Efficacy of a web-based intervention to reduce sexual risk in men who have sex with men.

Efficacy of a web-based intervention to reduce sexual risk in men who have sex with men.
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基于网络的干预措施降低男男性接触者性风险的功效。

DOI:
10.1007/s10461-009-9578-2
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发表时间:
2010-06
期刊:
影响因子:
4.4
通讯作者:
Parsons, Jeffrey T.
Parsons, Jeffrey T.
中科院分区:
医学2区
文献类型:
--
作者:
Carpenter, Kelly M.;Stoner, Susan A.;Mikko, Aneke N.;Dhanak, Lynn P.;Parsons, Jeffrey T.

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男男性行为者(MSM)使用互联网的程度,它作为一个有前途的媒介行为干预。本研究旨在调查基于网络的技能培训和动机干预的有效性,在一项随机试验(N = 112)进行完全在线。在详细评估后,MSM被随机分配到在线干预或控制网站。实验干预包括风险评估和反馈,动机练习,技能培训和教育,而控制干预的重点是放松技能。3个月后收集随访资料,采用重复测量MANOVA进行分析。虽然两组都证明了无保护性行为的全面减少,也许是由于详细的评估,实验组显示出更大的减少与最危险的合作伙伴,那些阳性或未知的血清状态。因此,本研究提供了初步证据,一个简短的基于网络的干预提供认知行为技能培训和动机增强,可以有效地降低MSM的性风险。
Abstract To the extent that men who have sex with men (MSM) use the Internet, it serves as a promising medium for behavioral intervention. The present study sought to investigate the efficacy of a web-based skills training and motivational intervention in a randomized trial (N = 112) conducted completely online. After a detailed assessment, MSM were randomly assigned to an online intervention or a control website. The experimental intervention consisted of risk assessment and feedback, motivational exercises, skills training, and education while the control intervention focused on relaxation skills. Follow-up data were collected 3 months later and analyzed with repeated-measures MANOVA. Although both groups evidenced across-the-board reductions in unprotected sex, perhaps due to the detailed assessment, the experimental group showed greater reductions with the riskiest partners, those of positive or unknown serostatus. Thus, this study gives preliminary evidence that a brief web-based intervention offering cognitive behavioral skills training and motivational enhancement can effectively reduce sexual risk in MSM.
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