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- Title
Computer-based interventions for sexual health promotion: systematic review and meta-analyses.
- Authors
Bailey, J. V.; Murray, E.; Rait, G.; Mercer, C. H.; Morris, R. W.; Peacock, R.; Cassell, J.; Nazareth, I.
- Abstract
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 randomeffects model with standardized mean differences for continuous outcomes and odds ratios (ORs) for binary outcomes, with heterogeneity assessed using the I2 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% CI 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.
- Subjects
SEXUAL health; HEALTH promotion; RANDOMIZED controlled trials; SAFE sex; INTERACTIVE computer systems; FACE-to-face communication
- Publication
International Journal of STD & AIDS, 2012, Vol 23, Issue 6, p408
- ISSN
0956-4624
- Publication type
Article
- DOI
10.1258/ijsa.2011.011221