A computer-based interactive multimedia program to reduce HIV transmission for women with intellectual disability.
A computer-based interactive multimedia program to reduce HIV transmission for women with intellectual disability.
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一个基于计算机的交互式多媒体程序，旨在减少智力障碍妇女的艾滋病毒传播。
DOI：
10.1111/j.1365-2788.2011.01482.x
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Sarno,K
中科院分区：
文献类型：
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作者：
Wells,J;Clark,KD;Sarno,K
背景尽管最近认识到需要为智力残疾（ID）的人提供预防性健康材料，但为轻度至中度ID的人设计的基于健康的干预措施非常少。本研究的目的是评估基于计算机的交互式多媒体（CBIM）程序教授艾滋病毒/艾滋病知识的效果，MethodsTwenty-five women with mild to moderate ID evaluated the program.该研究采用准实验受试者内设计来评估CBIM计划的有效性。研究参与者完成了五项定性和定量工具，评估了艾滋病毒知识，以及有关艾滋病毒预防做法和安全套使用技能的决策技能（即打开安全套并将其放在阴茎模型上的技能演示）。此外，18个服务提供商谁与ID的妇女审查了该计划，并完成了人口统计学问卷调查和专业的客户满意度survey. ResultsWomen with ID从测试前到测试后，在所有的知识和技能领域显示统计学显着增加。此外，统计学增益伴随着中到大的效应量。总体而言，服务提供商高度评价该计划的几个结果的措施（刺激，相关性和可用性）。ConclusionsThe结果表明CBIM程序是有效的，在增加艾滋病毒/艾滋病知识和技能的妇女ID，谁住半独立和独立，在一个单一的会话干预。由于CBIM计划不依赖于教学人员，它是一种高效的教学工具; CBIM是提供行为健康内容的有效手段，弥补了ID患者缺乏可用的健康促进材料。因此，它有可能被医生和公共卫生办公室广泛分发和实施。患有ID的人是我们社会的一部分，但仍然被忽视，特别是在健康促进方面。需要开发特殊工具，以解决ID患者所经历的健康差异。
BackgroundDespite recent recognition of the need for preventive sexual health materials for people with intellectual disability (ID), there have been remarkably few health‐based interventions designed for people with mild to moderate ID. The purpose of this study was to evaluate the effects of a computer‐based interactive multimedia (CBIM) program to teach HIV/AIDS knowledge, skills and decision making.MethodsTwenty‐five women with mild to moderate ID evaluated the program. The study used a quasi‐experimental within‐subjects design to assess the efficacy of the CBIM program. Research participants completed five qualitative and quantitative instruments that assessed HIV knowledge, and decision‐making skills regarding HIV prevention practices and condom application skills (i.e. demonstration of skills opening a condom and putting it on a model penis). In addition, 18 service providers who work with women with ID reviewed the program and completed a demographics questionnaire and a professional customer satisfaction survey.ResultsWomen with ID showed statistically significant increases from pre‐test to post‐test in all knowledge and skill domains. Furthermore, the statistical gains were accompanied by medium to large effect sizes. Overall, service providers rated the program highly on several outcome measures (stimulation, relevance and usability).ConclusionsThe results of this study indicate the CBIM program was effective in increasing HIV/AIDS knowledge and skills among women with ID, who live both semi‐independently and independently, in a single‐session intervention. As the CBIM program is not dependent on staff for instructional delivery, it is a highly efficient teaching tool; and CBIM is an efficacious means to provide behavioural health content, compensating for the dearth of available health promotion materials for people with ID. As such, it has a potential for broad distribution and implementation by medical practitioners, and public health offices. People with ID are part of our society, yet continue to be overlooked, particularly in the area of health promotion. Special tools need to be developed in order to address the health disparities experienced by people with ID.