Midlife Women Online: Evaluation of an Internet-Based Program to Prevent Unintended Pregnancy &amp; STIs

Swartz, Lynne; Sherman, Christy A.; Harvey, S. Marie; Blanchard, J; Vawter, Faith; Gau, Jeff M.

doi:10.1080/08952841.2011.613255

Cited by 26 publications

(59 citation statements)

References 51 publications

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“…For example, Student Bodies was an efficacious Internet-delivered program for eating disorders in girls but the program was not available for general use [139-141]. In the area of sexual health, there were several efficacious Internet-delivered programs regarding sexually transmitted diseases [142-144]. However, these sites were only available for study participants during the course of the research study.…”

Section: Resultsmentioning

confidence: 99%

Internet-Delivered Health Interventions That Work: Systematic Review of Meta-Analyses and Evaluation of Website Availability

et al. 2017

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BackgroundDue to easy access and low cost, Internet-delivered therapies offer an attractive alternative to improving health. Although numerous websites contain health-related information, finding evidence-based programs (as demonstrated through randomized controlled trials, RCTs) can be challenging. We sought to bridge the divide between the knowledge gained from RCTs and communication of the results by conducting a global systematic review and analyzing the availability of evidence-based Internet health programs.ObjectivesThe study aimed to (1) discover the range of health-related topics that are addressed through Internet-delivered interventions, (2) generate a list of current websites used in the trials which demonstrate a health benefit, and (3) identify gaps in the research that may have hindered dissemination. Our focus was on Internet-delivered self-guided health interventions that did not require real-time clinical support.MethodsA systematic review of meta-analyses was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (PROSPERO Registration Number CRD42016041258). MEDLINE via Ovid, PsycINFO, Embase, Cochrane Database of Systematic Reviews, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched. Inclusion criteria included (1) meta-analyses of RCTs, (2) at least one Internet-delivered intervention that measured a health-related outcome, and (3) use of at least one self-guided intervention. We excluded group-based therapies. There were no language restrictions.ResultsOf the 363 records identified through the search, 71 meta-analyses met inclusion criteria. Within the 71 meta-analyses, there were 1733 studies that contained 268 unique RCTs which tested self-help interventions. On review of the 268 studies, 21.3% (57/268) had functional websites. These included evidence-based Web programs on substance abuse (alcohol, tobacco, cannabis), mental health (depression, anxiety, post-traumatic stress disorder [PTSD], phobias, panic disorders, obsessive compulsive disorder [OCD]), and on diet and physical activity. There were also evidence-based programs on insomnia, chronic pain, cardiovascular risk, and childhood health problems. These programs tended to be intensive, requiring weeks to months of engagement by the user, often including interaction, personalized and normative feedback, and self-monitoring. English was the most common language, although some were available in Spanish, French, Portuguese, Dutch, German, Norwegian, Finnish, Swedish, and Mandarin. There were several interventions with numbers needed to treat of <5; these included painACTION, Mental Health Online for panic disorders, Deprexis, Triple P Online (TPOL), and U Can POOP Too. Hyperlinks of the sites have been listed.ConclusionsA wide range of evidence-based Internet programs are currently available for health-related behaviors, as well as disease prevention and treatment. However, the majority of Internet-delivered health interventions found to be efficaciou...

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Section: Resultsmentioning

confidence: 99%

Internet-Delivered Health Interventions That Work: Systematic Review of Meta-Analyses and Evaluation of Website Availability

et al. 2017

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“…Given these contexts, it is not surprising that many older women do not consider the topic of HIV/AIDS to be personally relevant (Zablotsky & Kennedy, 2003) and are less likely to discuss sex with a physician (Lindau et al, 2007). Moreover, physicians may collude with that silence, often failing to question or screen midlife and older women for sexual concerns or risk behaviors and not test for possible infection (Burd, Nevadunsky, & Bachmann, 2006;Gott & Hinchliff, 2003;Swartz et al, 2011).…”

Section: Introductionmentioning

confidence: 91%

Relationship Power, Sexual Decision Making, and HIV Risk Among Midlife and Older Women

Altschuler

Rhee

2015

Journal of Women & Aging

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The number of midlife and older women with HIV/AIDS is high and increasing, especially among women of color. This article addresses these demographic realities by reporting on findings about self-esteem, relationship power, and HIV risk from a pilot study of midlife and older women. A purposive sample (N = 110) of ethnically, economically, and educationally diverse women 40 years and older from the Greater Los Angeles Area was surveyed to determine their levels of self-esteem, general relationship power, sexual decision-making power, safer sex behaviors, and HIV knowledge. Women with higher levels of self-esteem exercised greater power in their relationships with their partner. Women with higher levels of general relationship power and self-esteem tend to exercise greater power in sexual decision making, such as having sex and choosing sexual acts. Income and sexual decision-making power were statistically significant in predicting the use of condoms. Implications and recommendations for future HIV/AIDS research and intervention targeting midlife and older women are presented.

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“…The changing nature of both women's and men's reproductive systems can reshape the way in which sexual relationships are experienced. Moreover, with many women becoming divorced or widowed in mid-to later-life (Jacobs & Thomlison, 2009), the dating scene may be quite different from decades earlier due to increased STI rates (Cooney & Dunne, 2001;Swartz et al, 2011). As younger, partnered women, they may not have paid attention to HIV/AIDS education (Jacobs & Thomlison, 2009), and sexuality education now ignores them as older women (Sherman, Harvey, & Noelle, 2005).…”

Section: Introductionmentioning

confidence: 96%

Sexuality and HIV/AIDS: An Exploration of Older Heterosexual Women's Knowledge Levels

Ross

Humble

Blum

2013

Journal of Women & Aging

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Sexuality research tends to ignore older populations, and little is known about older women's sexual health knowledge. To fill this research gap, 186 Canadian heterosexual women 50 years and older were surveyed about their knowledge regarding sexuality and HIV/AIDS. Respondents had moderate levels of overall knowledge of sexual health and aging, correctly answering, on average, 60% of the 35 questions. They had lower levels of HIV/AIDS knowledge, correctly answering just over 50% of the 25 questions. Results indicate the need for social awareness and education in this group regarding both general sexual health later in life and HIV/AIDS.

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Midlife Women Online: Evaluation of an Internet-Based Program to Prevent Unintended Pregnancy & STIs

Abstract: Interventions specifically targeted to midlife women can impact constructs known to reduce risk. Implications for future research and intervention development are presented.

Cited by 26 publications

References 51 publications

Internet-Delivered Health Interventions That Work: Systematic Review of Meta-Analyses and Evaluation of Website Availability

Internet-Delivered Health Interventions That Work: Systematic Review of Meta-Analyses and Evaluation of Website Availability

Relationship Power, Sexual Decision Making, and HIV Risk Among Midlife and Older Women

Sexuality and HIV/AIDS: An Exploration of Older Heterosexual Women's Knowledge Levels

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