Effects of a Health Behavior Change Model-Based HIV/STI Prevention Intervention on Condom Use Among Heterosexual Couples: A Randomized Trial
Effects of a Health Behavior Change Model-Based HIV/STI Prevention Intervention on Condom Use Among Heterosexual Couples: A Randomized Trial
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DOI：
10.1177/1090198108322821
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发表时间：
2009-10-01
影响因子：
4.2
通讯作者：
Beckman, Linda J.
中科院分区：
文献类型：
--
作者：
Harvey, S. Marie;Kraft, Joan Marie;Beckman, Linda J.
本研究探讨了异性夫妇预防人类免疫缺陷病毒/性传播感染的干预措施。它还评估基于当前健康行为改变模型的干预措施对中间结果（个人和关系因素）和安全套使用一致性的影响。符合条件的夫妇接受基线访谈，并随机接受 3 次基于理论的干预或 1 次标准护理比较条件。男性和女性完成了为期 3 个月的访谈；只有女性完成了为期 6 个月的访谈。在 3 个月时的夫妇 (n = 212) 或 6 个月时的女性 (n = 178) 中，未发现对安全套使用的显着干预效果。然而，在两种治疗条件下，参与者的安全套使用率在基线至 3 个月以及基线至 6 个月之间显着增加。在 3 个月和 6 个月时发现了对安全套使用自我效能的干预效果，在 3 个月时发现了对健康保护沟通的干预效果。这些发现为未来研究的设计提供了有价值的信息，有助于理清夫妻干预的影响。
This study examines an intervention for heterosexual couples to prevent human immunodeficiency virus/sexually transmitted infections. It also evaluates the effect of the intervention, which is based on current models of health behavior change, on intermediate outcomes (individual and relationship factors) and consistency of condom use. Eligible couples were administered a baseline interview and randomized to either a 3-session theory-based intervention or a 1-session standard of care comparison condition. Men and women completed 3-month interviews; only women completed 6-month interviews. No significant intervention effect on condom use was found among couples at 3 months (n = 212) or among women (n = 178) at 6 months. However, condom use increased significantly between baseline and 3 months and baseline and 6 months for participants in both treatment conditions. Intervention effects on condom use self-efficacy were found at 3 months and 6 months and on health-protective communication at 3 months. These findings provide valuable information for the design of future studies to help disentangle the effects of intervening with couples.