A Realist-Informed Review of Digital Empowerment Strategies for Adolescents to Improve Their Sexual and Reproductive Health and Well-being View Full Text


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Article Info

DATE

2022-09-07

AUTHORS

Kunshan Goh, Sana Contractor, Sara Van Belle

ABSTRACT

The use of digital technologies for health has been rapidly gaining ground in the last decade, including as a strategy to empower adolescents living in urban resource-constrained settings. Nevertheless, unclarity and incoherence remain regarding which programme strategies generate which outcomes, as well as regarding the importance of context. We set out to answer the question “How do digital empowerment strategies work to improve adolescent health and well-being?”. We conducted a realist-informed review, the first on this subject matter to our knowledge. The realist methodology is geared towards the understanding of socially complex interventions, such as digital empowerment. We synthesized the data into a programme theory uncovering social mechanisms and context conditions underlying specific programme strategies. We found that digital technologies enlarge the space for adolescents to access information to health services on their own terms and provide anonymity, which leads to a sense of safety if access is not curbed by gatekeepers. If adolescents have access to information adapted to their needs, they will be able to make informed decisions, and this will contribute to improved health outcomes because their better understanding enlarges their sense of individual agency. We identified two main gaps in the literature on digital interventions for adolescents. Both are related to an under-theoretisation of the concepts the programmes rely on in implementation: (1) the urban environment the programme has to operate in and its meaning for the adolescents; (2) the socio-developmental stage of the adolescents the programmes work in. More... »

PAGES

1-16

References to SciGraph publications

  • 2021-05-17. The extent to which the design of available reproductive health interventions fit the reproductive health needs of adolescents living in urban poor settings of Kisenyi, Kampala, Uganda in BMC PUBLIC HEALTH
  • 2018-03-20. ‘We have the internet in our hands’: Bangladeshi college students’ use of ICTs for health information in GLOBALIZATION AND HEALTH
  • 2019-03-08. Outcomes of young people who reach the transition boundary of child and adolescent mental health services: a systematic review in EUROPEAN CHILD & ADOLESCENT PSYCHIATRY
  • 2016-07-07. Can “realist” randomised controlled trials be genuinely realist? in TRIALS
  • 2013-01-29. RAMESES publication standards: realist syntheses in BMC MEDICINE
  • 2018-05-08. Social Media and Adolescent Health in CURRENT PEDIATRICS REPORTS
  • 2017-09-20. Empowering Women in India to Influence Maternal Healthcare Quality Through Mobile Phones and Crowdsourcing in GLOBAL PERSPECTIVES ON WOMEN'S SEXUAL AND REPRODUCTIVE HEALTH ACROSS THE LIFECOURSE
  • 2010-11-30. How to develop a theory-driven evaluation design? Lessons learned from an adolescent sexual and reproductive health programme in West Africa in BMC PUBLIC HEALTH
  • 2020-07-31. Developing an SMS text message intervention on sexual and reproductive health with adolescents and youth in Peru in REPRODUCTIVE HEALTH
  • 2017-09-29. The challenge of complexity in evaluating health policies and programs: the case of women’s participatory groups to improve antenatal outcomes in BMC HEALTH SERVICES RESEARCH
  • 2017-12-20. Assessing the reach and effectiveness of mHealth: evidence from a reproductive health program for adolescent girls in Ghana in BMC PUBLIC HEALTH
  • 2013-12-19. Bringing Sexual and Reproductive Health in the Urban Contexts to the Forefront of the Development Agenda: The Case for Prioritizing the Urban Poor in MATERNAL AND CHILD HEALTH JOURNAL
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11524-022-00678-8

    DOI

    http://dx.doi.org/10.1007/s11524-022-00678-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1150827126

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/36070044


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