require training and support to optimize technology as a resource for engaging with youth and providing sensitive information. Although technology is often presented as a solution to reach underserved populations, educational programs should consider the technological needs and limitations of the participants, educators, and settings. International Registered Report Identifier (IRRID) RR2-10.2196/18060

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Educators' Perspectives on Integrating Technology Into Sexual Health Education: Implementation Study

Decker¹,

Harrison²,

Price³

et al. 2022

JMIR Hum Factors

View full text Add to dashboard Cite

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“…However, effects were stronger when assessed with short-term (1–5 months) compared to longer-term (greater than 6 months) follow-ups Condom use & abstinence : There was a small but significant protective effect of technology-based interventions on condom use (d = .23, 95% CI [0.12, 0.34]) and abstinence (d = .21, 95% CI [0.02, 0.40], p = .027) Other SRH outcomes : Compared to control programs, technology-based interventions were also more effective in increasing sexual health knowledge (d = .40, p < .001) and safer sex norms (d = .15, p = .022) and safe sex attitudes (d = .12, p = .016). No impact on safer sex intentions or perceived self-efficacy to engage in safer sexual behavior Teadt et al (2020) [ 23 ] Aim: Scoping review for the use of New media platform for sexual health Methods • 16 studies were included (5 systematic review articles for social media, internet, web/based, social media TXs that included > 130 articles with African American youth) • P: African American AYAs • Types of SRH TXs : utilizing new media for improving contraception or condom use, communicating credible information regarding HIV and STIs, reducing the transmission of HIV and STIs, improving attitudes around sexual health, and promoting STI testing–related behaviors • New media platforms are defined as social networking sites, collaborative websites, blogs (for opinion sharing/discussion), content communities (for entertainment, info sharing), virtual reality/online gaming, communication/messengers. The most common forms utilized within the included studies were social media (e.g., Facebook, Twitter) (k = 10), internet-based interventions (e.g., It’s Your Game- Tech, Keep It Up! )…”

Section: Resultsmentioning

confidence: 99%

“…United Nations Family Planning Association (UNFPA) suggests covering 9 topic areas in SRH services (described above) [ 2 ]. From our review, we found the digital approach of SRH interventions in AYAs were mainly focused on contraception, pregnancy prevention, abstinence promotion [ 23 , 54 , 56 – 58 ], sexual health promotion (on topics related to STIs, HIV/AIDS, safe sex, risky sex behaviors) [ 23 , 53 , 55 – 58 ], substance use [ 53 ], family planning counseling, abortion care [ 56 ], and GBV [ 56 ]. The existing AYA e-SRH interventions cover 5 of the 9 SRH areas suggested by the UNFPA, but predominately focus on pregnancy prevention, uptake of contraception, STIs and HIV/AIDS prevention, and treatment referral and follow-up.…”

Section: Resultsmentioning

confidence: 99%

Applying technology to promote sexual and reproductive health and prevent gender based violence for adolescents in low and middle-income countries: digital health strategies synthesis from an umbrella review

Huang

Kumar

Cheng

et al. 2022

BMC Health Serv Res

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Aim Adolescents in low-and-middle-income countries (LMICs) are facing numerous developmental, sexual and reproductive health (SRH) challenges including exposure to multidimensional violence. Gender-based violence (GBV) specifically intimate partner violence (IPV) are both highly prevalent in LMICs and are strongly linked with poor SRH outcomes. However, GBV and IPV interventions have not yet been adequately integrated in SRH due to individual, social, cultural, service, and resource barriers. To promote long-term SRH, a more holistic approach that integrates GBV and IPV, and adolescent development needs is imperative. Digital health has the potential to address multiple service setup, provision, and addressing access barriers through designing and providing integrated SRH care. However, there are no guidelines for an integrated digital SRH and development promotion for adolescents in LMICs. Methods An umbrella review was conducted to synthesize evidence in three inter-related areas of digital health intervention literature: (i) SRH, (ii) GBV specifically IPV as a subset, and (iii) adolescent development and health promotion. We first synthesize findings for each area of research, then further analyze the implications and opportunities to inform approaches to develop an integrated intervention that can holistically address multiple SRH needs of adolescents in LMICs. Articles published in English, between 2010 and 2020, and from PubMed were included. Results Seventeen review articles met our review inclusion criterion. Our primary finding is that application of digital health strategies for adolescent SRH promotion is highly feasible and acceptable. Although effectiveness evidence is insufficient to make strong recommendations for interventions and best practices suggestions, some user-centered design guidelines have been proposed for web-based health information and health application design for adolescent use. Additionally, several digital health strategies have also been identified that can be used to further develop integrated GBV-IPV-SRH-informed services to improve adolescent health outcomes. We generated several recommendations and strategies to guide future digital based SRH promotion research from our review. Conclusions Rigorous research that focuses on intervention effectiveness testing using a combination of digital health strategies and standardized albeit contextualized outcome measures would be important. Methodological improvement such as adoption of longitudinal experimental design will be crucial in generating evidence-based intervention and practice guidelines for adolescents in LMICs.

