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J Pediatr Adolesc Gynecol. 2014 Oct;27(5):244-57. doi: 10.1016/j.jpag.2013.07.008. Epub 2013 Dec 9.

Use of digital media technology for primary prevention of STIs/HIV in youth.

Author information

1
Department of Pediatrics, Columbia University Medical Center-College of Physicians and Surgeons and New York-Presbyterian Morgan Stanley Children's Hospital, New York, NY. Electronic address: nc2519@columbia.edu.
2
Department of Medicine, New York Presbyterian Hospital-Weill Cornell, New York, NY.
3
Department of Pediatrics, Columbia University Medical Center-College of Physicians and Surgeons and New York-Presbyterian Morgan Stanley Children's Hospital, New York, NY.

Abstract

STUDY OBJECTIVE:

The relevant literature was reviewed to identify issues in research evaluating digital media technology (DMT) interventions for the primary prevention of STIs/HIV in adolescents and young adults.

METHOD:

A literature search with relevant key terms was conducted in PubMed, for articles with studies that included: (a) participants between 11-29 years; (b) use of one or more of the following forms of DMT: interactive digital video or CD-ROM, computer, text messaging, or Internet; (c) evaluation of an STI/HIV primary prevention intervention; and (d) use of a cognitive, psychosocial, behavioral, or biological outcome.

RESULTS:

Twenty-nine studies were identified and included in the review. Based on the review of these studies, 7 main issues were discussed and recommendations for improving future research were offered. The 7 main issues were: (a) need for a balance between universal application and specific sub-group focus, (b) lack of a developmental framework, (c) challenge of applying DMT in resource limited contexts, (d) rapidly changing nature of DMT, (e) lack of biological outcomes, (f) lack of comparison/control groups to assess the impact of DMT, and (g) limited temporal follow-up.

CONCLUSIONS:

There is increasing literature evaluating the effectiveness of DMT for preventing STIs/HIV among adolescents and young adults. A careful consideration of 7 main issues identified in the literature can improve the design and evaluation of these interventions and enhance our understanding of their effectiveness.

KEYWORDS:

Adolescents; Digital media technology; HIV prevention; STI prevention; Sexual health

PMID:
24332613
DOI:
10.1016/j.jpag.2013.07.008
[Indexed for MEDLINE]

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