دورية أكاديمية
Assessing acceptability and effectiveness of a pleasure-oriented sexual and reproductive health chatbot in Kenya: an exploratory mixed-methods study.
| العنوان: | Assessing acceptability and effectiveness of a pleasure-oriented sexual and reproductive health chatbot in Kenya: an exploratory mixed-methods study. |
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| المؤلفون: | Njogu J; Evidence and Learning Advisor, Population Services International, Nairobi, Kenya., Jaworski G; Research Advisor, Population Services International, Washington, DC, USA., Oduor C; Head of Program Management, Digital Health and Monitoring, Population Services International, Nairobi, Kenya., Chea A; Independent Researcher, Nairobi, Kenya., Malmqvist A; Director of Sexual and Reproductive Health, Population Services International, Washington, DC, USA., Rothschild CW; Senior Research Advisor, Population Services International, Washington, DC, USA. |
| المصدر: | Sexual and reproductive health matters [Sex Reprod Health Matters] 2023 Dec; Vol. 31 (4), pp. 2269008. Date of Electronic Publication: 2023 Nov 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 101743493 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2641-0397 (Electronic) Linking ISSN: 26410397 NLM ISO Abbreviation: Sex Reprod Health Matters Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London, United Kingdom] : Taylor & Francis, [2019]- |
| مواضيع طبية MeSH: | Pleasure* , Reproductive Health*, Young Adult ; Adolescent ; Humans ; Kenya ; Sexual Behavior ; Reproduction |
| مستخلص: | Integrating pleasure may be a successful strategy for reaching young people with sexual and reproductive health and rights (SRHR) interventions. However, sexual pleasure-related programming and research remains sparse. We aimed to assess chatbot acceptability and describe changes in SRHR attitudes and behaviours among Kenyan young adults engaging with a pleasure-oriented SRHR chatbot. We used an exploratory mixed-methods study design. Between November 2021 and January 2022, participants completed a self-administered online questionnaire before and after chatbot engagement. In-depth phone interviews were conducted among a select group of participants after their initial chatbot engagement. Quantitative data were analysed using paired analyses and interviews were analysed using thematic content analysis. Of 301 baseline participants, 38% (115/301) completed the endline survey, with no measured baseline differences between participants who did and did not complete the endline survey. In-depth interviews were conducted among 41 participants. We observed higher satisfaction at endline vs. baseline on reported ability to exercise sexual rights ( P ≤ 0.01 ), confidence discussing contraception ( P ≤ 0.02 ) and sexual feelings/needs ( P ≤ 0.001 ) with their sexual partner(s). Qualitative interviews indicated that most participants valued the chatbot as a confidential and free-of-judgment source of trustworthy "on-demand" SRHR information. Participants reported improvements in sex-positive communication with partners and safer sex practices due to new learnings from the chatbot. We observed increases in SRHR empowerment among young Kenyans after engagement with the chatbot. Integrating sexual pleasure into traditional SRHR content delivered through digital tools is a promising strategy to advance positive SRHR attitudes and practices among youth. |
| References: | BMJ Glob Health. 2019 Jun 05;4(3):e001499. (PMID: 31263589) Sex Reprod Health Matters. 2019 Dec;27(1):1593787. (PMID: 31533569) J Marital Fam Ther. 2018 Oct;44(4):606-623. (PMID: 29044661) PLoS One. 2020 Nov 12;15(11):e0241985. (PMID: 33180849) PLoS One. 2019 Sep 12;14(9):e0213224. (PMID: 31513584) Reprod Health. 2021 Feb 23;18(1):48. (PMID: 33622358) J Adolesc Health. 2011 May;48(5):514-9. (PMID: 21501812) J Adolesc Health. 2021 Jan;68(1):86-94. (PMID: 32690468) J Health Psychol. 2018 Feb;23(2):188-205. (PMID: 29076401) PLoS One. 2022 Feb 11;17(2):e0261034. (PMID: 35148319) Perspect Sex Reprod Health. 2007 Dec;39(4):240-7. (PMID: 18093041) Int J Med Inform. 2019 Dec;132:103978. (PMID: 31622850) J Med Internet Res. 2022 Jan 3;24(1):e29969. (PMID: 34982034) BMJ Open. 2020 Jul 8;10(7):e034769. (PMID: 32641322) Digit Health. 2019 Aug 21;5:2055207619871808. (PMID: 31467682) BMC Health Serv Res. 2021 Jul 29;21(1):753. (PMID: 34325696) Front Psychiatry. 2021 Feb 01;11:606041. (PMID: 33597898) Afr J Reprod Health. 2018 Mar;22(1):38-46. (PMID: 29777641) Int Perspect Sex Reprod Health. 2015 Jun;41(2):99-107. (PMID: 26308262) J Am Med Inform Assoc. 2018 Sep 1;25(9):1248-1258. (PMID: 30010941) J Health Commun. 2006 Jun;11(4):365-90. (PMID: 16720536) BMC Health Serv Res. 2022 Nov 19;22(1):1373. (PMID: 36401323) Glob Health Sci Pract. 2016 Dec 28;4(4):594-609. (PMID: 28031299) |
| فهرسة مساهمة: | Keywords: chatbot; comprehensive sexuality education; contraception; conversational agent; family planning; rights; sexual and reproductive health; sexual pleasure |
| تواريخ الأحداث: | Date Created: 20231120 Date Completed: 20231121 Latest Revision: 20240425 |
| رمز التحديث: | 20240425 |
| مُعرف محوري في PubMed: | PMC11003647 |
| DOI: | 10.1080/26410397.2023.2269008 |
| PMID: | 37982143 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2641-0397 |
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| DOI: | 10.1080/26410397.2023.2269008 |