JMIR Publications

ABSTRACT

Background:

In the last decade, use of technology-based sexual health education has increased. Multiple studies have shown feasibility of technology-based interventions, while a subset have also shown efficacy in improving youths’ sexual health outcomes. However, little is known about health educators’ experiences in integrating technology to augment sexual health curricula.

Objective:

The purpose of this study was to assess the perceptions and experiences of health educators regarding the incorporation of technology into a sexual health education program called In the Know (ITK). ITK is a blended in-person and digital technology intervention designed for underserved youth in Fresno County, California. The curriculum includes technology-based content, such as a resource locator, videos, and games that can be accessed through a mobile app or website.

Methods:

Data from implementation logs (n=51) and interviews with health educators (n=8) were analyzed to assess health educators’ experiences and perspectives.

Results:

Successes and challenges in three domains emerged: managing technology, usability of the ITK app, and youth engagement. While health educators consistently remarked on the challenges associated with using technology, this decreased over time as their familiarity increased and functionality of the app improved. Health educators generally had positive comments about the content of the ITK app and youth engagement, but noted certain barriers to adolescents’ use including limited data and battery life on mobile phones.

Conclusions:

Health educators require training and support to optimize technology as a resource for engaging with youth and improving sexual health outcomes. Although technology is often presented as a solution to reach underserved populations, educational programs should consider the technological needs and limitations of the participants, educators, and settings.