Impact of text and email messaging on the sexual health of young people: a randomised controlled trial

ObjectiveTo carry out a randomised controlled trial on the effect of a new method of health promotion—email and mobile phone text messages (short messaging service (SMS))—on young people's sexual health.Methods994 people aged 16–29 were recruited at a music festival to a non-blinded randomised...

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Veröffentlicht in:Journal of epidemiology and community health (1979) 2012-01, Vol.66 (1), p.69-74
Hauptverfasser: Lim, Megan S C, Hocking, Jane S, Aitken, Campbell K, Fairley, Christopher K, Jordan, Lynne, Lewis, Jennifer A, Hellard, Margaret E
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container_end_page 74
container_issue 1
container_start_page 69
container_title Journal of epidemiology and community health (1979)
container_volume 66
creator Lim, Megan S C
Hocking, Jane S
Aitken, Campbell K
Fairley, Christopher K
Jordan, Lynne
Lewis, Jennifer A
Hellard, Margaret E
description ObjectiveTo carry out a randomised controlled trial on the effect of a new method of health promotion—email and mobile phone text messages (short messaging service (SMS))—on young people's sexual health.Methods994 people aged 16–29 were recruited at a music festival to a non-blinded randomised controlled trial. Participants were randomised to either receive sexual health promotion messages (n=507) or the control group (n=487). The 12-month intervention included SMS (catchy sexually transmissible infections prevention slogans) and emails. Participants completed questionnaires at the festival at baseline and online after 3, 6 and 12 months. Outcomes were differences between the control and intervention groups in health-seeking behaviour, condom use with risky partners (new or casual partners or two or more partners within 12 months) and STI knowledge.Results337 (34%) completed all three follow-up questionnaires and 387 (39%) completed the final questionnaire. At 12 months, STI knowledge was higher in the intervention group for both male (OR=3.19 95% CI 1.52 to 6.69) and female subjects (OR=2.36 95% CI 1.27 to 4.37). Women (but not men) in the intervention group were more likely to have had an STI test (OR=2.51, 95% CI 1.11 to 5.69), or discuss sexual health with a clinician (OR=2.92, 95% CI 1.66 to 5.15) than their control counterparts. There was no significant impact on condom use. Opinions of the messages were favourable.ConclusionThis simple intervention improved STI knowledge in both sexes and STI testing in women, but had no impact on condom use. SMS and email are low cost, popular and convenient, and have considerable potential for health promotion.Clinical trial registration numberAustralian Clinical Trials Registry - ACTRN12605000760673.
doi_str_mv 10.1136/jech.2009.100396
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Participants were randomised to either receive sexual health promotion messages (n=507) or the control group (n=487). The 12-month intervention included SMS (catchy sexually transmissible infections prevention slogans) and emails. Participants completed questionnaires at the festival at baseline and online after 3, 6 and 12 months. Outcomes were differences between the control and intervention groups in health-seeking behaviour, condom use with risky partners (new or casual partners or two or more partners within 12 months) and STI knowledge.Results337 (34%) completed all three follow-up questionnaires and 387 (39%) completed the final questionnaire. At 12 months, STI knowledge was higher in the intervention group for both male (OR=3.19 95% CI 1.52 to 6.69) and female subjects (OR=2.36 95% CI 1.27 to 4.37). Women (but not men) in the intervention group were more likely to have had an STI test (OR=2.51, 95% CI 1.11 to 5.69), or discuss sexual health with a clinician (OR=2.92, 95% CI 1.66 to 5.15) than their control counterparts. There was no significant impact on condom use. Opinions of the messages were favourable.ConclusionThis simple intervention improved STI knowledge in both sexes and STI testing in women, but had no impact on condom use. SMS and email are low cost, popular and convenient, and have considerable potential for health promotion.Clinical trial registration numberAustralian Clinical Trials Registry - ACTRN12605000760673.</description><identifier>ISSN: 0143-005X</identifier><identifier>EISSN: 1470-2738</identifier><identifier>DOI: 10.1136/jech.2009.100396</identifier><identifier>PMID: 21415232</identifier><identifier>CODEN: JECHDR</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Biological and medical sciences ; Cell phones ; Cellular phone ; Cellular telephones ; Chlamydia ; Clinical trials ; Communication ; Condoms ; Condoms - statistics &amp; numerical data ; Condoms - utilization ; Confidence Intervals ; Control groups ; Developing countries ; Disease transmission ; electronic mail ; Electronic Mail - statistics &amp; numerical data ; Electronic mail systems ; Email ; Female ; Focus groups ; General aspects ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Health promotion ; Health Status ; Humans ; Hypotheses ; Infection ; Internet ; Intervention ; LDCs ; Male ; Medical sciences ; Methods ; Miscellaneous ; Music festivals ; Odds Ratio ; Prevention ; Psychoeducational intervention ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Questionnaires ; Registries ; Research report ; Self reports ; sexual behaviour ; Sexual health ; sexual health young ; Sexuality ; sexually transmitted diseases ; Statistics as Topic ; Surveys and Questionnaires ; Tasmania ; Text messaging ; Text Messaging - statistics &amp; numerical data ; Victoria ; Young Adult ; Young adults</subject><ispartof>Journal of epidemiology and community health (1979), 2012-01, Vol.66 (1), p.69-74</ispartof><rights>2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright © 2012 BMJ Publishing Group</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2011 (c) 2011, Published by the BMJ Publishing Group Limited. 