The effectiveness of digital sexual health interventions for young adults: a systematic literature review (2010-2020).

There has been a proliferation of digital sexual health interventions targeting adolescents; however, limited evaluative reviews have compared the effectiveness of multiple digital tools for sexual health literacy and behaviour change. This study conducted a systematic literature review, screened 9881 records and analysed 61 studies. Findings suggest that websites and mobile phones dominate digital sexual health interventions, with a majority effectively delivering cognitive (e.g. awareness and attitudes about sexual and reproductive health) and behavioural outcomes (e.g. abstinence and use of contraception). The most popular sexual health promotion mechanisms were interactive websites, text messaging and phone calls, and online education programmes, followed by mobile applications-fewer studies in this review utilized social media, games and multimedia. Previous reviews focused on single outcome measures (e.g. sexually transmitted infection testing) to assess interventions' effectiveness. The current review moves beyond single outcome measures to cover a wider range of behavioural and non-behavioural sexual health issues and contexts covered in the literature. Four main categories were analysed as outcomes: cognitive perceptions, promoting sexual health-related behaviours, promoting sexual health-related products and services, and impact (viral load). Seventy-nine per cent of interventions focused on preventive sexual health behaviours and products (e.g. condoms) and services (e.g. HIV testing). Overall, 75% of studies effectively changed sexual health behaviour and cognitive perceptions. However, the digital-only tools did not vary from the blended formats, in influence outcomes, even after categorizing them into behavioural or non-behavioural outcomes. Compared to previous systematic reviews, more studies from the last decade used rigorous research design in the form of randomized controlled trials, non-randomized control trials, and quasi-experiments and lasted longer.

Sexual health literacy among adolescents is essential to avert unwanted pregnancies or abortions and sexually transmitted diseases. Culturally sensitive and age-appropriate interventions are required to educate youth about safe-sex practices and increase their self-efficacy and accessibility to health products and services. Meta-analytical and systematic literature reviews have identified limitations in traditional interventions that rely heavily on classroom-based activities and lectures to educate adolescents about safe sex. In recent years, digital tools have proved productive; however, limited evaluative reviews have compared the effectiveness of multiple digital technologies (such as smartphones, web-based programs, social media, games and multimedia) used within sexual health interventions. This systematic review assessed 9881 articles and synthesized 61 experimental studies on adolescent sexual behaviour conducted in the last decade to identify tools that positively influence cognitive and safe-sex behaviour among youth. Interactive websites, mobile technology and online education programmes were popular promotional tools, but very few studies utilized multimedia alongside games and social media. Findings from this review could facilitate future research and practice in adolescent sexual health.

Community perspectives and engagement in sustainable solid waste management (SWM) in Fiji: A socioecological thematic analysis.

Improper waste disposal and low rates of household waste diversion through material and organic waste recycling are a global concern. Understanding community perspectives on solid waste management services, outreach activities, and regulatory measures, and the barriers to sustainable practices, is crucial for designing effective waste management programmes. Longitudinal content analysis of archival data, such as newspapers, is a cost-effective, yet underutilised, research method to identify the viewpoints of diverse civic groups and examine the developments and challenges associated with the waste management sector. This paper investigates divergent stakeholders' perspectives and priorities using the Socio-Ecological Model (SEM) to examine the micro-system (intrapersonal and interpersonal), meso- and exo-system (community and institutional), and macro-system (policy level) factors that influence sustainable SWM practices. Using specific keywords, the authors searched online archives of a national newspaper in Fiji with a weekday circulation of over 20,000. Data from 482 newspaper articles, dated 2009-2020, were reviewed and dual-coded by two researchers using QDA Miner Lite. Findings indicate that poor waste management behaviour is linked to all factors within the Socio-Ecological system. While micro-level factors such as negligence, personal responsibility, lack of civic pride, and lack of awareness are causes of anti-environmental behaviour, structural factors such as inadequate waste collection services and recycling infrastructure contribute to low recycling rates. Civic education has been highlighted as a solution to encouraging pro-environmental behaviour (PEB), but there is a need to identify the type of educational tools and the frequency and impact of education workshops. This paper further discusses about the implications of community-based strategies and regulatory measures.

Influencing household-level waste-sorting and composting behaviour: What works? A systematic review (1995-2020) of waste management interventions.

Decentralized waste sorting and composting can divert almost two-thirds of household waste from landfill. However, national rates of composting and recycling remain low in many parts of the globe. This review critically evaluates the design and efficacy of behaviour-change interventions to influence households to sort and compost organic waste. The systematic literature search yielded 3595 titles and abstracts which were reviewed and resulted in 14 unique interventions. The social marketing benchmark criteria are utilized to critically examine the design of these interventions. Synthesized results indicate a need for customized interventions that are co-designed with users and tailored to address their specific needs and challenges. Interventions with four or more social marketing elements produced positive behavioural outcomes, albeit with varying impact. This review highlights gaps in the design of waste management interventions and provides suggestions for future practices.

Integrating Social Marketing Into Fijian HIV/AIDS Prevention Programs: Lessons From Systematic Review.

Social marketing techniques have been tested and proven useful within the health sector worldwide. In Fiji, social marketing was introduced in the early 1990s, and more rapidly during the last decade to improve national response to an increasing incidence of sexually transmitted infections (STIs) such as human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). Given the limited amount of research in the area of program evaluation in Pacific Island Countries and Territories (PICTs), this study systematically analyzes five Fijian HIV/AIDS prevention programs through Andreasen's benchmark criteria, in order to identify gaps in program design that ultimately impact program effectiveness. Assessment results unveil some interesting trends regarding the focus and applications of past Fijian HIV/AIDS prevention programs in the past decade. This article discusses these findings and other valuable lessons for future HIV/AIDS prevention strategies in Fiji and elsewhere.