Ruru Guo

Zhengzhou University, China

Abstract Title:Web-based sexual and reproductive health education for early and middle adolescence a systematic review and meta analysis

Biography:

Ruru Guo is a postgraduate researcher in community and public health nursing, with a focus on promoting the health and well-being of children and adolescents. Her current work centers on sexual and reproductive health education interventions for early adolescents aged 10–13. Through a systematic review and meta-analysis, she has demonstrated the effectiveness of web-based interventions in improving knowledge and behavioral outcomes. Her research integrates evidence-based practice and youth-centered approaches, aiming to inform future community health strategies and enhance adolescent health promotion through digital innovation.

Research Interest:

Sexual and reproductive health (SRH) education is essential during early and middle adolescence, a critical developmental stage characterized by substantial physiological, psychological, and social transitions. With the advancement of Internet technologies, web-based SRH education has become increasingly prevalent due to its cost-effectiveness, adaptability, and capacity for diverse delivery methods. However, there remains a paucity of targeted evidence evaluating its effectiveness in this age group. This systematic review and meta-analysis, conducted according to PRISMA guidelines and registered with PROSPERO (CRD42023400504), aimed to assess the impact of web-based SRH education on knowledge, attitudes, self-efficacy, and behavior among early and middle adolescents. A comprehensive search of PubMed and Web of Science databases from inception to October 2023 yielded eleven studies encompassing 7,876 participants. The quality of included studies was evaluated using the Cochrane Risk of Bias Tool. Data were extracted and cross-verified through a two-step process. Pooled results indicated a moderate effect on SRH knowledge (SMD = 0.59), a small effect on attitudes (SMD = 0.16), and a moderate impact on sexual behavior (OR = 0.75), while no significant improvement was found in self-efficacy. Comparative effectiveness between web-based and traditional face-to-face education remained inconclusive due to limited studies and methodological heterogeneity. This review demonstrates the potential benefits of web-based SRH education in enhancing adolescent knowledge and behavioral intentions. Nevertheless, the high risk of bias and inconsistency in outcome measures limit the generalizability of findings. Future research should adopt standardized reporting practices and evaluate cost-effectiveness to support the development of evidence-based digital interventions in adolescent SRH education. Key Words: Early and middle adolescence, Sexual and reproductive health education, Web-based interventions, Review, Meta-analysis.