{
  "abstract": "Background: Technology-facilitated sexual violence (TFSV) threatens adolescent health and safety, yet prevention content remains insufficiently addressed in routine school-based education. This study evaluated a school-based digital TFSV prevention programme and explored adolescents’ experiences and perceptions of its implementation.\n\nMethods: A sequential explanatory mixed-methods study was conducted in two public senior high schools in Bengkulu City, Indonesia. The quantitative phase used a quasi-experimental pre-test–post-test non-equivalent control group design involving 69 female adolescents (control, n = 33; intervention, n = 36). Both groups received the standard school-based programme; the intervention group additionally received six educational videos over approximately five weeks through classroom sessions, Zoom reinforcement, and repeated Instagram access. Knowledge, awareness, and attitudes were analysed using Wilcoxon signed-rank and Mann–Whitney U tests, with Holm adjustment for post-test comparisons. The qualitative phase comprised a post-intervention focus group discussion with seven participants and was analysed using reflexive thematic analysis.\n\nResults: Post-test knowledge was higher in the intervention group than in the control group (U = 375.000, adjusted p = 0.009, r = 0.36), as was awareness (U = 418.000, adjusted p = 0.044, r = 0.28). No significant between-group difference was found for attitude (U = 516.000, adjusted p = 0.331, r = 0.12); attitude increased significantly within both groups. Qualitatively, participants described gaps in formal TFSV education, viewed audiovisual delivery as relevant and engaging, identified perceived relevance, family support, and trust in school personnel as influences on engagement and help-seeking, and recommended integration into routine school structures with interactive delivery. Integration of both strands indicated that these experiences helped explain the gains in knowledge and awareness, while contextualising the absence of an intervention-specific attitudinal effect.\n\nConclusion: The digital TFSV prevention programme was associated with higher short-term knowledge and awareness than the standard school-based programme, but no additional effect on attitude was demonstrated. Relevant and engaging audiovisual education may strengthen adolescents’ recognition of TFSV risks; sustained prevention may require repeated reinforcement, family engagement, trusted school-based support, and integration into routine school health promotion. Further multicentre studies with baseline-adjusted analyses and longer follow-up are warranted.\n\nSupplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12889-026-28700-7.",
  "abstract_shown": true,
  "affiliations": [
    "Doctoral Student, Faculty of Medicine, Padjadjaran University, Jalan Ir. Soekarno No. KM. 21, Hegarmanah, Jatinangor District, Sumedang Regency, West Java 45363 Indonesia",
    "Nursing Department, Faculty of Mathematics and Natural Sciences, University of Bengkulu, Jl. Indragiri, Padang Harapan, Gading Cempaka District, Bengkulu City, Bengkulu 38225 Indonesia",
    "Department of Maternity Nursing, Faculty of Nursing, Padjadjaran University, Jl. Ir. Soekarno KM 21, Hegarmanah Sumedang, West Java 45363 Indonesia",
    "Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java Indonesia",
    "Department of Child Health, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java Indonesia",
    "Social Welfare Department and the Research Center for Gender and Children Studies, Universitas Padjadjaran, Sumedang, West Java Indonesia",
    "Midwifery Study Program, Faculty of Mathematics and Natural Sciences, University of Bengkulu, Jl. Indragiri, Padang Harapan, Gading Cempaka District, Bengkulu City, Bengkulu 38225 Indonesia"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Nurmukaromatis Saleha",
      "orcid": "0000-0003-1528-4264"
    },
    {
      "affs": [
        2
      ],
      "name": "Restuning Widiasih"
    },
    {
      "affs": [
        3
      ],
      "name": "Iqbal Pramukti"
    },
    {
      "affs": [
        4
      ],
      "name": "Meita Dhamayanti"
    },
    {
      "affs": [
        3
      ],
      "name": "Laili Rahayuwati"
    },
    {
      "affs": [
        5
      ],
      "name": "Binahayati Rusyidi"
    },
    {
      "affs": [
        6
      ],
      "name": "Suriyati"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/89fjsbnq9pjzn.bib",
  "cited_by": 1,
  "doi": "10.1186/s12889-026-28700-7",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13749861/",
  "id": "89fjsbnq9pjzn",
  "issns": [
    "1471-2458"
  ],
  "landing_url": "https://doi.org/10.1186/s12889-026-28700-7",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "lcc",
      "RA1-1270"
    ],
    [
      "openalex",
      "3318|Sexual Assault and Victimization Studies"
    ]
  ],
  "openalex": "W7172121136",
  "pdf_url": null,
  "pmcid": "PMC13749861",
  "pmid": "43004380",
  "published": "2026-08-01",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/89fjsbnq9pjzn.ris",
  "sources": [
    {
      "first_seen": "2026-11-14T12:22:33Z",
      "native_id": "PMC13749861",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s12889-026-28700-7"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:RA1-1270",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Effectiveness of a school-based educational video intervention for the prevention of technology-facilitated sexual violence among adolescent girls: a sequential explanatory mixed-methods study",
  "title_text": "Effectiveness of a school-based educational video intervention for the prevention of technology-facilitated sexual violence among adolescent girls: a sequential explanatory mixed-methods study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-15T15:21:07Z",
  "url": "https://research.draconitic.com/paper/89fjsbnq9pjzn",
  "venue": "BMC Public Health",
  "versions": []
}