Effect of an online video-based intervention to increase HIV testing in men who have sex with men in Peru.

Effect of an online video-based intervention to increase HIV testing in men who have sex with men in Peru.
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DOI:
10.1371/journal.pone.0010448
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发表时间:
2010-05-03
期刊:
影响因子:
3.7
通讯作者:
Kurth AE
Kurth AE
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Blas MM;Alva IE;Carcamo CP;Cabello R;Goodreau SM;Kimball AM;Kurth AE

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虽然秘鲁的许多男男性行为者不知道自己感染了艾滋病毒,但他们经常使用互联网,可以通过这种媒介与他们接触,以促进艾滋病毒检测。我们进行了一项在线随机对照试验,以比较艾滋病毒检测动机视频与标准公共卫生文本的效果,两者都通过同性恋网站提供。这些视频是根据自我认同为两种观众定制的:同性恋或非同性恋男性。评估的结果是“接受检测的意愿”和“在诊所进行艾滋病毒检测”。在非同性恋组中,97名男性被随机分配到基于视频的干预组,90名男性被随机分配到基于文本的干预组。随机接受视频干预的非同性恋身份参与者更有可能报告他们打算在未来30天内接受艾滋病毒检测(62.5%比15.4%,相对风险(RR):2.77,95%置信区间(CI):1.42-5.39)。经过平均125.5天的观察(范围42-209天),11名参与者随机分配到视频,没有参与者随机分配到文本参加我们的诊所要求HIV检测(p = 0.001)。  在同性恋组中,142名男性被随机分配到视频干预组,130名男性被随机分配到文本干预组。随机分配到视频的同性恋参与者更有可能报告在30天内进行HIV检测的意图,尽管不显着(50% vs. 21.6%,RR:1.54,95% CI:0.74-3.20)。在随访结束时,8名观看视频的参与者和10名阅读文本的参与者前往我们的诊所进行HIV检测(风险比:1.07,95%CI:0.40-2.85)。这项研究提供了一些证据的有效性,以视频为基础的在线干预措施,在改善艾滋病毒检测之间的非同性恋确定的男男性行为者在秘鲁。这种干预措施可能会被那些有网站的机构采用,这些网站旨在激励类似的MSM人群进行艾滋病毒检测。Clinicaltrials.gov NCT00751192
Although many men who have sex with men (MSM) in Peru are unaware of their HIV status, they are frequent users of the Internet, and can be approached by that medium for promotion of HIV testing. We conducted an online randomized controlled trial to compare the effect of HIV-testing motivational videos versus standard public health text, both offered through a gay website. The videos were customized for two audiences based on self-identification: either gay or non-gay men. The outcomes evaluated were ‘intention to get tested’ and ‘HIV testing at the clinic.’ In the non-gay identified group, 97 men were randomly assigned to the video-based intervention and 90 to the text-based intervention. Non-gay identified participants randomized to the video-based intervention were more likely to report their intention of getting tested for HIV within the next 30 days (62.5% vs. 15.4%, Relative Risk (RR): 2.77, 95% Confidence Interval (CI): 1.42–5.39). After a mean of 125.5 days of observation (range 42–209 days), 11 participants randomized to the video and none of the participants randomized to text attended our clinic requesting HIV testing (p = 0.001). In the gay-identified group, 142 men were randomized to the video-based intervention and 130 to the text-based intervention. Gay-identified participants randomized to the video were more likely to report intentions of getting an HIV test within 30 days, although not significantly (50% vs. 21.6%, RR: 1.54, 95% CI: 0.74–3.20). At the end of follow up, 8 participants who watched the video and 10 who read the text visited our clinic for HIV testing (Hazard Ratio: 1.07, 95% CI: 0.40–2.85). This study provides some evidence of the efficacy of a video-based online intervention in improving HIV testing among non-gay-identified MSM in Peru. This intervention may be adopted by institutions with websites oriented to motivate HIV testing among similar MSM populations. Clinicaltrials.gov NCT00751192
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