Abstract
BackgroundThe Internet can provide a confidential and convenient medium for sexual health promotion for young people.ObjectiveThis paper describes the development of an interactive, theory-based website (Sexunzipped) aimed at increasing safe sexual behavior of young people, as well as an outline of the evaluation protocol.MethodsThe website focuses on safer sex, relationships, and sexual pleasure. An overview of the site is provided, including a description of the theoretical constructs which form the basis of the site development. An integrated behavioral model was chosen as the guiding theory for the Sexunzipped intervention. A randomized trial design will be used to evaluate the site quantitatively.ResultsThe content of the site is described in detail with examples of the main content types: information pages, quizzes, and decision-making activities. We describe the protocol for quantitative evaluation of the website using a randomized trial design and discuss the principal challenges involved in developing the site, including the challenge of balancing the requirements of theory with young people’s views on website content and design.ConclusionsConsiderations for future interventions are discussed. Developing an online behavior-change intervention is costly and time consuming. Given the large public health potential, the cost involved in developing online interventions, and the need for attractive design, future interventions may benefit from collaborating with established sites that already have a user base, a brand, and a strong Internet presence. It is vital to involve users in decisions about intervention content, design, and features, paying attention to aspects that will attract and retain users’ interest. A central challenge in developing effective Internet-based interventions for young people is to find effective ways to operationalize theory in ways that address the views and perspectives of young people.
Highlights
Sexual and reproductive health and well-being are that “enhance[s] personality, communication and love”.essential if people are to have responsible, safe, andIt went further by stating that “fundamental to this consatisfying sexual lives
Different approaches are needed in different record highs in the late 1980s, programmes targeting sex settings, and it was noted that a large proportion of establishments managed to create a 100% condom use health and education services are delivered through standard by 2000
In Sweden, which has among the situation and context have a strong influence on sex lowest rates of unintended pregnancy and abortion in education, and very often become a barrier, especially in the world, sexual health education is provided in developing countries
Summary
Sexual and reproductive health and well-being are that “enhance[s] personality, communication and love”.essential if people are to have responsible, safe, andIt went further by stating that “fundamental to this consatisfying sexual lives. Sexual health requires a positive cept are the right to sexual information and the right to approach to human sexuality and an understanding of pleasure”. The complex factors that shape human sexual behaviour. These factors affect whether the expression of sexuality. In response to the changing environment, WHO, in colleads to sexual health and well-being or to sexual behavlaboration with the World Association for Sexology (WAS), iours that put people at risk or make them vulnerable to began a collaborative process[1] to reflect on the state sexual and reproductive ill-health. The past three decades have seen dramatic changes in group of experts from around the world to discuss the understanding of human sexuality and sexual behaviour.
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