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“…Numerous CHI interventions exist to prevent HIV [9][10][11][12][13][14][15] and STIs [16,17] among African American youth. Additionally, digital CHI interventions targeting African American populations can be effective at promoting safer sex behaviors [18,19] and can increase access to sexual health information [20,21]. However, few identify factors driving uptake and engagement [22].…”

Section: Introductionmentioning

confidence: 99%

Uptake of and Engagement With an Online Sexual Health Intervention (HOPE eIntervention) Among African American Young Adults: Mixed Methods Study

Williamson

Barbarin

Campbell³

et al. 2021

J Med Internet Res

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Background Regarding health technologies, African American young adults have low rates of uptake, ongoing usage, and engagement, which may widen sexual health inequalities. Objective We aimed to examine rates of uptake and ongoing usage, and factors influencing uptake, ongoing usage, and engagement for a consumer health informatics (CHI) intervention for HIV/sexually transmitted infection (STI) prevention among African American young adults, using the diffusion of innovation theory, trust-centered design framework, and O’Brien and Toms’ model of engagement. Methods This community-based participatory mixed methods study included surveys at four time points (n=315; 280 African American participants) among young adults aged 18 to 24 years involved in a blended offline/online HIV/STI prevention intervention (HIV Outreach, Prevention, and Education [HOPE] eIntervention), which was described as a “HOPE party.” Qualitative interviews were conducted with a subset of participants (n=19) after initial surveys and website server logs indicated low uptake and ongoing usage. A generalized linear mixed-effects model identified predictors of eIntervention uptake, server logs were summarized to describe use over time, and interview transcripts were coded and thematically analyzed to identify factors affecting uptake and engagement. Results Participants’ initial self-reported eIntervention uptake was low, but increased significantly over time, although uptake never reached expectations. The most frequent activity was visiting the website. Demographic factors and HOPE party social network characteristics were not significantly correlated with uptake, although participant education and party network gender homophily approached significance. According to interviews, one factor driving uptake was the desire to share HIV/STI prevention information with others. Survey and interview results showed that technology access, perceived time, and institutional and technological trust were necessary conditions for uptake. Interviews revealed that factors undermining uptake were insufficient promotion and awareness building, and the platform of the intervention, with social media being less appealing due to previous negative experiences concerning discussion of sexuality on social media. During the interaction with the eIntervention, interview data showed that factors driving initial engagement were audience-targeted website esthetics and appealing visuals. Ongoing usage was impeded by insufficiently frequent updates. Similarly, lack of novelty drove disengagement, although a social media contest for sharing intervention content resulted in some re-engagement. Conclusions To encourage uptake, CHI interventions for African American young adults can better leverage users’ desires to share information about HIV/STI prevention with others. Ensuring implementation through trusted organizations is also important, though vigorous promotion is needed. Visual appeal and targeted content foster engagement at first, but ongoing usage may require continual content changes. A thorough analysis of CHI intervention use can inform the development of future interventions to promote uptake and engagement. To guide future analyses, we present an expanded uptake and engagement model for CHI interventions targeting African American young adults based on our empirical results.

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African American Adolescents and Young Adults, New Media, and Sexual Health: Scoping Review

Cited by 12 publications

References 48 publications

Educators' Perspectives on Integrating Technology Into Sexual Health Education: Implementation Study

Educators' Perspectives on Integrating Technology Into Sexual Health Education: Implementation Study

Applying technology to promote sexual and reproductive health and prevent gender based violence for adolescents in low and middle-income countries: digital health strategies synthesis from an umbrella review

Uptake of and Engagement With an Online Sexual Health Intervention (HOPE eIntervention) Among African American Young Adults: Mixed Methods Study

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