HealthMpowerment.org: feasibility and acceptability of delivering an internet intervention to young Black men who have sex with men.
HealthMpowerment.org: feasibility and acceptability of delivering an internet intervention to young Black men who have sex with men.
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DOI：
10.1080/09540121.2011.647677
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发表时间：
2012
期刊：
影响因子：
1.7
通讯作者：
Adimora AA
中科院分区：
文献类型：
--
作者：
Hightow-Weidman LB;Pike E;Fowler B;Matthews DM;Kibe J;McCoy R;Adimora AA
在美国，与男性发生性关系的年轻黑人男性（BMSM）受艾滋病毒/艾滋病的影响不成比例，并继续经历艾滋病毒发病率的迅速增加。我们为年轻的BMSM设计了一个量身定制的，基于理论的交互式HIV/STI预防网站，称为HealthMpowerment.org（HMP），并进行了一个小型的试点试验，将HMP与目前可用的HIV/STI网站进行比较。我们目前的研究结果表明，提供干预的年轻BMSM的目标人群的可行性和可接受性。1个月和3个月随访时的保留率分别为90%和78%。干预完成后立即进行的评价显示，使用HMP网站的参与者报告了高水平的用户满意度和兴趣，以及低水平的网站困难和挫折。在干预结束时，与对照组相比，干预组中使用安全套和进行准备性安全套使用行为的行为意向有增加的趋势（p= 0.10）。我们观察到干预组的CES-D量表平均评分降低，而对照组在一个月随访时没有观察到，尽管这没有统计学意义。研究参与者的退出访谈反馈表明，HMP与年轻BMSM的预防需求有关。总的来说，研究结果支持的可接受性和可行性，提供这种预防计划的一组，有很少的干预措施，尽管承担了重大负担的流行病。未来的试验，结合互联网和移动的电话技术，计划在更大和更多样化的年轻BMSM人群中测试HMP。
Young Black men who have sex with men (BMSM) are disproportionately affected by HIV/AIDS in the United States and continue to experience rapidly increasing HIV incidence. We designed a tailored, theory-based interactive HIV/STI prevention website for young BMSM, called HealthMpowerment.org (HMP) and conducted a small pilot trial comparing HMP to currently available HIV/STI websites. We present findings demonstrating feasibility and acceptability of delivering the intervention to the target population of young BMSM. Retention rates were 90% and 78% at one and three month follow-ups, respectively. Evaluation immediately after the intervention’s completion revealed that participants who used the HMP website reported high levels of user satisfaction and interest and low levels of website difficulty and frustration. At the end of the intervention, there was a trend in increased behavioral intentions to use condoms and engage in preparatory condom use behaviors in the intervention group compared to the control group (p=.10). We observed a reduction in mean scores on the CES-D scale among those in the intervention group that was not seen in the control group at the one-month follow-up, though this was not statistically significant. Feedback from exit interviews with study participants suggested that HMP is relevant to the prevention needs of young BMSM. Overall, the findings support the acceptability and feasibility of delivering this prevention program to a group that has few interventions despite bearing a significant burden of the epidemic. Future trials, combining internet and mobile phone technologies, are planned to test HMP among larger and more diverse populations of young BMSM.