Internet based HIV prevention research targeting rural MSM: feasibility, acceptability, and preliminary efficacy.
Internet based HIV prevention research targeting rural MSM: feasibility, acceptability, and preliminary efficacy.
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DOI：
10.1007/s10865-008-9171-6
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发表时间：
2008-12
影响因子：
3.1
通讯作者：
Clayton, S.
中科院分区：
文献类型：
--
作者：
Bowen, A. M.;Williams, M. L.;Daniel, C. M.;Clayton, S.
互联网提供的降低艾滋病毒风险的初级预防干预措施面临重大挑战。改变生活方式行为，比如开始使用避孕套，是很困难的，而在网上寻找约会对象的男性可能希望避免考虑艾滋病毒的风险，这可能导致低起始率和高辍学率。许多通过互联网提供的艾滋病毒风险降低项目都模仿了面对面的外展项目，未能利用互联网的能力，或者没有进行评估。本研究的重点是考察互联网为农村男男性行为者（MSM）提供艾滋病风险降低方案的可行性、可接受性和有效性。该项目包括在线招聘、三个干预模块（每个模块有两个环节）、在线问卷调查。干预是基于迭代研究和信息-动机-行为技能模型开发的。参与者（N = 475）被随机分配到六个模块顺序中的一个，在每个模块测试前和测试后自动收集数据。数据支持方案的可行性和可接受性，证明了良好的保留和快速的方案完成。知识、自我效能、结果预期和动机以剂量反应方式增加。干预后的行为改变包括减少肛交和显著增加避孕套的使用。局限性包括随访时间短，主要是年轻的农村白人样本，以及缺乏注意力控制。总的来说，这项研究的结果为基于互联网的干预措施降低艾滋病毒感染风险的有效性提供了支持。研究结果还支持用传统的研究方法来评估仅通过互联网提供的艾滋病毒预防项目。
Internet delivered primary prevention interventions for HIV risk reduction present significant challenges. Changing lifestyle behaviors, such as beginning to use condoms, is difficult and men seeking dates on line may want to avoid thinking about HIV risk which may lead to low initiation and high dropout rates. Many Internet delivered HIV risk reduction programs have mimicked face-to-face outreach programs, failing to take advantage of the Internet’s capabilities or did not conduct evaluation. This study focuses on examining the feasibility, acceptability, and efficacy of an Internet delivered HIV risk reduction program for rural men who have sex with men (MSM). The program included online recruiting, three intervention modules, each with two sessions, online questionnaires. The intervention was developed based on iterative research and the Information-Motivation-Behavioral skills model. Participants (N = 475) were randomly assigned to one of six module orders and data were collected automatically at pre-test and after each module. Data supports the feasibility and acceptability of the program as demonstrated by good retention and rapid program completion. Knowledge, self-efficacy, outcome expectancies and motivation increase in a dose response fashion. Post-intervention behavior changes included reduced anal sex and significant increases in condom use. Limitations include a short follow-up period, a predominantly young white rural sample, and the lack of an attention control. Overall the results of the study provide support for the efficacy of Internet-based interventions to reduce risk of HIV infection. Results also support traditional research methods to evaluate HIV prevention programs delivered exclusively through the Internet.
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影响因子：
4.1
作者：
Devineni, T;Blanchard, EB
通讯作者：
Blanchard, EB
影响因子：
4.2
作者：
Fisher, JD;Fisher, WA;Misovich, SJ
通讯作者：
Misovich, SJ
影响因子：
1.5
作者：
Benotsch, Eric G.;Wright, Valerie J.;Kelly, Jeffrey A.
通讯作者：
Kelly, Jeffrey A.
影响因子：
3.7
作者：
Carlbring, P;Westling, BE;Andersson, G
通讯作者：
Andersson, G
DOI：
10.1080/09540120412331292507
发表时间：
2004-11-01
影响因子：
1.7
作者：
Bull, SS;Lloyd, L;McFarlane, M
通讯作者：
McFarlane, M