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Technology-Related Trauma in Sexual and Reproductive Health Digital Technologies: Grounded Theory Study.

Abdul-Fatawu Abdulai1, Janell Cosco Josephs1, Adrian Guta2

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Digital health platforms can inadvertently cause emotional trauma, especially for those with prior experiences. Design choices and interactions on these platforms require careful consideration to prevent harm and promote well-being in sexual and reproductive health services.

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digital health technologiesemotional traumagrounded theorysexual and reproductive healthtechnology-related trauma

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Area of Science:

  • Digital Health
  • Sexual and Reproductive Health
  • Trauma-Informed Care

Background:

  • Digital health technologies are increasingly vital for accessing sexual and reproductive health (SRH) services, especially for individuals facing barriers to in-person care.
  • Concerns are rising about potential trauma triggers within these platforms, particularly for equity-deserving populations with histories of healthcare-related stigma or trauma.

Purpose of the Study:

  • To develop a theoretical framework explaining how digital health technologies can cause or perpetuate emotional trauma.
  • To understand the mechanisms through which technology-based SRH services may lead to adverse psychological outcomes.

Main Methods:

  • A constructivist grounded theory approach was employed, involving interviews with 25 participants who used digital SRH platforms.
  • Data collection and analysis were iterative, utilizing open, axial, and theoretical coding to inductively develop the theoretical model.

Main Results:

  • An explanatory model identified two primary pathways to technology-related harm: problematic digital platform design (e.g., navigation, security) and negative interpersonal interactions (e.g., depersonalization).
  • These harms are more likely to result in emotional trauma for individuals with pre-existing trauma histories and emotional discomfort for others.

Conclusions:

  • Digital platforms, while expanding SRH access, can inadvertently trigger, perpetuate, or exacerbate trauma.
  • Mitigation requires intentional design choices and implementation strategies by technology developers and health providers to prevent trauma and support user well-being.