Online and Offline Interventions to Improve Adolescent Reproductive Health Knowledge and Attitudes: A Scoping Review

Abstract

Objective: This scoping review aims to identify and classify online and offline interventions to improve adolescent reproductive health knowledge and attitudes, and evaluate their effectiveness.

Method: The study employs a scoping review methodology, following the Arksey and O’Malley framework and PRISMA guidelines. Articles published between 2019 and 2024 were retrieved from PubMed, CINAHL, and Scopus using comprehensive search strategies. Inclusion criteria focused on quantitative studies involving adolescents aged 10-19 years that assessed interventions targeting knowledge or attitudes about reproductive health. Data were extracted systematically and critically appraised using the Joanna Briggs Institute (JBI) tool, with articles scoring above 75% considered high quality.

Results: Fifteen studies met the inclusion criteria, comprising six online interventions (web-based programs, mobile applications, text messaging) and nine offline interventions (school-based programs, family-oriented initiatives, games, and health education). Sample sizes ranged from 64 to 1,210 participants, predominantly adolescents aged 10-24 years. Both online and offline interventions significantly improved knowledge and attitudes toward reproductive health, with all studies achieving JBI critical appraisal scores above 75%.

Conclusion: Both online and offline interventions are effective in enhancing adolescents’ reproductive health knowledge and attitudes. The choice of intervention should align with the target population's characteristics. This review highlights the importance of integrating diverse approaches into reproductive health education to address varying needs and contexts effectively