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Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. Sexual health promotion is a major public health challenge; there is huge potential for health promotion via technology such as the Internet. To determine effects of interactive computer-based interventions ICBI for sexual health promotion, considering cognitive, behavioural, biological and economic outcomes. We also searched reference lists of published studies and contacted authors.

All databases were searched from start date to Novemberwith no language restriction. RCTs of interactive computer-based interventions for sexual health promotion, involving participants of any age, gender, sexual orientation, ethnicity or nationality. Two review authors screened abstracts, applied eligibility and quality criteria and extracted data. of RCTs were pooled using a random-effects model with standardised mean differences SMDs for continuous outcomes and odds ratios ORs for binary outcomes.

We assessed heterogeneity using the I 2 statistic. Separate meta-analyses were conducted by type of comparator: 1 minimal intervention such as usual practice or leaflet, 2 face-to-face intervention or 3 a different de of ICBI; and by type of outcome cognitive, behavioural, biological outcomes. Comparing ICBI Phone sex chat Cochrane 'minimal interventions' such as usual practice, meta-analyses showed statistically ificant effects as follows: moderate effect on sexual health knowledge SMD 0.

Data were insufficient for meta-analysis of biological outcomes and analysis of cost-effectiveness. In comparison with face-to-face sexual health interventions, meta-analysis was only possible for sexual health knowledge, showing that ICBI were more effective SMD 0. Two further trials reported no difference in knowledge between ICBI and face-to-face intervention, but data were not available for pooling.

There were insufficient data to analyse other types of outcome. No studies measured potential harms apart from reporting any deterioration in measured outcomes. ICBI are effective tools for learning about sexual health, and they also show positive effects on self-efficacy, intention and sexual behaviour. More research is needed to establish whether ICBI can impact on biological outcomes, to understand how interventions might work, and whether they are cost-effective.

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Sexual health promotion is a major public health challenge. There is huge potential for health promotion via technology such as the Internet, but it is not known whether interventions are effective. An interactive computer-based intervention provides information, and also offers personalised feedback. We included trials of computer-based interventions delivered to people of any age, gender, sexual orientation, ethnicity or nationality.

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The review evaluated 15 RCTs involving participants. We also found a small effect on safer sex self-efficacy a person's belief in their capacity to carry out a specific actiona small effect on safer-sex intentions, and also an effect on sexual behaviour such as condom use for sexual intercourse. We found that computer-based interventions seem better than face-to-face interventions at improving sexual health knowledge, but there were insufficient data to analyse other outcomes. No studies measured potential harms apart from reporting any deterioration in outcomes.

Interactive computer-based interventions for sexual health promotion are feasible in a variety of settings. They are effective tools for learning about sexual health, and they also improve self-efficacy, intention and sexual behaviour, but more research is needed to establish whether computer-based interventions can change outcomes such as sexually transmitted infections and pregnancy, to understand how interventions might work, and to assess whether they are cost-effective. Volume 6Issue 6. The full text of this article hosted at iucr. Please check your for instructions on resetting your password.

If the address matches an existing you will receive an with instructions to retrieve your username. Cochrane Review. Julia V BaileyCorresponding Author julia.

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Search for more papers by this author. First published: 15 November Read the full text. Tools Request permission Export citation Add to favorites Track citation. Share Share Give access Share full text access. Share full-text access. Please review our Terms and Conditions of Use and check box below to share full-text version of article. Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues.

Abstract Background Sexual health promotion is a major public health challenge; there is huge potential for health promotion via technology such as the Internet. Objectives To determine effects of interactive computer-based interventions ICBI for sexual health promotion, considering cognitive, behavioural, biological and economic outcomes. Selection criteria RCTs of interactive computer-based interventions for sexual health promotion, involving participants of any age, gender, sexual orientation, ethnicity or nationality.

Data collection and analysis Two review authors screened abstracts, applied eligibility and quality criteria and extracted data. Authors' conclusions ICBI are effective tools for learning about sexual health, and they also show positive effects on self-efficacy, intention and sexual behaviour. Plain Language Summary Computer programmes for sexual health promotion Sexual health promotion is a major public health challenge. Citing Literature.

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