A cluster randomized-controlled trial of a community mobilization intervention to change gender norms and reduce HIV risk in rural South Africa: study design and intervention.
A cluster randomized-controlled trial of a community mobilization intervention to change gender norms and reduce HIV risk in rural South Africa: study design and intervention.
复制标题
社区动员干预措施改变性别规范并降低南非农村的艾滋病毒风险的集群随机控制试验：研究设计和干预。
DOI：
10.1186/s12889-015-2048-z
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发表时间：
2015-08-06
影响因子：
4.5
通讯作者：
MacPhail C
中科院分区：
文献类型：
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作者：
Pettifor A;Lippman SA;Selin AM;Peacock D;Gottert A;Maman S;Rebombo D;Suchindran CM;Twine R;Lancaster K;Daniel T;Gómez-Olivé FX;Kahn K;MacPhail C
社区动员（CM）干预措施在改变性别规范和预防艾滋病毒方面显示出希望，但很少有基于明确的动员模式或经过严格评估的干预措施。本文的目的是描述干预措施的设计和实施，并介绍一项为期两年、基于理论的 CM 干预措施的整群随机对照试验 (RCT) 的基线结果，该干预措施旨在改变南非普马兰加省农村地区的性别规范并降低艾滋病毒风险。社区动员者和志愿者社区行动小组 (CAT) 举办了为期两天的研讨会、一系列外展活动和领导层参与会议。所有活动都被映射到六个理论上的动员领域。该干预措施正在 22 个社区（11 个社区接受干预）中通过随机设计进行评估。对大约 1,200 名 18-35 岁的成年人进行了基于人口的横断面调查，基线和大约两年后的终点。这是首批社区随机对照试验之一，使用基于理论的、明确的动员模型来评估性别变革干预措施，以改变规范和艾滋病毒风险，这应该会增加对预期结果产生影响的潜力，如果被证明有效，将有助于未来的扩大规模。临床试验.gov NCT02129530
Community mobilization (CM) interventions show promise in changing gender norms and preventing HIV, but few have been based on a defined mobilization model or rigorously evaluated. The purpose of this paper is to describe the intervention design and implementation and present baseline findings of a Cluster Randomized Controlled Trial (RCT) of a two-year, theory-based CM intervention that aimed to change gender norms and reduce HIV risk in rural Mpumalanga province, South Africa. Community Mobilizers and volunteer Community Action Teams (CATs) implemented two-day workshops, a range of outreach activities, and leadership engagement meetings. All activities were mapped onto six theorized mobilization domains. The intervention is being evaluated by a randomized design in 22 communities (11 receive intervention). Cross-sectional, population-based surveys were conducted with approximately 1,200 adults ages 18–35 years at baseline and endline about two years later. This is among the first community RCTs to evaluate a gender transformative intervention to change norms and HIV risk using a theory-based, defined mobilization model, which should increase the potential for impact on desired outcomes and be useful for future scale-up if proven effective. ClinicalTrials.gov NCT02129530