Evidence map›Paper›PMID 29784112›Full record

SynthesisThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2018

Technology-Based Interventions to Reduce Sexually Transmitted Infections and Unintended Pregnancy Among Youth.

Laura Widman, Jacqueline Nesi, Kristyn Kamke, Sophia Choukas-Bradley, J L Stewart

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 9 pooled it
21.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 9 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Pooled it
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  8. Sex Education in the Spotlight: What Is Working? Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  9. Pooled it
  10. Trial
  11. A Randomized Controlled Trial of a Digital Intervention to Improve the Sexual Health of Adolescent and Young Adult Male Emergency Department Patients.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Trial
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  13. In the Know: A Cluster Randomized Trial of an In-person Sexual Health Education Program Integrating Digital Technologies for Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Trial
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  15. A multi-media digital intervention to improve the sexual and reproductive health of female adolescent emergency department patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Trial
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  17. Lessons Learned from Replicating a Randomized Control Trial Evaluation of an App-Based Sexual Health Program.International journal of environmental research and public health · 2021
    Trial
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  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Laura WidmanDepartment of Psychology, North Carolina State University, Raleigh, North Carolina. Electronic address: lmwidman@ncsu.edu.
Jacqueline NesiDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kristyn KamkeDepartment of Psychology, North Carolina State University, Raleigh, North Carolina.
Sophia Choukas-BradleyDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania.
J L StewartDepartment of Psychology, North Carolina State University, Raleigh, North Carolina.
North Carolina State University · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
CLINICAL RESEARCH TRAINING FOR PSYCHOLOGISTST32MH018269 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MICHELE D LEVINE · 1986 to 2026
$6.3M
Research Supplement to Promote Diversity in Adolescent HIV Prevention ResearchR00HD075654 · NICHD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI WIDMAN, LAURA M. · 2015 to 2017
$803k
NIAID NIH HHS P30 AI050410NICHD NIH HHS R00 HD075654NIMH NIH HHS T32 MH018269
6 · The paper itself

Abstract

purposeTechnology-based interventions to promote sexual health have proliferated in recent years, yet their efficacy among youth has not been meta-analyzed. This study synthesizes the literature on technology-based sexual health interventions among youth.

methodsStudies were included if they (1) sampled youth ages 13-24; (2) utilized technology-based platforms; (3) measured condom use or abstinence as outcomes; (4) evaluated program effects with experimental or quasi-experimental designs; and (5) were published in English.

resultsSixteen studies with 11,525 youth were synthesized. There was a significant weighted mean effect of technology-based interventions on condom use (d = .23, 95% confidence interval [CI] [.12, .34], p < .001) and abstinence (d = .21, 95% CI [.02, .40], p = .027). Effects did not differ by age, gender, country, intervention dose, interactivity, or program tailoring. However, effects were stronger when assessed with short-term (1-5 months) than with longer term (greater than 6 months) follow-ups. Compared with control programs, technology-based interventions were also more effective in increasing sexual health knowledge (d = .40, p < .001) and safer sex norms (d = .15, p = .022) and attitudes (d = .12, p= .016).

conclusionsAfter 15 years of research on youth-focused technology-based interventions, this meta-analysis demonstrates their promise to improve safer sex behavior and cognitions. Future work should adapt interventions to extend their protective effects over time.

Indexed as

Pregnancy, UnplannedAdolescentAdultCondomsContraception BehaviorFemaleHealth Knowledge, Attitudes, PracticeHumansMalePregnancyRandomized Controlled Trials as TopicSafe SexSexual AbstinenceSexually Transmitted DiseasesSocial MediaYoung AdultAdolescent sexual healthDigital healtheHealthHIV preventionmHealthSex educationSexually transmitted diseasesTechnology-based interventions

Identifiers

PMID29784112
PMCPMC5966833
OpenAlexW2804358725

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.