Video Game Intervention for Sexual Risk Reduction in Minority Adolescents: Randomized Controlled Trial.
Video Game Intervention for Sexual Risk Reduction in Minority Adolescents: Randomized Controlled Trial.
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DOI：
10.2196/jmir.8148
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发表时间：
2017-09-18
影响因子：
7.4
通讯作者：
Fiellin DA
中科院分区：
文献类型：
--
作者：
Fiellin LE;Hieftje KD;Pendergrass TM;Kyriakides TC;Duncan LR;Dziura JD;Sawyer BG;Mayes L;Crusto CA;Forsyth BW;Fiellin DA
人类免疫缺陷病毒（HIV）对少数民族青年的影响尤为严重。需要采取干预措施以降低艾滋病毒性风险。我们假设，互动视频游戏形式的引人入胜的基于理论的数字健康干预将改善青少年的性健康结果。来自12个社区课外、学校和暑期项目的11至14岁的参与者按1:1的比例随机分配，在6周内玩16小时的实验性电子游戏或控制电子游戏。在6周、3、6和12个月时进行评估。主要结局是延迟开始阴道/肛门性交。次要结局包括性健康态度、知识和意图。我们按性别和年龄检查了结果。共有333名参与者被随机分为干预组（n=166）和对照组（n=167）： 295名（88.6%）为少数民族，177名（53.2%）为男孩，平均年龄为12.9（1.1）岁。12个月时，在258名（84.6%）有资料的参与者中，干预组94.6%（122/129）比对照组95.4%（123/129）延迟性交开始（相对风险=0.99,95% CI 0.94-1.05， P= 0.77）。在12个月的时间里，干预组的性健康态度总体上比对照组有所改善（最小二乘均值[LS均值]差0.37,95% CI 0.01-0.72， P= 0.04）。这种改善在男孩中观察到（LS均值差0.67，P= 0.008），但在女孩中没有观察到（LS均值差0.06，P= 0.81），在年轻人中观察到（LS均值差0.71，P= 0.005），但在老年参与者中没有观察到（LS均值差0.03，P= 0.92）。干预组在女孩（LS平均差异1.16，P=.001）、男孩（LS平均差异1.10，P=.001）、年轻（LS平均差异1.18，P=.001）和年长（LS平均差异1.08，P=.002）参与者的性健康知识总体上也有所增加（LS平均差异1.13,95% CI 0.64-1.61， P<.001）。两组患者延迟性交开始的意愿无差异（LS均值差异0.10，P= 0.56）。互动视频游戏干预改善少数民族青少年至少12个月的性健康态度和知识。Clinicaltrials.gov NCT01666496;https://clinicaltrials.gov/ct2/show/NCT01666496（由WebCite在http://www.webcitation.org/6syumc9C0存档）。
Human immunodeficiency virus (HIV) disproportionately impacts minority youth. Interventions to decrease HIV sexual risk are needed. We hypothesized that an engaging theory-based digital health intervention in the form of an interactive video game would improve sexual health outcomes in adolescents. Participants aged 11 to 14 years from 12 community afterschool, school, and summer programs were randomized 1:1 to play up to 16 hours of an experimental video game or control video games over 6 weeks. Assessments were conducted at 6 weeks and at 3, 6, and 12 months. Primary outcome was delay of initiation of vaginal/anal intercourse. Secondary outcomes included sexual health attitudes, knowledge, and intentions. We examined outcomes by gender and age. A total of 333 participants were randomized to play the intervention (n=166) or control games (n=167): 295 (88.6%) were racial/ethnic minorities, 177 (53.2%) were boys, and the mean age was 12.9 (1.1) years. At 12 months, for the 258 (84.6%) participants with available data, 94.6% (122/129) in the intervention group versus 95.4% (123/129) in the control group delayed initiation of intercourse (relative risk=0.99, 95% CI 0.94-1.05, P=.77). Over 12 months, the intervention group demonstrated improved sexual health attitudes overall compared to the control group (least squares means [LS means] difference 0.37, 95% CI 0.01-0.72, P=.04). This improvement was observed in boys (LS means difference 0.67, P=.008), but not girls (LS means difference 0.06, P=.81), and in younger (LS means difference 0.71, P=.005), but not older participants (LS means difference 0.03, P=.92). The intervention group also demonstrated increased sexual health knowledge overall (LS means difference 1.13, 95% CI 0.64-1.61, P<.001), in girls (LS means difference 1.16, P=.001), boys (LS means difference 1.10, P=.001), younger (LS means difference 1.18, P=.001), and older (LS means difference=1.08, P=.002) participants. There were no differences in intentions to delay the initiation of intercourse between the two groups (LS means difference 0.10, P=.56). An interactive video game intervention improves sexual health attitudes and knowledge in minority adolescents for at least 12 months. Clinicaltrials.gov NCT01666496; https://clinicaltrials.gov/ct2/show/NCT01666496 (Archived by WebCite at http://www.webcitation.org/6syumc9C0).
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影响因子：
3.6
作者：
Barak, A;Fisher, WA
通讯作者：
Fisher, WA
DOI：
10.2307/2991682
发表时间：
1998-07-01
期刊：
FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Donovan, P
通讯作者：
Donovan, P
影响因子：
3.6
作者：
Duncan, Lindsay R.;Hieftje, Kimberly D.;Fiellin, Lynn E.
通讯作者：
Fiellin, Lynn E.
影响因子：
1.8
作者：
Collins, Charles;Harshbarger, Camilla;Hamdallah, Myriam
通讯作者：
Hamdallah, Myriam
影响因子：
12.7
作者：
Coyle, KK;Kirby, DB;Gregorich, SE
通讯作者：
Gregorich, SE