Serious games in preventing sexually transmitted infections among adolescents: Systematic review about the current state of evidence (Preprint)

2021 ◽  
Author(s):  
Karina Ilskens ◽  
Kamil J. Wrona ◽  
Christoph Dockweiler ◽  
Florian Fischer

BACKGROUND Sexually transmitted infections (STIs) represent a global health risk. Adolescents, among other vulnerable groups, are at increased risk of infection due to an identified lack of knowledge and risky sexual behavior. Given the fact that adolescents often use digital media and that serious games are considered to have the potential to change knowledge, attitudes and behavior, serious games represent an opportunity for the prevention of (STIs). OBJECTIVE The aim of this systematic review was to describe the current state of evidence related to 1) the effectiveness/impact of serious games and 2) perceptions/game experiences of serious games users targeting sexual health and STI prevention. METHODS A systematic review has been conducted in PubMed and Web of Science. Studies published from 2009 to 2021 have been included that surveyed the effectiveness of serious games on adolescent sexual health. A total of 18 studies met the inclusion criteria and where categorized according to dimensions of effectiveness and gaming experience. RESULTS Various dimensions of effectiveness and aspects of gaming experience were investigated within the primary studies. In total, nine dimensions of effectiveness have been observed: Sexual behavior, behavioral intentions, knowledge, attitudes and beliefs, self-efficacy and personal limitations, personality traits and future orientation, environmental and individual risk factors, risk perception and risk assessment, as well as normative beliefs and (social) norms. Furthermore, several dimensions related to gaming experience have been investigated in previous studies, which are motivation, acceptance, trustworthiness, comprehensibility, handling and control, perceived effectiveness, as well as satisfaction. CONCLUSIONS Knowledge has already been comprehensively surveyed and a positive influence of serious games on knowledge about sexual topics is evident. The results clearly show that adolescents’ sexual knowledge was increased by the serious games interventions. However, methodological and content differences in the surveys as well as external conditions make it difficult to draw conclusions about effectiveness related to changes in attitudes and behavior.

2021 ◽  
Author(s):  
Ignacio Franco Vega ◽  
Anastasia Eleftheriou ◽  
Cynthia Graham

BACKGROUND Sexually transmitted infections and unintended pregnancies among young people remain a public health concern in many countries. To date, interventions to address these concerns have had limited success. The use of serious games as educational tools is increasingly used in health and public professional education. Although acknowledged as having great potential, fewer studies have evaluated the use of serious games in sexual health education among young people and to date, there have been no published reviews of these studies. OBJECTIVE The aim was to assess the effects of video game-based sexual health interventions for risky sexual behavior in young people aged 15-25 years. METHODS A rapid review of randomized controlled trials (RCTs) and quasi-RCT trials. The search included these bibliographic databases: Cochrane Central Register of Controlled Trials; Embase; Medline; PsycINFO; Scopus. Two reviewers independently screened 50 percent of the articles retrieved at the full-text screening phase. RESULTS From a total of 459 citations identified, after removing duplicates, 327 articles were deemed eligible for title/abstract screening. Seventy full-texts were screened, leaving 10 articles (evaluating 11 different games) included in the review. The findings highlighted the considerable diversity in video game-based interventions and in the sexual health outcomes assessed. While there were some promising findings in outcome studies using game-based interventions, results across studies were mixed. CONCLUSIONS Although game interventions for sexual health have been in existence for almost three decades, there have been relatively few studies evaluating them and the results of previous outcome studies have been mixed. Moreover, there is little clarity about which specific elements of a game facilitate positive outcomes. We provide some recommendations for future researchers developing video game-based interventions to improve sexual health in young people.Sex education, serious games, sexually transmitted infections, rapid review


2004 ◽  
Vol 7 (2) ◽  
pp. 105-118
Author(s):  
SUKRAN SIMSEK ◽  
NALAN OZHAN ELBAS ◽  
ADNAN KISA ◽  
SOPHIA F. DZIEGIELEWSKI ◽  
DILAVER TENGILIMOGLU

2020 ◽  
Vol 4 (1) ◽  
pp. 33-39
Author(s):  
Edelsys Tai Mustelier Manrique ◽  
Daniel David Hechavarría Cardero ◽  
René de la Puebla Ayón

