Improving contraceptive use among Latina adolescents: A cluster-randomized controlled trial evaluating an mHealth application, Health-E You/Salud iTu

Abstract

Objective: To evaluate the effectiveness of Health-E You/Salud iTu , a mobile health application (app), on increasing knowledge, self-efficacy and contraception use among Latina adolescents, its impact on visit quality, and app satisfaction . Study Design: This study used cluster-randomized controlled trial (CRCT) of 18 school-based health centers (SBHCs). Prior to the visit, intervention participants received the patient-centered contraceptive decision-making support app and controls answered sexual health questions on iPads. Participants completed a previsit questionnaire and 3 follow-up surveys (48 hours, 3-, and 6-months) after the recruitment visit (where intervention participants completed the app). Differences in adolescents' contraceptive ✩ Funding Sources: This study was funded by a Patient-Centered Outcomes Research Institute (PCORI) research award [AD-1502-27481].

Risk sexual behavior, sexually-transmitted infections and adolescent pregnancy prevention interventions

“…Other studies examine abstinence-based programs, clinic-based programs that provide individualized services, youth development programs. Programs are mostly based in school ( 11-22 , 34 ), community ( 24 ), society ( 18 , 26-28 , 35-38 ), health care ( 34 , 39 , 40 ), and family ( 40-42 ) or media-based approach ( 26-29 ). Among the programs in schools, implemented in elementary, secondary and tertiary schools.…”

“…Among the programs in schools, implemented in elementary, secondary and tertiary schools. The study included samples of mixed sex (adolescent girls and boys) ( 11 , 15-19 ,21,27,28,34-36,38-41, 43 ), among the focus on single sex studies, namely males ( 12 , 24 , 26 ) or only women ( 13 , 14 ,20,26,29,37,38, 42 ), most focused on adolescent girls women than teenage boys. The implementation of the intervention was found in urban areas ( 11-13 ,15-17,19-22,24,26,27, 34-44 ), as well as in rural areas ( 14 , 18 , 25 , 28 ) All distribution of the study focused on adolescents, mostly 13-17 years of age, although the lowest age of adolescents who received the intervention was 10 years and the highest was 19 years, and the study design used was a randomized trial (Randomized Controlled Trial, Randomized Clinical Trial, Cluster-Randomized Trial, Cluster Randomized Feasibility Trial, Double-Blind Cluster-RCT, Double-Blind Randomized Combined Prevention Trial, Multicentre Individual RCT, and Pragmatic Randomized Controlled Trial).…”

Understanding the Psychological Impacts of Teenage Pregnancy through a Socio-ecological Framework and Life Course Approach

“…81 Further, COVID has placed many adolescents at greater risk for mental health issues, 82 which has also highlighted the need to increase the capacity of mental health delivery systems to provide care via telehealth 83 and/or televisits in delivering case management and other types of supportive services. 84 There are also innovative approaches to leverage other types of technologies, beyond telehealth, to address the reproductive 85 and mental health 86 needs of adolescents, but there is a paucity of research in this area that pertains specifically to EPT. 87 Despite these efforts, there is a need for increasing the number and strength of community partnerships across the public and private sectors.…”

A multi‐media digital intervention to improve the sexual and reproductive health of female adolescent emergency department patients

“…9 Outpatient mHealth interventions, such as Girl2Girl and Health-E You, increased rates of birth control use among adolescent cisgender LGB+ females and Latina adolescents, respectively. 10,11 However, none of the interventions were tested in the ED setting. It is unclear if a mHealth intervention initiated in the ED can improve the SRH of adolescent patients.…”

“…Digital interventions to promote SRH have been shown to increase sexual health knowledge and positively impact sex norms and attitudes 9 . Outpatient mHealth interventions, such as Girl2Girl and Health‐E You, increased rates of birth control use among adolescent cisgender LGB+ females and Latina adolescents, respectively 10,11 . However, none of the interventions were tested in the ED setting.…”