Just take a moment and breathe and think: young women with depression talk about the development of an ecological momentary intervention to reduce their sexual risk
Abstract
Study objective Depressed young women are at increased risk for adverse outcomes related to sexual behavior, including unintended pregnancy, HIV, and other sexually transmitted infections. Brief sexual risk reduction interventions have not targeted depressed young women's specific needs for affect management and impulse control. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: We interviewed depressed young women ages 15-23 years engaging in sexual risk behavior about a proposed intervention approach. The approach was described as in-person counseling and cognitive-behavioral skills training, followed by an ecological momentary intervention (EMI) delivered via smartphone application for 4 weeks. The EMI would include reporting multiple times a day on affective states, self-efficacy for safer sex behavior, and sexual behavior, and receiving responsive messages to provide support and prompt use of cognitive-behavioral skills. Participants provided their perspectives on comfort, usability, burden, confidentiality, and potential efficacy of the EMI and recommended message content. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis.Results Thematic saturation was reached with 16 interviews. Participants expressed positive opinions about the EMI. They believed that reporting at random times would help them to recognize their feelings, receiving the messages would be reassuring, and overall the smartphone application would be experienced as therapeutic. They desired a high degree of personalization of the message quality, style, and voice, and provided a wide variety of message content.Conclusion Depressed young women believed that a flexible, personalized approach to mobile momentary intervention for addressing the link between their symptoms and behavior would be acceptable, supportive, and effective in reducing sexual risk.
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This intervention format is well received by adolescents dealing with mental health issues.
“Recent research has also reported that this intervention format is well received by adolescents dealing with mental health issues (90, 91)”
From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [90]
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- Authors
- Shrier, L. A., & Spalding, A.
- Affiliations
- Boston Children's Hospital (US)
- Corresponding author
- Shrier, Lydia A.
- ORCID
- Shrier, Lydia A.
- Venue
- Journal of Pediatric and Adolescent Gynecology
- Publisher
- Elsevier BV
- Published
- 2017-02
- Volume
- 30
- Issue
- 1
- Pages
- 116-122
- ISSN
- 0932-8610 (ISSN-L)
- 1083-3188
- OpenAlex
- W2517904918
- Cited by
- 17
- References
- 57
- Citations by year
- 2026: 1 · 2025: 2 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 3 · 2017: 1
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric and Adolescent Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Boston Children's Hospital
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- adolescent depression, young women, sexual risk behavior, ecological momentary intervention, mobile application, affect management, impulse control, cognitive-behavioral skills training, mobile health, treatment acceptability, message tailoring, HIV prevention, sexually transmitted infections, unintended pregnancy
- MeSH terms
- Smartphone, Adolescent, Counseling, Depression, Female, Humans, Pregnancy, Risk-Taking, Sexual Behavior, Sexually Transmitted Diseases, HIV Infections, Safe Sex, Risk Reduction Behavior, Young Adult, Mobile Applications
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