P029 HIS-UK Condom Study: An intervention development study working with young men to improve condom use skills and enhance condom use experiences
P029 HIS-UK Condom Study: An intervention development study working with young men to improve condom use skills and enhance condom use experiences
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P029 HIS-UK 安全套研究：一项与年轻男性合作的干预发展研究，旨在提高安全套使用技能并增强安全套使用体验
DOI：
10.1136/sextrans-2016-052718.83
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发表时间：
2016
影响因子：
3.6
通讯作者：
Graham C
中科院分区：
文献类型：
--
作者：
Graham C
金赛研究所的家庭作业干预策略（KIHIS），旨在提高安全套的技能，享受和自我效能，已经在美国的研究中证明了有效性的早期证据。KIHIS通过单独的实践将改变的动力放在个人身上：试验不同的避孕套/润滑剂;确定最佳的“适合和感觉”;并专注于身体感觉。手册和评估HIS-UK.MethodsLiterature合成，以确定额外的BCT组件和交付方法，以解决避孕套的适合性和感觉。通过定性访谈与利益攸关方和用户协商（n = 15名16-25岁男性）;咨询小组（如顾问、专员）;讲习班（例如健康促进专业人员）2015年7月在线数据库的结果，确定了自2006年以来发表的1044项安全套使用干预研究;在这些研究中，有123项研究测试了高收入国家对避孕套使用行为干预的有效性，只有5项研究针对“适合和感觉”问题。共确定了22个BCT，其中16个入选HIS-UK。磋商已经表现出这种“适合和感觉”的方法的热情，使我们能够衡量英国的喜好（例如避孕套包内容），并告知适应的intervention.DiscussionThis工作确保有针对性的结果，行为的决定因素和建议的行动机制为HIS-英国指定，以便未来的结论可以得出什么作品和为什么。目前正在50名16-25岁的男子中试行一种经过调整的手动干预措施，以确保其可行性和可操作性。
BackgroundThe Kinsey Institute® Homework Intervention Strategy (KIHIS), designed to improve condom skills, enjoyment and self-efficacy, has demonstrated early evidence of efficacy in U.S. studies. The KIHIS places the impetus for change on the individual through solitary practice: experimenting with different condoms/lubricants; identifying best ‘fit & feel’; and focusing on physical sensations.Aim(s)/objectivesTo identify behaviour change techniques (BCTs) in KIHIS; to adapt and develop KIHIS for the UK context; to manualise and evaluate HIS-UK.MethodsLiterature synthesis to identify additional BCT components and methods of delivery to address condom fit and feel.’Stakeholder and user consultation through qualitative interviews (n = 15 men aged 16–25); advisory groups (e.g. consultants, commissioners); workshops (e.g. health promotion professionals)ResultsSearches of online databases, July 2015, identified 1044 condom use intervention studies published since 2006; of these,’123 studies tested the effectiveness of behavioural interventions on condom use in high income countries – and only five targeted ‘fit & feel’ issues. In total 22 BCTs were identified, 16 of which were selected for inclusion in HIS-UK. Consultations have demonstrated enthusiasm for this ‘fit & feel’ approach, have enabled us to gauge UK preferences (e.g. condom kit contents) and have informed adaptation of the intervention.DiscussionThis work ensures that the targeted outcomes, behaviour determinants and proposed mechanisms of action for HIS-UK are specified, so that future conclusions can be drawn about what works and why. An adapted and manualised intervention is currently being piloted for viability and operability among 50 men aged 16–25 years.