Acceptability and feasibility of CyberSenga: an Internet-based HIV-prevention program for adolescents in Mbarara, Uganda.
Acceptability and feasibility of CyberSenga: an Internet-based HIV-prevention program for adolescents in Mbarara, Uganda.
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DOI：
10.1080/09540121.2013.841837
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发表时间：
2014-04
期刊：
影响因子：
1.7
通讯作者：
Birungi R
中科院分区：
文献类型：
--
作者：
Ybarra ML;Bull SS;Prescott TL;Birungi R
利用新出现的数据表明，艾滋病毒预防行为可以受到基于互联网的方案的积极影响，我们开发和测试了CyberSenga，一个基于互联网的，全面的性教育计划，在姆巴拉拉，乌干达的青少年。366名中学生被随机分配到5节课的课程（+助推器）或照常治疗对照组。在三个月的随访中，干预参与者提供了关于计划可接受性的反馈。在6个月的最终随访后，还对6个干预参与者进行了重点小组研究。数据支持可行性假设：尽管计划中断，95%的干预参与者完成了所有5个模块;只有17%偏离了每周一次的预期交付时间表。因特网服务在实地期间没有中断，总体而言，技术运行符合规格。干预似乎也是可以接受的：94%的干预青年有点或强烈同意，他们学到了很多，93%的人说，他们有点或非常有可能推荐该计划。虽然超过三分之二的年轻人多少或强烈地认为该计划谈论了太多的性（70%）和避孕套（75%），但89%的人多少或强烈地不同意“我认为像我这样的孩子不应该参加CyberSenga计划”。焦点小组参与者的反馈进一步表明，内容普遍可以接受，在大多数情况下并不违反当地规范。事实上，尽管一些地方利益攸关方表示了相反的关切，但有关避孕套的信息对禁欲青年来说似乎并不令人困惑或矛盾。尽管如此，一些性话题似乎对一些参与者来说是不熟悉或不舒服的-特别是简短地提到口交和肛交。总之，定性和定量数据表明，该方案是一个可行的和可接受的方式提供艾滋病毒预防信息，在姆巴拉拉，乌干达的性经验和经验不足的青少年。
Capitalizing on emerging data suggesting that HIV preventive behaviors can be positively affected by Internet-based programs, we developed and tested CyberSenga, an Internet-based, comprehensive sexuality education program for adolescents in Mbarara, Uganda. Three hundred and sixty-six secondary school students were randomly assigned to either the 5-lesson program (+ booster) or a treatment-as-usual control. At three-month follow-up, intervention participants provided feedback on program acceptability. Six focus groups with intervention participants were additionally conducted after the final follow-up at 6 months. Data support a hypothesis of feasibility: Despite schedule interruptions, 95% of intervention participants completed all 5 modules; only 17% deviated from the once-a-week intended delivery schedule. Internet service was uninterrupted during the field period and, in general, the technology performed to specifications. The intervention also appears to be acceptable: 94% of intervention youth somewhat or strongly agreed that they learned a lot and 93% said they were somewhat or very likely to recommend the program. Although more than two in three youth somewhat or strongly agreed that the program talked too much about sex (70%) and condoms (75%), 89% somewhat or strongly disagreed that “I do not think kids like me should do the CyberSenga program”. Feedback from focus group participants further suggested that the content was generally acceptable and did not contradict local norms in most cases. In fact, despite concerns from some local stakeholders to the contrary, information about condoms did not appear to be confusing or contradictory for youth who were abstinent. Nonetheless, some of the sexual topics seemed to be unfamiliar or uncomfortable for some participants – particularly brief references to oral and anal sex. Together, both qualitative and quantitative data suggest that the program is a feasible and acceptable way of delivering HIV preventive information to both sexually experienced and inexperienced adolescents in Mbarara, Uganda.
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DOI：
10.1097/nxn.0b013e318266cb0e
发表时间：
2012-11
期刊：
Computers, informatics, nursing : CIN
影响因子：
--
作者：
Ybarra ML;Biringi R;Prescott T;Bull SS
通讯作者：
Bull SS
影响因子：
3.7
作者：
Ybarra, Michele L.;Bull, Sheana S.;Kiwanuka, Julius P.
通讯作者：
Kiwanuka, Julius P.
影响因子：
4.6
作者：
Ybarra, Michele L;Bull, Sheana S
通讯作者：
Bull, Sheana S
影响因子：
3.8
作者：
Noar, Seth M.;Cole, Christi;Carlyle, Kellie
通讯作者：
Carlyle, Kellie
影响因子：
12.7
作者：
Hendriksen, Ellen Setsuko;Pettifor, Audrey;Rees, Helen V.
通讯作者：
Rees, Helen V.