Feasibility study of the Home-based Exercises for Responsible Sex (HERS) intervention to promote correct and consistent condom use among young women.
Feasibility study of the Home-based Exercises for Responsible Sex (HERS) intervention to promote correct and consistent condom use among young women.
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DOI：
10.1186/s40814-021-00885-1
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发表时间：
2021-07-27
影响因子：
1.7
通讯作者：
Graham CA
中科院分区：
文献类型：
--
作者：
Knights N;Stone N;Nadarzynski T;Brown K;Newby K;Graham CA
如果正确和持续使用，男用避孕套可以有效预防常见的性传播感染和意外怀孕。然而，安全套使用错误和问题是常见的，年轻人报告了负面的经历，如减少快乐。金赛研究所负责任的性行为家庭练习是一项针对年轻妇女的新型安全套推广干预措施，旨在减少安全套错误和问题，提高自我效能，并采用以快乐为重点的方法改善对安全套的态度。该研究的目的是测试KIHERS干预措施在英国16-25岁年轻女性中的可操作性、可行性和可接受性（基于家庭的负责任性行为练习-英国）。采用重复测量单组设计，在干预后4周和8周进行基线（T1）和两次随访评估（T2和T3），为期3个月。参与者被提供了一个避孕套包，其中包含不同的避孕套和润滑剂，并被要求使用假阴茎和/或与性伴侣单独使用避孕套进行实验。干预后进行了10次过程评价访谈。55名年轻女性接受了干预; 36名（65%）完成了T2，33名（60%）完成了T3。安全套使用错误和问题减少，自我效能提高，对安全套的态度显著改善。报告在过去4周内使用避孕套进行性交的参与者比例从T1（20; 47%）增加到T2（27; 87%）和T3（23; 77%），使用润滑剂和避孕套进行性交的比例从T1（6; 30%）增加到T2（13; 48%）和T3（16; 70%）。然而，使用避孕套的动机并没有改变。克朗巴赫的α分数表明良好的内部一致性的措施。定性数据为干预措施的可接受性提供了强有力的证据。HERS-英国按计划实施，招聘策略在学院/大学环境中取得了成功。这项可行性研究提供了一个早期迹象的潜在有效性和可接受的干预措施，并与年轻妇女使用快乐为重点的方法的好处。所用的测量指标捕获了结局变量的变化，并被认为符合目的。未来的研究应探讨这种干预措施的成本效益，在一个大规模的对照试验中使用不同的样本，并针对年轻妇女的性传播感染的风险最大。在线版本包含补充材料，可通过10.1186/s40814-021-00885-1获得。
Male condoms are effective in preventing common sexually transmitted infections (STIs) and unintended pregnancy, if used correctly and consistently. However, condom use errors and problems are common and young people report negative experiences, such as reduced pleasure. The Kinsey Institute Home-Based Exercises for Responsible Sex (KIHERS) is a novel condom promotion intervention for young women, which aims to reduce condom errors and problems, increase self-efficacy and improve attitudes towards condoms, using a pleasure-focussed approach. The study objective was to test the operability, viability and acceptability of an adapted version of the KIHERS intervention with young women aged 16–25 years in the United Kingdom (UK) (Home-Based Exercises for Responsible Sex-UK (HERS-UK). A repeated-measures single-arm design was used, with a baseline (T1) and two follow-up assessments (T2 and T3), conducted 4 weeks and 8 weeks post intervention over a 3-month period. Participants were provided a condom kit containing different condoms and lubricants and were asked to experiment with condoms alone using a dildo and/or with a sexual partner. Ten process evaluation interviews were conducted post intervention. Fifty-five young women received the intervention; 36 (65%) completed T2 and 33 (60%) completed T3. Condom use errors and problems decreased, self-efficacy increased and attitudes towards condoms improved significantly. The proportion of participants who reported using a condom for intercourse in the past 4 weeks increased from T1 (20; 47%) to T2 (27; 87%) and T3 (23; 77%) and using lubricant with a condom for intercourse increased from T1 (6; 30%) to T2 (13; 48%)) and T3 (16; 70%). However, motivation to use condoms did not change. Cronbach’s alpha scores indicated good internal consistency of measures used. Qualitative data provided strong evidence for the acceptability of the intervention. HERS-UK was implemented as intended and the recruitment strategy was successful within a college/university setting. This feasibility study provided an early indication of the potential effectiveness and acceptability of the intervention, and the benefits of using a pleasure-focussed approach with young women. Measures used captured change in outcome variables and were deemed fit for purpose. Future research should explore cost-effectiveness of this intervention, in a large-scale controlled trial using a diverse sample and targeting young women most at risk of STIs. The online version contains supplementary material available at 10.1186/s40814-021-00885-1.