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Wat zit er achter de soa-test? : een behoefteanalyse op de Poli Seksuele Gezondheid naar aanvullende zorg over seks, liefde en relaties in de vorm van eHealth

Bosch, A.F. van den (2015) Wat zit er achter de soa-test? : een behoefteanalyse op de Poli Seksuele Gezondheid naar aanvullende zorg over seks, liefde en relaties in de vorm van eHealth.

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Abstract:Background. Sexual health can’t be taken for granted. This is reflected in the prevalence of sexual violence, unintended pregnancies, sexual transmitted diseases and the rising rates of sexual health consults- and reoccurrences at STI clinics. Young people (12-25) are a special group of need. Especially girls, early starters, low educated-, religious- and youth of foreign background are high at risk. Among Dutch youth sexual health concerns as unwanted sexual behaviour, a lack of knowledge about sexuality, propagation and STI’s and no use of contraceptives, need special attention. It’s important to offer young people additional aid to prevent emotional- and physical damage and to limit societal cost. Previous research showed a positive attitude of youth towards the use of eHealth applications and thus it might be a suitable way for delivering sexual health care. Objective. This study aims to identify the needs of additional aid about sexual health by healthcare workers and youth at a STI clinic. Furthermore it will be investigated how eHealth can be used for this purpose. Methods. The first two phases of the CeHRes Roadmap for the development of eHealth were completed by interviewing healthcare workers (n=3) and low educated girls (n=10) at the STI clinic. The needs, problems and values were translated to personas and paper prototypes which were assessed through a formative evaluation (use-case scenario) by a second group of low educated girls (n=9) at the STI clinic. Results. The most frequently mentioned problems and questions by healthcare workers were sexual dysfunction, birth control and unwanted sexual behaviour, mainly in girls. Other concerns were difficulties about finding underlying care needs, knowledge transfer, a negative attitude about behaviour change and raising awareness-, and an incorrect risk perception by youth. The low educated girls’ needs are: more preparation before consultation, and additional information about sexually transmitted diseases [STD’s] and treatment, birth control and pregnancy, condoms and tips and tricks about setting sexual boundaries. The perception of credibility, easiness of use and a clear overview of the content are the most import factors for the use of an future eHealth. Besides, persuasive features of “Primary support”, “Dialogue support” and “Credibility support” (PSD-model) turned out to be important. A mobile application and imagery were evaluated the most suitable way of delivering eHealth. The developed paper prototypes were also positively evaluated by the low educated girls. They prefer the mobile application in preparation for consultation and the e-card for after-care. Almost all of these girls were willing to use the designs. Conclusion: Low educated girls are willing to use the designed eHealth. In the future, these drafts can be developed into working prototypes and implemented in STI clinics.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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