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Integrating pleasure may be a successful strategy for reaching young people with sexual and reproductive health and rights SRHR interventions. However, sexual pleasure-related programming and research remains sparse. We aimed to assess chatbot acceptability and describe changes in SRHR attitudes and behaviours among Kenyan young adults engaging with a pleasure-oriented SRHR chatbot. We used an exploratory mixed-methods study design.
Between November and January , participants completed a self-administered online questionnaire before and after chatbot engagement. In-depth phone interviews were conducted among a select group of participants after their initial chatbot engagement. Quantitative data were analysed using paired analyses and interviews were analysed using thematic content analysis. In-depth interviews were conducted among 41 participants. We observed higher satisfaction at endline vs.
Participants reported improvements in sex-positive communication with partners and safer sex practices due to new learnings from the chatbot. Integrating sexual pleasure into traditional SRHR content delivered through digital tools is a promising strategy to advance positive SRHR attitudes and practices among youth. Keywords: chatbot, conversational agent, sexual pleasure, contraception, family planning, sexual and reproductive health, rights, comprehensive sexuality education.
Se realizaron entrevistas a profundidad con 41 participantes. The chatbot was developed to include content on standard SRHR topics including menstrual health, prevention of pregnancy and sexually transmitted infections, and contraceptive method information , as well as sexual pleasure topics such as information on masturbation, genital health, orgasms, sexual pleasure and satisfaction, and advice for how to improve communication and decision-making with sexual partners.
