A novel, self-guided, home-based intervention to promote condom use among young men: a pilot study
A novel, self-guided, home-based intervention to promote condom use among young men: a pilot study
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DOI：
10.1016/j.jomh.2011.06.003
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发表时间：
2011-12-01
影响因子：
0.7
通讯作者：
Graham, Cynthia A.
中科院分区：
文献类型：
--
作者：
Milhausen, Robin R.;Wood, Jessica;Graham, Cynthia A.
背景：目前的艾滋病毒预防计划实施起来往往代价高昂，而且需要参与者和工作人员做出重大承诺。这些因素限制了广泛的实施。因此，人们越来越认识到有必要开发和测试旨在促进安全性行为的简短干预措施。方法：本研究通过关注避孕套的使用技巧、享受性和自我效能，测试了一种简短的、自我指导的、以家庭为基础的干预措施的潜在有效性，以促进年轻男性一致和正确地使用避孕套。Kinsey Institute(R)家庭作业干预策略(KIHIS)的中心焦点是男性练习单独使用、使用和移除避孕套(“低压力”情况)，尝试各种避孕套和润滑剂。重复测量评估将2周、6周(n=28)和4个月(n=17)的随访评估与基线(干预前)进行比较。结果：尽管样本量有限，但干预后避孕套使用体验、对使用避孕套能力的信心、避孕套使用的自我效能和避孕套舒适性都有显著改善，破裂和勃起问题也有所减少。结论：KIHIS具有很容易转移到公共卫生性传播感染(STI)诊所的固有潜力(只需要很少的临床资源)，可能会对随后的避孕套使用态度、技能和行为产生持久和积极的影响。(C)2011年WPMH GmbH。爱思唯尔爱尔兰有限公司出版。
Background: Current HIV prevention programs are often expensive to implement and require significant commitment on the part of participants and staff. These factors limit widespread implementation. Thus, there is an increasingly recognized need to develop and test brief interventions designed to promote safer sex.Methods: This study tested the potential efficacy of a brief, self-guided, home-based intervention to promote consistent and correct condom use among young men by focusing on condom use skill, enjoyment, and self-efficacy. The central focus of The Kinsey Institute (R) Homework Intervention Strategy (KIHIS) is that men practice applying, using, and removing condoms alone (a "low pressure" situation) trying various condoms and lubricants. A repeated measures evaluation compared 2-week, 6-week (n = 28) and 4-month (n = 17) follow-up evaluations to baseline (pre-intervention).Results: Despite the limited sample size, significant post-intervention improvement was found for condom use experiences, confidence in the ability to use condoms, self-efficacy for condom use, and condom comfort as well as a reduction in breakage and erection problems.Conclusion: Our findings suggest that the KIHIS, with its inherent potential for easy translation to public health sexually transmitted infection (STI) clinics (requiring very little clinic resources), may have lasting and positive effects on subsequent condom use attitudes, skills, and behaviors. (C) 2011 WPMH GmbH. Published by Elsevier Ireland Ltd.