Related Experiment Video
Updated: Aug 7, 2025
06:04
Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
648
Adapting a Counseling-Plus-mHealth Intervention for the Virtual Environment to Reduce Sexual and Reproductive Health
Maddie O'Connell1, Brittany Gluskin2, Sarah Parker2,3
1Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA. madison.oconnell@childrens.harvard.edu.
Summary
Virtual adaptation of the Momentary Affect Regulation - Safer Sex Intervention (MARSSI) improved access to sexual and reproductive health services for women with depression. The mHealth intervention showed feasibility and participant satisfaction.
Area of Science:
- Public Health
- Telemedicine
- Mental Health
Background:
- The Momentary Affect Regulation - Safer Sex Intervention (MARSSI) targets sexual and reproductive health (SRH) risks in women with depression and high-risk sexual behavior.
- The COVID-19 pandemic necessitated adapting in-person interventions for virtual delivery.
Purpose of the Study:
- To develop and assess the virtual implementation of the MARSSI counseling and mHealth app onboarding.
- To ensure fidelity and accessibility of the intervention through telehealth.
Main Methods:
- An expert team adapted the MARSSI counseling through an iterative consensus process, focusing on telehealth best practices.
- Content was specified for both in-person and virtual delivery.
- A feasibility study involved women aged 18-24 with depressive symptoms and high-risk sexual behavior (N=9).
Main Results:
- Virtual counseling incorporated engaging audio-video aids while retaining core elements.
- Participants experienced minimal technical issues and high satisfaction with the virtual format.
- All participants successfully completed the mHealth app onboarding.
Conclusions:
- Virtual delivery of SRH interventions like MARSSI can enhance accessibility for individuals facing psychological and environmental barriers.
- Telehealth expansion is crucial for improving care delivery in sexual and reproductive health.
- The adapted MARSSI intervention demonstrates feasibility for virtual implementation.
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