The objective of the research is to diagnose the current state of responsible sexual behavior in athletes within the age of adolescence, who belong to sports initiation centers. The selected sample consisted of 12 athletes of volleyball, female sex. These were selected in a simple randomized manner to which a questionnaire consisting of closed questions and multiple options were applied, where attitudes, knowledge, and assessments were recorded. It was a cross-sectional study. The results of the work allowed characterizing the sexual behavior of adolescent athletes taking into account that they are under school conditions of an internal center where, in turn, a sport is practiced, systematically and intensively, at the same time the study made it possible to deepen in the perception of their behavior and the estimation of risks of contracting sexually transmitted infections.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043373
Author(s):  
Isaiane da Silva Carvalho ◽  
Ryanne Carolynne Marques Gomes Mendes ◽  
Priscila de Oliveira Cabral Melo ◽  
Caroline Ferraz Simões ◽  
Luciana Pedrosa Leal ◽  
...  

IntroductionPrisons are places with high vulnerability and high risk for the development of sexually transmitted infections. World Health Agencies recommend establishing intervention measures, such as information and education, on the prevention of diseases. Thus, technologies as tools for health education have been used to reduce sexually transmitted infections. However, no systematic review has investigated the effectiveness of these interventions. Therefore, this review’s objective is to examine the effect of educational technologies used for preventing sexually transmitted infections in incarcerated women.Methods and analysisPreferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines will be strictly followed. The following electronic databases will be searched: Scopus; Cumulative Index of Nursing and Allied Health, Education Resources Information Center, Embase, PsycINFO, PubMed/Medline, Web of Science and Google Scholar. Randomised clinical trials of interventions that used educational technologies to prevent sexually transmitted infections in incarcerated women will be searched in the databases from the beginning of 2020 until December by two researchers independently. A narrative synthesis will be constructed for all included studies, and if there are sufficient data, a meta-analysis will be performed using the Review Manager software (V.5.3). Continuous results will be presented as the weighted mean difference or the standardised mean difference with 95% CIs. Under the heterogeneity of the included studies, a random-effects or fixed-effects model will be used. The studies’ heterogeneity will be assessed by the I2 method. The sensitivity analysis will be carried out to examine the magnitude of each study’s influence on the general results. A significance level of p≤0.05 will be adopted.Ethics and disclosureEthical approval is not required because no primary data will be collected. The results will be published in journals reviewed by peers.PROSPERO registration numberCRD42020163820.


2021 ◽  
Vol 32 (6) ◽  
pp. 528-532
Author(s):  
Nur Gasmelsid ◽  
Benjamin CB Moran ◽  
Tom Nadarzynski ◽  
Rajul Patel ◽  
Elizabeth Foley

Patient demand on sexual health services in the United Kingdom is so high that many services have introduced online screening to accommodate more patients. There are concerns that these services may not be accessible to all. This service evaluation was undertaken to determine whether online screening is accessible by those patients most at need by comparing the demographics and number of asymptomatic chlamydial infections detected online and in clinic. No difference was found in the age nor level of deprivation, demonstrating that online services are an accessible way to screen for sexually transmitted infections without overburdening established services.


Author(s):  
Juan P Aguilar Ticona ◽  
Huma Baig ◽  
Nivison Nery Jr. ◽  
Simon Doss-Gollin ◽  
Gielson A Sacramento ◽  
...  

Abstract In order to understand the disease burden of sexually transmitted Zika virus (ZIKV), we prospectively followed a cohort of 359 adult and adolescent residents of an urban community in Salvador, Brazil through the 2015 ZIKV epidemic. Later, in 2017, we used a retrospective survey to associate sexual behavior during the epidemic with ZIKV infection as defined by IgG3-NS1 ELISA. We found that males who engaged in casual sexual encounters during the epidemic were more likely (ORa=6.2; 95%CI 1.2–64.1) to be ZIKV positive, suggesting that specific groups may be at increased risk of sexually transmitted infections.


2012 ◽  
Vol 88 (4) ◽  
pp. 294-300 ◽  
Author(s):  
Adele Benzaken ◽  
Meritxell Sabidó ◽  
Enrique Galban ◽  
Daniel Lúcio Rodrigues Dutra ◽  
André Luiz Leturiondo ◽  
...  

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