PRELIMINARY EFFICACY OF A COMPUTER-DELIVERED HIV PREVENTION INTERVENTION FOR AFRICAN AMERICAN TEENAGE FEMALES
PRELIMINARY EFFICACY OF A COMPUTER-DELIVERED HIV PREVENTION INTERVENTION FOR AFRICAN AMERICAN TEENAGE FEMALES
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DOI：
10.1521/aeap.2011.23.6.564
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发表时间：
2011-12-01
影响因子：
1.8
通讯作者：
Card, Josefina J.
中科院分区：
文献类型：
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作者：
Klein, Charles H.;Card, Josefina J.
这项研究将SiHLE（姐妹告知、治疗、生活和赋权），一项针对14-18岁非裔美国女性的12小时疾病控制和预防中心基于证据的群体干预，转化为2小时计算机提供的个人干预。我们进行了一项随机对照试验（n = 178）来检验新的多媒体SiHLE干预的疗效。接受多媒体SiHLE的性活跃参与者的平均有安全套保护的性行为（在90天内使用安全套的阴道性行为比例）从基线时的M = 51%上升到3个月随访时的M = 71% (t = 2.06, p = 0.05)；对照组无统计学差异。非性活跃干预组参与者报告避孕套自我效能显著增加（t = 2.36, p = 0.02）；对照组无统计学差异。这项研究为计算机传送的针对非裔美国少女艾滋病预防项目的有效性提供了初步支持。这与荟萃分析一致，荟萃分析表明，计算机提供的干预措施往往比人类提供的干预措施的人均成本更低，可以以积极的方式影响艾滋病毒风险行为。
This study translated SiHLE (Sisters Informing, Healing, Living, and Empowering), a 12-hour Centers for Disease Control and Prevention evidence-based group-level intervention for African American females 14-18 years of age, into a 2-hour computer-delivered individual-level intervention. A randomized controlled trial (n = 178) was conducted to examine the efficacy of the new Multimedia SiHLE intervention. Average condom-protected sex acts (proportion of vaginal sex acts with condoms, last 90 days) for sexually active participants receiving Multimedia SiHLE rose from M = 51% at baseline to M = 71% at 3-month follow-up (t = 2.06, p = .05); no statistically significant difference was found in the control group. Non-sexually active intervention group participants reported a significant increase in condom self-efficacy (t = 2.36, p = .02); no statistically significant difference was found in the control group. The study provides preliminary support for the efficacy of a computer-delivered adaptation of a proven HIV prevention program for African American teenage women. This is consistent with meta-analyses that have shown that computer-delivered interventions, which can often be disseminated at lower per-capita cost than human-delivered interventions, can influence HIV risk behaviors in positive fashion.