Feasibility of a peer-led educative programme on contraception using social media for high school students: a mixed-methods study (SAPLAI protocol).
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| Titel: | Feasibility of a peer-led educative programme on contraception using social media for high school students: a mixed-methods study (SAPLAI protocol). |
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| Autoren: | Reynaud D; Department of Nursing, Centre Hospitalier Universitaire de La Reunion Sites Sud, Saint-Pierre, Réunion danielle.reynaud@chu-reunion.fr.; National Institute of Health and Medical Research (INSERM) Clinical Investigation Center (CIC) 1410 Clinical Epidemiology, Centre Hospitalier Universitaire de La Reunion, Saint-Denis, Réunion., Lenclume V; National Institute of Health and Medical Research (INSERM) Clinical Investigation Center (CIC) 1410 Clinical Epidemiology, Centre Hospitalier Universitaire de La Reunion, Saint-Denis, Réunion., Bertrand L; Department of Nursing, Centre Hospitalier Universitaire de La Reunion Sites Sud, Saint-Pierre, Réunion., Balaga AM; Groupement Hospitalier de Territoire de la Guadeloupe, Pointe-a-Pitre, Grande-Terre, Guadeloupe., Laboureur E; Cabinet FAHAM, Saint-Paul, France., Bruneau L; National Institute of Health and Medical Research (INSERM) Clinical Investigation Center (CIC) 1410 Clinical Epidemiology, Centre Hospitalier Universitaire de La Reunion, Saint-Denis, Réunion. |
| Quelle: | BMJ open [BMJ Open] 2025 Oct 21; Vol. 15 (10), pp. e105853. Date of Electronic Publication: 2025 Oct 21. |
| Publikationsart: | Clinical Trial Protocol; Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ Publishing Group Ltd, 2011- |
| MeSH-Schlagworte: | Contraception* , Peer Group* , Pregnancy in Adolescence*/prevention & control , Sex Education*/methods , Social Media*, Adolescent ; Female ; Humans ; Male ; Pregnancy ; Young Adult ; Feasibility Studies ; Multicenter Studies as Topic ; Prospective Studies ; Schools ; Students ; Observational Studies as Topic |
| Abstract: | Competing Interests: Competing interests: None declared. Introduction: Sexual and reproductive health (SRH) for adolescents is a global public health concern. Access to SRH information and services regarding contraception is necessary, particularly in underserved regions, such as the French overseas territories of Reunion Island and Guadeloupe, where indicators for teenage pregnancy and abortion are significantly high. This study protocol describes the methodology to be used to assess the feasibility of a peer-led contraception education programme for high school students using social media. Methods and Analysis: A multicentre, exploratory sequential mixed-methods with a pre-post design, prospective study is being conducted in Guadeloupe and on Reunion Island. The qualitative component started on 31 May 2025, and the study will continue until 30 June 2026. Participants will be aged 15 to 19 years and will attend high school. In Phase 1, focus groups will explore the adolescents' perceptions of peer influencers in contraceptive education and their suggestions for organising a prevention programme on social media. These findings will directly inform the intervention in Phase 3. At this stage of this phase, peer influencers will also be identified. Phase 2 will train selected peer educators in SHR, digital content creation to prepare them for intervention design and delivery. Phase 3 consists of the co-construction, implementation and evaluation of the intervention. Outcomes will include feasibility, acceptability, adoption, fidelity and exploratory effectiveness. The primary outcome will be peer engagement defined as the completion of at least 70% of the planned educational tasks. Ethics and Dissemination: This study has received ethical approval from the Comité de Protection des Personnes under RIPH3 (ID-RCB: 2025-A00358-41) and will follow the French ethical standards for low-intervention research. Results will be shared in scientific publications and with participating schools. Trial Registration Number: NCT06943209. (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| References: | J Physiother. 