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Artificial intelligence (AI) is rapidly evolving in healthcare and education, including in sexual and reproductive health (SRH) education. AI tools may improve access to convenient, non-judgemental, and comprehensive SRH education for people of all genders, sexualities and ages. This systematic review used the Technology Acceptance Model to evaluate the acceptability, feasibility, and impact of AI-driven chatbots in SRH education. We searched PubMed, Web of Science and Scopus in August 2024 for studies published between January 2014 and August 2024 that examined AI-driven sexual education using experimental and observational designs. Screening and extraction were conducted by two reviewers, and study quality was assessed using the Mixed Methods Appraisal Tool. Of 4044 records identified, 21 studies met the inclusion criteria. All were observational and included a total of 146,990 participants across eight countries. Five studies compared AI chatbots to other formats of SRH education. Most studies evaluated acceptability, feasibility, and/or impact. Users appreciated the immediacy and clarity of AI responses and used chatbots to learn about HIV, family planning, and sexual rights. However, some expressed concerns about tone, empathy, and credibility. Although findings are promising, higher-quality studies are needed to evaluate the impact of AI in delivering SRH education.
Bergam et al. (Fri,) studied this question.