Submission ID 132051
| Issue/Objective | Digital sexual and reproductive health (dSRH) interventions are increasingly used to improve education and care accessibility among adolescents and young adults (AYA). While prior research has examined acceptability, broader psychosocial and behavioural impacts remain unclear. This review synthesizes evidence examining attitudes, self-efficacy, behavioural intentions, and user engagement associated with dSRH interventions among AYA. |
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| Methodology/Approach | Studies published between 2017-2023 evaluating dSRH interventions among AYA (aged 10-30 years) were identified through PubMed and Embase. Of 11,155 records identified, 8,105 underwent title and abstract screening, 445 full texts were assessed, and 104 studies met inclusion criteria after data extraction and quality assessment by five reviewers. |
| Results | Studies across 25 countries evaluated interventions delivered through digital modalities including web-based platforms, messaging services, and video modules. Study designs included randomized controlled trials (RCTs), quasi-experimental, cross-sectional, and mixed-methods evaluations, with RCTs comprising over half of included studies (n = 56). Positive attitudes toward dSRH were reported in 71 studies, with confidence improving in 64-100% of participants. Improvements in self-efficacy were identified in 53 studies, particularly for sexual risk prevention, contraceptive use, and HIV prevention (24.6-87.8%). Increased intentions to use contraception, initiate PrEP, and receive HPV vaccination were reported in 59 studies (35.9%, 35.8%, and 9.3%, respectively). User engagement was reported in 41 studies, with 56-89% interacting with interventions. |
| Discussion/Conclusion | dSRH interventions show promise in improving psychosocial determinants of SRH behaviours among AYA. Ongoing updates will incorporate emerging evidence (2023 onwards) to inform global SRH guidance and digital service delivery. |
| Presenters and Affiliations | Melisa Eraslan McGill University Health Centre Ashlyn Beecroft McGill University Olivia Vaikla McGill University Angela Karellis McGill University Nitika Pant Pai McGill University |
