ArticleBMC public health2026
From standard text to simplified learning: a conceptual framework for developing adolescent-friendly sexual and reproductive health resources in Ghana.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Literacy-sensitive sexual and reproductive health education for adolescents in Ghana: Evidence from a school-based quasi-experimental study.Public health in practice (Oxford, England) · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdolescents in low-resource settings often lack access to sexual and reproductive health (SRH) materials that match their literacy levels. In Ghana, despite policy support for adolescent SRH education, implementation gaps persist due to the complexity of available texts. This paper presents a cyclical, theory-driven conceptual framework for developing adolescent-friendly SRH educational resources. It empirically assesses its application using evidence from a quasi-experimental study in Ghana.
methodsThis framework was developed through an iterative process, including a baseline needs assessment, resource design, stakeholder validation, and evaluation of quasi-experimental methods. A review of existing materials and a literacy assessment identified major gaps in comprehension and vocabulary demands. Content was synthesized from six SRH themes and simplified into formats: a text-only version and a picture-enhanced version with static illustrations. Validation was conducted with educators, health officials, adolescents, and academic experts.
resultsThe resources were piloted with 317 adolescents aged 11–15 over six weeks. A total of 249 participants completed the study. Compared to the control group, users of the simplified and picture-enhanced texts showed significant improvements in SRH decision-making skills (+ 11 points, p < 0.01) and print literacy scores (+ 13–14 points, p < 0.01). A 21% dropout rate, linked to stigma and sociocultural resistance, highlighted the need for greater community and parental engagement.
conclusionThe framework offers a stepwise, theory-informed approach to developing adolescent-friendly SRH materials. By reducing cognitive load and improving readability, it supports equitable access to SRH education.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.