Publications by authors named "Rhiana Mills"

Article Synopsis
  • - The study in Kenya explored the feasibility of digital self-injection training for contraceptives, using WhatsApp video calls to teach 11 participants who were already familiar with injectable contraception.
  • - Participants successfully learned to self-administer the contraceptive after remote training, but access to quality digital devices was a noted barrier to effective training.
  • - Overall, the training was found to be both feasible and acceptable, with valuable lessons identified for improving future digital training methods; however, further research is needed to assess broader applicability and effectiveness.
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Background: A chatbot is a computer program that is designed to simulate conversation with humans. Chatbots may offer rapid, responsive, and private contraceptive information; counseling; and linkages to products and services, which could improve contraceptive knowledge, attitudes, and behaviors.

Objective: This review aimed to systematically collate and interpret evidence to determine whether and how chatbots improve contraceptive knowledge, attitudes, and behaviors.

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Pleasure is often left out of sexual and reproductive health and rights (SRHR) interventions. The expanding evidence base suggests that the inclusion of pleasure can improve SRHR outcomes and increase safer sex practices. However, there is a lack of research into how to include pleasure in applied SRHR work, particularly outside of key groups.

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Background: Women in Kenya have an unmet need for contraception, and self-injectable contraceptives offer a new, self-managed fertility control option. Self-injection reduces the need to travel to a facility for ongoing care, but the initial, in-person, consultation may be a barrier. Training in self-injection administration could be delivered via WhatsApp on a mobile phone.

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Background: Digital technologies may improve sexual and reproductive health (SRH) across diverse settings. Chatbots are computer programs designed to simulate human conversation, and there is a growing interest in the potential for chatbots to provide responsive and accurate information, counseling, linkages to products and services, or a companion on an SRH journey.

Objective: This review aimed to identify assumptions about the value of chatbots for SRH and collate the evidence to support them.

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A working alliance (WA) is a multidimensional construct signifying a collaborative relationship between a client and a therapist. Systematic reviews of therapies to treat depression and anxiety, almost exclusively in adults, show WA is essential across psychotherapies. However, there are critical gaps in our understanding of the importance of WA in low-intensity therapies for young people with depression and anxiety.

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