Enhancing condom use experiences among young men to improve correct and consistent condom use: feasibility of a home-based intervention strategy (HIS-UK).
Enhancing condom use experiences among young men to improve correct and consistent condom use: feasibility of a home-based intervention strategy (HIS-UK).
复制标题
DOI：
10.1186/s40814-018-0257-9
复制
发表时间：
2018
影响因子：
1.7
通讯作者：
Ingham R
中科院分区：
文献类型：
--
作者：
Stone N;Graham C;Anstee S;Brown K;Newby K;Ingham R
如果正确和持续使用，避孕套仍然是防止性传播感染的主要保护。然而，据报道，有许多障碍使用它们，如消极的态度，减少性快感，健康和感觉问题和勃起困难。英国以家庭为基础的干预策略（HIS-UK）是一项针对年轻男性（16-25岁）使用避孕套的行为改变促进干预，旨在通过提高对避孕套保护性交的享受来增加避孕套的使用。这项可行性研究的目的是测试HIS-UK的可行性、可操作性和可接受性。除了评估招募策略和对干预方案的依从性外，该研究还测试了一系列行为和安全套使用结果测量的可靠性和适用性，以评估安全套的使用态度、动机、自我效能、使用经验、错误和问题以及适合度和感觉。采用单臂重复测量设计，包括基线测量和3个月以上的两次随访测量，对HIS-UK干预措施和相关评估工具的可行性进行了测试。设定了一个3个月的目标，让50名年轻男性完成基线问卷。试验结束后，对参与者和健康促进专业人员进行了20次过程性和可接受性评价访谈。在登记参加研究的61名年轻男性中，57人完成了基线调查问卷，33人与研究人员会面，接受了HIS-UK安全套套件。21名年轻男性在研究期间留下（保留率64%）。避孕套使用结果测量的Cronbach 's alpha分数为态度0.84，自我效能0.78，使用经验0.83，错误和问题0.69，适合和感觉0.75。参与者和卫生专业人员的反馈表明，干预措施的可接受性很强。可行性研究表明我们的招聘策略是合适的，并且达到了目标样本量。与其他类似研究相比，依从性是有利的。经测试，避孕套的使用方法符合要求，内部一致性良好。在进行完全随机对照试验之前，需要对HIS-UK进行进一步的开发和后续试点，包括收集STI生物标志物的可行性，以及评估参与者对随机化的接受程度。研究注册，RR2315, 2017年3月27日（回顾性注册）。
Condoms remain the main protection against sexually transmitted infections (STIs) when used correctly and consistently. Yet, there are many reported barriers to their use such as negative attitudes, reduced sexual pleasure, fit-and-feel problems and erection difficulties. The UK home-based intervention strategy (HIS-UK) is a behaviour change condom promotion intervention for use among young men (aged 16–25 years) designed to increase condom use by enhancing enjoyment of condom-protected intercourse. The objective of this feasibility study was to test HIS-UK for viability, operability and acceptability. Along with an assessment of the recruitment strategy and adherence to the intervention protocol, the study tested the reliability and suitability of a series of behavioural and condom use outcome measures to assess condom use attitudes, motivations, self-efficacy, use experience, errors and problems and fit and feel. The HIS-UK intervention and associated assessment instruments were tested for feasibility using a single-arm, repeated measures design with baseline measurement and two follow-up measurements over 3 months. A 3-month target of 50 young men completing the baseline questionnaire was set. Twenty process and acceptability evaluation interviews with participants and health promotion professionals were conducted post trial. Of the 61 young men who registered for the study, 57 completed the baseline questionnaire and 33 met with the study researcher to receive the HIS-UK condom kit. Twenty-one young men remained for the duration of the study (64% retention). The Cronbach’s alpha scores for the condom use outcome measures were 0.84 attitudes, 0.78 self-efficacy, 0.83 use experience, 0.69 errors and problems and 0.75 fit and feel. Participant and health professional feedback indicated strong acceptability of the intervention. The feasibility study demonstrated that our recruitment strategy was appropriate and the target sample size was achieved. Adherence was favourable when compared to other similar studies. The condom use measures tested proved to be fit-for-purpose with good internal consistency. Some further development and subsequent piloting of HIS-UK is required prior to a full randomised controlled trial, including the feasibility of collecting STI biomarkers, and assessment of participant acceptance of randomisation. Research registry, RR2315, 27th March 2017 (retrospectively registered).