2022 Jan;68(1):76-79. (PMID: 34895882) Health Promot Pract. 2019 Sep;20(5):652-666. (PMID: 30141355) BMC Public Health. 2022 Dec 2;22(1):2247. (PMID: 36461024) Patient Educ Couns. 2024 Mar;120:108098. (PMID: 38101090) Glob J Qual Saf Healthc. 2024 Feb 26;7(4):151-155. (PMID: 39534240) Implement Sci. 2022 Oct 29;17(1):75. (PMID: 36309746) J Med Internet Res. 2021 Jan 20;23(1):e17187. (PMID: 33470931) Aust N Z J Public Health. 2015 Jun;39(3):267-9. (PMID: 25904387) BMC Womens Health. 2023 Nov 27;23(1):632. (PMID: 38012725) Open Access J Contracept. 2023 Jun 26;14:103-118. (PMID: 37398897) Qual Health Res. 2019 Aug;29(10):1483-1496. (PMID: 30628545) BMC Public Health. 2022 Dec 1;22(1):2239. (PMID: 36457110) Health Educ Res. 2014 Apr;29(2):319-29. (PMID: 24488649) BMC Pregnancy Childbirth. 2022 Nov 11;22(1):834. (PMID: 36368956) Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Sep;66(9):990-999. (PMID: 37160419) Iran J Public Health. 2013 Nov;42(11):1200-6. (PMID: 26171331) J Adolesc Health. 2023 Dec;73(6):975-982. (PMID: 37452795) J Adolesc Health. 2021 Jan;68(1):13-27. (PMID: 33059958) Pilot Feasibility Stud. 2021 Jun 14;7(1):125. (PMID: 34127082) Glob Health Action. 2023 Dec 31;16(1):2160543. (PMID: 36695098) BMJ Open. 2024 Jun 25;14(6):e086952. (PMID: 38925681) Reprod Health. 2022 Aug 17;19(1):178. (PMID: 35978427) |
| Contributed Indexing: | Keywords: Adolescents; Peer Group; SEXUAL MEDICINE; Social Media |
| Molecular Sequence: | ClinicalTrials.gov NCT06943209 |
| Entry Date(s): | Date Created: 20251022 Date Completed: 20251022 Latest Revision: 20251120 |
| Update Code: | 20251121 |
| PubMed Central ID: | PMC12548610 |
| DOI: | 10.1136/bmjopen-2025-105853 |
| PMID: | 41125280 |
| Datenbank: | MEDLINE |
| Abstract: | Competing Interests: Competing interests: None declared.<br />Introduction: Sexual and reproductive health (SRH) for adolescents is a global public health concern. Access to SRH information and services regarding contraception is necessary, particularly in underserved regions, such as the French overseas territories of Reunion Island and Guadeloupe, where indicators for teenage pregnancy and abortion are significantly high. This study protocol describes the methodology to be used to assess the feasibility of a peer-led contraception education programme for high school students using social media.<br />Methods and Analysis: A multicentre, exploratory sequential mixed-methods with a pre-post design, prospective study is being conducted in Guadeloupe and on Reunion Island. The qualitative component started on 31 May 2025, and the study will continue until 30 June 2026. Participants will be aged 15 to 19 years and will attend high school. In Phase 1, focus groups will explore the adolescents' perceptions of peer influencers in contraceptive education and their suggestions for organising a prevention programme on social media. These findings will directly inform the intervention in Phase 3. At this stage of this phase, peer influencers will also be identified. Phase 2 will train selected peer educators in SHR, digital content creation to prepare them for intervention design and delivery. Phase 3 consists of the co-construction, implementation and evaluation of the intervention. Outcomes will include feasibility, acceptability, adoption, fidelity and exploratory effectiveness. The primary outcome will be peer engagement defined as the completion of at least 70% of the planned educational tasks.<br />Ethics and Dissemination: This study has received ethical approval from the Comité de Protection des Personnes under RIPH3 (ID-RCB: 2025-A00358-41) and will follow the French ethical standards for low-intervention research. Results will be shared in scientific publications and with participating schools.<br />Trial Registration Number: NCT06943209.<br /> (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
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| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2025-105853 |
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