PDF(Pubmed)
Abstract：
Integrating pleasure may be a successful strategy for reaching young people with sexual and reproductive health and rights (SRHR) interventions. However, sexual pleasure-related programming and research remains sparse. We aimed to assess chatbot acceptability and describe changes in SRHR attitudes and behaviours among Kenyan young adults engaging with a pleasure-oriented SRHR chatbot. We used an exploratory mixed-methods study design. Between November 2021 and January 2022, participants completed a self-administered online questionnaire before and after chatbot engagement. In-depth phone interviews were conducted among a select group of participants after their initial chatbot engagement. Quantitative data were analysed using paired analyses and interviews were analysed using thematic content analysis. Of 301 baseline participants, 38% (115/301) completed the endline survey, with no measured baseline differences between participants who did and did not complete the endline survey. In-depth interviews were conducted among 41 participants. We observed higher satisfaction at endline vs. baseline on reported ability to exercise sexual rights (P ≤ 0.01), confidence discussing contraception (P ≤ 0.02) and sexual feelings/needs (P ≤ 0.001) with their sexual partner(s). Qualitative interviews indicated that most participants valued the chatbot as a confidential and free-of-judgment source of trustworthy \"on-demand\" SRHR information. Participants reported improvements in sex-positive communication with partners and safer sex practices due to new learnings from the chatbot. We observed increases in SRHR empowerment among young Kenyans after engagement with the chatbot. Integrating sexual pleasure into traditional SRHR content delivered through digital tools is a promising strategy to advance positive SRHR attitudes and practices among youth.
摘要：
整合快乐可能是通过性健康和生殖健康与权利（SRHR）干预措施吸引年轻人的成功策略。然而,与性快感相关的编程和研究仍然很少。我们旨在评估聊天机器人的可接受性，并描述肯尼亚年轻人参与以快乐为导向的SRHR聊天机器人的SRHR态度和行为的变化。我们使用了探索性混合方法研究设计。在2021年11月至2022年1月之间，参与者在聊天机器人参与之前和之后完成了一份自我管理的在线问卷。在最初的聊天机器人参与后，对一组选定的参与者进行了深入的电话采访。使用配对分析对定量数据进行分析，并使用主题内容分析对访谈进行分析。在301名基线参与者中，38%(115/301)完成了终点调查，完成和未完成终点调查的参与者之间没有测量的基线差异.对41名参与者进行了深入访谈。我们观察到更高的满意度在终点线与报告的行使性权利能力的基线(P≤0.01)，与性伴侣讨论避孕（P≤0.02）和性感觉/需求（P≤0.001）的信心。定性访谈表明，大多数参与者认为聊天机器人是可信赖的“按需”SRHR信息的机密和无判断来源。参与者报告说，由于聊天机器人的新知识，与伴侣的性积极沟通和安全性行为有所改善。我们观察到与聊天机器人接触后，年轻肯尼亚人的SRHR赋权增加。将性快感融入通过数字工具提供的传统SRHR内容是促进青年积极SRHR态度和做法的有希望的策略。
