Cochrane · systematic review · CD013680
Targeted client communication via mobile devices for improving sexual and reproductive health
Palmer, MJ, Henschke, N, Villanueva, G, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Consumers and CommunicationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
39
current version
GRADE rated
18
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 21 · 53.8%Very low 7 · 17.9%Low 11 · 28.2%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Digital targeted client communication via mobile devices compared to standard care or no intervention for improving reproductive and sexual health among adolescents
Population: Adolescents and youth age 14 to 24 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status ‐ STI rate Digital targeted client communication via mobile devices vs standard care or no intervention | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ Condom use Digital targeted client communication via mobile devices vs standard care or no intervention | RR 0.8 [0.54, 1.18] | 1 study · 385 participants | Very low Downgraded: risk of bias |
Health status ‐ Abortion rate Digital targeted client communication via mobile devices vs standard care or no intervention | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ Oral contraception use Digital targeted client communication via mobile devices vs standard care or no intervention | RR 1.19 [1.05, 1.35] | 1 study · 683 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Health service utilization ‐ Clinic attendance for STI/HIV testing Digital targeted client communication via mobile devices vs standard care or no intervention | RR 1.5 [0.85, 2.65] | 1 study · 385 participants | Very low Downgraded: risk of bias |
Unintended consequences Digital targeted client communication via mobile devices vs standard care or no intervention | no estimate extracted | 1 study · 632 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
SRH knowledge Digital targeted client communication via mobile devices vs standard care or no intervention | RR 1.45 [1.23, 1.71] | 1 study · 385 participants | Low Downgraded: risk of bias |
Digital targeted client communication via mobile devices compared to non‐digital, targeted communication for improving reproductive and sexual health among adolescents
Population: Adolescents and youth age 14 to 24 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status ‐ STI rate Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐condom use Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status ‐ Abortion rate Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ contraceptive use Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health service utilization Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Unintended consequences Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
SRH knowledge Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to digital, non‐targeted communication for improving reproductive and sexual health among adolescents
Population: Adolescents and youth age 14‐24 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status and well‐being ‐ STI incidence (chlamydia) Digital targeted client communication via mobile devices vs digital, non‐targeted communication | RR 0.61 [0.28, 1.33] | 1 study · 200 participants | Low Downgraded: indirectness |
Health behaviour change ‐ Condom use Digital targeted client communication via mobile devices vs digital, non‐targeted communication | OR 1.12 [0.7, 1.78] | 3 studies · 507 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Health status ‐ Abortion rate Digital targeted client communication via mobile devices vs digital, non‐targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ Contraceptive use at last sex Digital targeted client communication via mobile devices vs digital, non‐targeted communication | OR 1.4 | 1 study · 59 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Health service utilization ‐ Clinic attendance for STI/HIV testing (self‐report) Digital targeted client communication via mobile devices vs digital, non‐targeted communication | RR 1.61 [1.08, 2.4] | 2 studies · 498 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Unintended consequences Digital targeted client communication via mobile devices vs digital, non‐targeted communication | no estimate extracted | 1 study · 200 participants | Low Downgraded: indirectness |
SRH knowledge Digital targeted client communication via mobile devices vs digital, non‐targeted communication | RR 1.75 | 2 studies · 417 participants | Very low Downgraded: indirectness |
Digital targeted client communication via mobile devices compared to standard care or no intervention for improving reproductive and sexual health among adults
Population: Adults (age over 24 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status ‐ STI rate Digital targeted client communication via mobile devices vs standard care or no intervention | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ Condom use 50% of the time Digital targeted client communication via mobile devices vs standard care or no intervention | RR 1.94 [1, 3.78] | 1 study · 73 participants | Very low Downgraded: risk of bias |
Health status and well‐being ‐ Repeat abortion following an earlier abortion Digital targeted client communication via mobile devices vs standard care or no intervention | RR 0.68 [0.28, 1.66] | 1 study · 328 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Health behaviour change ‐ Use of effective contraception method Digital targeted client communication via mobile devices vs standard care or no intervention | RR 1.17 [0.92, 1.48] | 1 study · 327 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Health service utilization Digital targeted client communication via mobile devices vs standard care or no intervention | RR 1.17 [1.04, 1.31] | 10 studies · 4014 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Unintended consequences Digital targeted client communication via mobile devices vs standard care or no intervention | no estimate extracted | 6 studies · 2915 participants | Low Downgraded: risk of bias |
Digital targeted client communication via mobile devices compared to non‐digital, targeted communication for improving reproductive and sexual health among adults
Population: Adults (age over 24 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status ‐ STI rate Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ Condom use Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status ‐ Abortion rate Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ Contraceptive use Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health service utilization ‐ attendance for: breast cancer screening, cervical screening, voluntary medical male circumcision, HPV or HBV vaccination Digital targeted client communication via mobile devices vs non‐digital, targeted communication | RR 1.12 [0.92, 1.35] | 3 studies · 1130 participants | Low Downgraded: risk of bias |
Unintended consequences Digital targeted client communication via mobile devices vs non‐digital, targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Digital targeted client communication via mobile devices compared to digital, non‐targeted communication for improving reproductive and sexual health among adults
Population: Adults (age over 24 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health status ‐ STI rate Digital targeted client communication via mobile devices vs digital, non‐targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ Condom use Digital targeted client communication via mobile devices vs digital, non‐targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health status ‐ Abortion rate Digital targeted client communication via mobile devices vs digital, non‐targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health behaviour change ‐ Contraceptive use Digital targeted client communication via mobile devices vs digital, non‐targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |
Health service utilization Digital targeted client communication via mobile devices vs digital, non‐targeted communication | RR 1.71 [0.67, 4.38] | 2 studies · 2150 participants | Low Downgraded: risk of bias, imprecision |
Unintended consequences Digital targeted client communication via mobile devices vs digital, non‐targeted communication | no estimate extracted | 0 studies · 0 participants | Ungraded |