Evidence map›Paper›PMID 31628248›Full record

Trial reportSexually transmitted infections2021

The MOSEXY trial: mobile phone intervention for sexual health in youth-a pragmatic randomised controlled trial to evaluate the effect of a smartphone application on sexual health in youth in Stockholm, Sweden.

Anna Maria Nielsen, Ayesha De Costa, Kristina Gemzell-Danielsson, Gaetano Marrone, Jens Boman, Mariano Salazar, Vinod Diwan

Open access · hybridAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Sexually transmitted infections, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

7 authors at 2 institutions in 1 country.

Anna Maria NielsenWomens and Childrens Health, Karolinska Institutet, Stockholm, Sweden anna.nielsen.1@ki.se.ORCID 0000-0002-5189-6949
Ayesha De CostaPublic Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Kristina Gemzell-DanielssonWomens and Childrens Health, Karolinska Institutet, Stockholm, Sweden.
Gaetano MarronePublic Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Jens BomanDepartment of Clinical Microbiology, Umea Universitet Medicinska fakulteten, Umea, Sweden.
Mariano SalazarPublic Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Vinod DiwanPublic Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SEUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An estimated 350 million cases of STIs occur globally each year. In Sweden,

objectivesTo evaluate in a randomised controlled trial, the effectiveness of this smartphone application to improve condom use among youth in Stockholm, Sweden.

methodsThis two-arm, individually randomised controlled trial was implemented through the Youth Health Clinics (YHC) in Stockholm, Sweden. Youth aged 18-23 years, who owned a smartphone and had ≥2 sexual partners during the past 6 months were eligible. The intervention delivered the interactive elements described above over 180 days. The control group received a 'dummy' application. Both groups received standard of care at the YHC. The primary outcome was proportion of consistent (100%) self-reported condom use at 6 months. Secondary outcomes included self-reported number of partners, occurrence of STIs/pregnancy and STI tests during the study period. An intention-to-treat approach was used.

results214 and 219 youth were randomised to the intervention and control groups, respectively. Consistent condom use was reported for 32/214 (15.0%) in the intervention group and for 35/219 (16.0%) in the control group (OR 0.9, 95% CI 0.5 to 1.6). No significant differences in secondary outcomes were seen.

conclusionWe were unable to detect an effect of the intervention. Future research should focus on targeting different subgroups within the overall risk group, with tailored mHealth interventions. The potential for such interventions in settings where sexual health services are unavailable should be evaluated. TRIAL REGISTRATION NUMBER: ISRCTN13212899.

Indexed as

Mobile ApplicationsTelemedicineAdolescentFemaleHealth PromotionHumansMaleSafe SexSexual HealthSexually Transmitted DiseasesSexual PartnersSmartphoneSwedenYoung Adultadolescentbehavioural interventionscondomssexual behavioursexual health

Identifiers

PMID31628248
PMCPMC7892369
OpenAlexW2980632588

What OpenQuestion holds

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LicenceCC BY-NC
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.