Internet-Delivered Sexually Transmitted Infection and Teen Pregnancy Prevention Program: A Randomized Trial

Abstract

Background: Black older-teenaged women have disproportionately high rates of sexually transmitted infections (STI) and unintended pregnancy (UTP). Internet-based interventions can be delivered to large groups of people in a relatively inexpensive manner. In this randomized trial, we examine the efficacy of an evidence-based STI/UTP prevention intervention adapted for older teens and for Internet delivery.Methods: Black women aged 18-19 years who were not pregnant/ seeking to become pregnant were enrolled (n = 637) and randomized to an 8-session intervention or attention control and were followed up at 6/ 12 months postintervention. The primary outcome was defined as uptake of reliable contraceptives. Other secondary outcomes were examined, including intention to use condoms, intention to use reliable contraception, and STI or pregnancy rates.

Internet-Based Interventions for Preventing Premature Birth in Preconceptional Women of Childbearing Age: A Systematic Review (Preprint)

“…The 11 studies included in this review were conducted across three countries. The majority were from the United States (7/11, 64% studies [22][23][24][26][27][28]32]), followed by the Netherlands (2/11, 18% studies [25,30]), South Korea (2/11, 18% studies [29,31]). The publication years spanned from 2008 to 2022.…”

“…The publication years spanned from 2008 to 2022. Most of the studies (6/11, 55%) [22,[24][25][26]30,31] were published from 2020 to the time of the review, 36% (4/11) [23,27,29,32] were published between 2010 and 2020, and 9%…”

“…Regarding research design, 82% (9/11) of the studies employed a randomized controlled experimental design [22][23][24][26][27][28][30][31][32], while 18% (2/11) used a quasi-experimental design [25,29]. Of 11 studies, two [22,32] were secondary analysis studies, and the rest were primary studies.…”

“…(1/11) each employed the Theory of Reasoned Action [23], the Behavior Change Model [30], and Social Cognitive Theory combined with Gender and Power Theory [26]. Additionally, 9% (1/11) of the studies did not specify a theoretical framework [31].…”

“…(3/11) focused on couples where the female partner was prepregnant and <13 weeks pregnant or premarried [25,29,30], 9% (1/11) targeted women of childbearing age [31], 18% (2/11) focused on sexually active women with a male partner [28,32], and 9% (1/11) specifically addressed Black teenaged women [26]. Detailed information on these studies is provided in Tables 1 and 2.…”