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Participants were randomised to either receive sexual health promotion messages (n=507) or the control group (n=487). The 12-month intervention included SMS (catchy sexually transmissible infections prevention slogans) and emails. Participants completed questionnaires at the festival at baseline and online after 3, 6 and 12 months. Outcomes were differences between the control and intervention groups in health-seeking behaviour, condom use with risky partners (new or casual partners or two or more partners within 12 months) and STI knowledge.Results337 (34%) completed all three follow-up questionnaires and 387 (39%) completed the final questionnaire. At 12 months, STI knowledge was higher in the intervention group for both male (OR=3.19 95% CI 1.52 to 6.69) and female subjects (OR=2.36 95% CI 1.27 to 4.37). Women (but not men) in the intervention group were more likely to have had an STI test (OR=2.51, 95% CI 1.11 to 5.69), or discuss sexual health with a clinician (OR=2.92, 95% CI 1.66 to 5.15) than their control counterparts. There was no significant impact on condom use. Opinions of the messages were favourable.ConclusionThis simple intervention improved STI knowledge in both sexes and STI testing in women, but had no impact on condom use. SMS and email are low cost, popular and convenient, and have considerable potential for health promotion.Clinical trial registration numberAustralian Clinical Trials Registry - ACTRN12605000760673.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Cell phones</subject><subject>Cellular phone</subject><subject>Cellular telephones</subject><subject>Chlamydia</subject><subject>Clinical trials</subject><subject>Communication</subject><subject>Condoms</subject><subject>Condoms - statistics &amp; numerical data</subject><subject>Condoms - utilization</subject><subject>Confidence Intervals</subject><subject>Control groups</subject><subject>Developing countries</subject><subject>Disease transmission</subject><subject>electronic mail</subject><subject>Electronic Mail - statistics &amp; numerical data</subject><subject>Electronic mail systems</subject><subject>Email</subject><subject>Female</subject><subject>Focus groups</subject><subject>General aspects</subject><subject>Health Behavior</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health promotion</subject><subject>Health Status</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Infection</subject><subject>Internet</subject><subject>Intervention</subject><subject>LDCs</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Miscellaneous</subject><subject>Music festivals</subject><subject>Odds Ratio</subject><subject>Prevention</subject><subject>Psychoeducational intervention</subject><subject>Public health</subject><subject>Public health. 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Participants were randomised to either receive sexual health promotion messages (n=507) or the control group (n=487). The 12-month intervention included SMS (catchy sexually transmissible infections prevention slogans) and emails. Participants completed questionnaires at the festival at baseline and online after 3, 6 and 12 months. Outcomes were differences between the control and intervention groups in health-seeking behaviour, condom use with risky partners (new or casual partners or two or more partners within 12 months) and STI knowledge.Results337 (34%) completed all three follow-up questionnaires and 387 (39%) completed the final questionnaire. At 12 months, STI knowledge was higher in the intervention group for both male (OR=3.19 95% CI 1.52 to 6.69) and female subjects (OR=2.36 95% CI 1.27 to 4.37). Women (but not men) in the intervention group were more likely to have had an STI test (OR=2.51, 95% CI 1.11 to 5.69), or discuss sexual health with a clinician (OR=2.92, 95% CI 1.66 to 5.15) than their control counterparts. There was no significant impact on condom use. Opinions of the messages were favourable.ConclusionThis simple intervention improved STI knowledge in both sexes and STI testing in women, but had no impact on condom use. SMS and email are low cost, popular and convenient, and have considerable potential for health promotion.Clinical trial registration numberAustralian Clinical Trials Registry - ACTRN12605000760673.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>21415232</pmid><doi>10.1136/jech.2009.100396</doi><tpages>6</tpages></addata></record>
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source Jstor Complete Legacy; MEDLINE; BMJ Journals - NESLi2
subjects Adolescent
Adult
Age Factors
Biological and medical sciences
Cell phones
Cellular phone
Cellular telephones
Chlamydia
Clinical trials
Communication
Condoms
Condoms - statistics & numerical data
Condoms - utilization
Confidence Intervals
Control groups
Developing countries
Disease transmission
electronic mail
Electronic Mail - statistics & numerical data
Electronic mail systems
Email
Female
Focus groups
General aspects
Health Behavior
Health Knowledge, Attitudes, Practice
Health promotion
Health Status
Humans
Hypotheses
Infection
Internet
Intervention
LDCs
Male
Medical sciences
Methods
Miscellaneous
Music festivals
Odds Ratio
Prevention
Psychoeducational intervention
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Questionnaires
Registries
Research report
Self reports
sexual behaviour
Sexual health
sexual health young
Sexuality
sexually transmitted diseases
Statistics as Topic
Surveys and Questionnaires
Tasmania
Text messaging
Text Messaging - statistics & numerical data
Victoria
Young Adult
Young adults
title Impact of text and email messaging on the sexual health of young people: a randomised controlled trial
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