Computer-based interventions for sexual health promotion: systematic review and meta-analyses

被引:47
作者
Bailey, J. V. [1 ]
Murray, E. [1 ]
Rait, G. [1 ]
Mercer, C. H. [2 ]
Morris, R. W. [1 ]
Peacock, R. [3 ]
Cassell, J. [4 ]
Nazareth, I. [1 ]
机构
[1] UCL, Res Dept Primary Care & Populat Hlth, London NW3 2PF, England
[2] UCL, Ctr Sexual Hlth & HIV Res, London NW3 2PF, England
[3] Archway Healthcare Lib, London, England
[4] Univ Brighton, Brighton & Sussex Med Sch, Brighton, E Sussex, England
基金
英国医学研究理事会;
关键词
sexual behaviour; HIV; sexually transmitted infection; computer-based intervention; meta-analysis; ASSISTED-INSTRUCTION; INTERACTIVE VIDEO; HIV; RISK; STD;
D O I
10.1258/ijsa.2011.011221
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
This systematic review was conducted to determine the effects of self-help interactive computer-based interventions (ICBIs) for sexual health promotion. We searched 40 databases for randomized controlled trials (RCTs) of computer-based interventions, defining 'interactive' as programmes that require contributions from users to produce personally relevant material. We conducted searches and analysed data using Cochrane Collaboration methods. Results of RCTs were pooled using a random-effects model with standardized mean differences for continuous outcomes and odds ratios (ORs) for binary outcomes, with heterogeneity assessed using the I-2 statistic. We identified 15 RCTs of ICBIs (3917 participants). Comparing ICBIs to minimal interventions, there were significant effects on sexual health knowledge (standardized mean difference [SMD] 0.72, 95% confidence interval [CI] 0.27-1.18); safer sex self-efficacy (SMD 0.17, 95% Cl 0.05-0.29); safer-sex intentions (SMD 0.16, 95% CI 0.02-0.30); and sexual behaviour (OR 1.75, 95% CI 1.18-2.59). ICBIs had a greater impact on sexual health knowledge than face-to-face interventions did (SMD 0.36, 95% CI 0.13-0.58). ICBIs are effective tools for learning about sexual health, and show promising effects on self-efficacy, intention and sexual behaviour. More data are needed to analyse biological outcomes and cost-effectiveness.
引用
收藏
页码:408 / 413
页数:6
相关论文
共 34 条
[1]   REHEARSING DECISIONS MAY HELP TEENAGERS - AN EVALUATION OF A SIMULATION GAME [J].
ALEMI, F ;
CHERRY, F ;
MEFFERT, G .
COMPUTERS IN BIOLOGY AND MEDICINE, 1989, 19 (04) :283-290
[2]  
[Anonymous], ON ON INT RED TRANSM
[3]  
[Anonymous], DISS ABSTR INT B
[4]  
[Anonymous], THESIS UTRECHT U NET
[5]   Interactive computer-based interventions for sexual health promotion [J].
Bailey, Julia V. ;
Murray, Elizabeth ;
Rait, Greta ;
Mercer, Catherine H. ;
Morris, Richard W. ;
Peacock, Richard ;
Cassell, Jackie ;
Nazareth, Irwin .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2010, (09)
[6]   Toward an Internet-driven, theoretically-based, innovative approach to sex education [J].
Barak, A ;
Fisher, WA .
JOURNAL OF SEX RESEARCH, 2001, 38 (04) :324-332
[7]   Feasibility of a tailored intervention targeting STD-related behaviors [J].
Bellis, JM ;
Grimley, DM ;
Alexander, LR .
AMERICAN JOURNAL OF HEALTH BEHAVIOR, 2002, 26 (05) :378-385
[8]   A randomized control trial of Internet-delivered HIV prevention targeting rural MSM [J].
Bowen, Anne M. ;
Horvath, Keith ;
Williams, Mark L. .
HEALTH EDUCATION RESEARCH, 2007, 22 (01) :120-127
[9]  
CARD CAL, 1993, HOSP COMMUNITY PSYCH, V44, P383
[10]  
Cohen J., 1988, Statistical power analysis for the behavioral sciences, VSecond