336722
SMS sex education: A systematic review of text-based sexual health programs in adolescents
An emerging trend is to utilize text messaging systems to increase positive sexual behaviors in adolescents. Because text messaging is the primary form of communication for young people, the application of technology to improve sexual health is timely and relevant. However, an analysis is needed to determine whether this approach is effective.
objective
The purpose of this study was to systematically review the literature and examine ways in which text messaging is being applied to improve sexual health knowledge and behaviors. Additionally, recommendations are provided to increase acceptability and efficiency of text-based sexual health programs.
methods
Search terms related to text-based sexual health programs in adolescents were utilized in EBSCO. Inclusion criteria: (1) research-based; (2) published in peer-reviewed journal within last 5 years; (3) measured outcomes related to knowledge, attitudes, and/or behaviors; (4) English-language.
results
Eight articles met the inclusion criteria and were independently analyzed by each researcher. Several dimensions of sexual health were addressed with text messaging, such as a “hotline” to provide personalized and factual information, STI-based education/screening rates, and condom negotiations. Advantages of this approach include privacy, convenience, and control aspects. However, men who have sex with men were cautiously optimistic, but believed that serious matters required face to face contact.
conclusions
While text messaging is an easy and accessible way to reach a population about sexual health issues, program planners must consider the population and readiness to adopt new technologies. Ethnographic studies are also recommended to develop content that is acceptable for the population.
Learning Areas:
Planning of health education strategies, interventions, and programsProgram planning
Learning Objectives:
Evaluate the published literature to determine how text messaging can improve upon sexual health.
Discuss recommendations for planning text-based interventions to address sexual health issues.
Keyword(s): Sexual Risk Behavior, Adolescents
Qualified on the content I am responsible for because: I am the Principal Investigator of a sexual health study which has generated much data on how adolescents prefer to learn about sexual health issues via technology. I actively collaborate with other researchers to develop multi-site studies, and I have also published articles in peer-reviewed journals.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.