A systematic review of effective parent-adolescent sexual and reproductive health information communication in lower- and middle-income countries

Abstract

Background: Parents play an important role in the sexual and reproductive health (SRH) of their adolescents. Parent–adolescent SRH information communication is cardinal and is expected to improve SRH outcomes of adolescents.Aim: The aim of this systematic review was to search for effective SRH information communication interventions in lower- and middle-income countries (LMICs) to inform the adaptation of parent–adolescent SRH information communication intervention.Method: This is the first phase of an explanatory sequential mixed method study. The systematic review was carried out by employing Joanna Briggs Institute software for reviews. Search sources included Cochrane Reviews Library, EMBASE, CINAHL, PubMed, OVID, Scopus, Web of Science and Science Direct. A systematic search strategy was formulated, making use of the key terms: adolescent, teenager, youth, parent, mother, father, caregiver, reproductive, sexual, health, information, communication and intervention.Results: Five articles met the inclusion criteria for full-text screening. The interventions included addressed sociodemographic covariates; parent–adolescent general communication; parental monitoring; parent–adolescent communication about sex-related topics; parent’s sexual communication skills; parent’s self-efficacy in sexual communication; parent’s responsiveness to sexual communication; communication frequency; quality of sex‑related communication and information-motivational-behavioural skills.Conclusion: Findings suggest that evidence-based SRH information communication interventions are effective in improving parent–adolescent SRH information communication to optimise safe SRH behaviour in LMICs.Contribution: This systematic review identified effective SRH information communication interventions in LMICs, which can form the basis of further qualitative exploration for adaptation of a culturally sensitive intervention in Ghana.