PROMOTING ADOPTION OF SAFER SEX PRACTICES IN YOUNG WOMEN

促进年轻女性采取更安全的性行为

• 批准号: 2883408
• 负责人: DELIA SCHOLES
• 金额: $ 53.89万
• 依托单位: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-05-01 至 2001-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2883408
• 关键词: AIDS education /prevention; behavioral /social science research tag; clinical research; clinical trials; condoms; female; health education; human subject; safe sex /sex abstinence; self help; sex behavior; sexually transmitted diseases; young adult human (21-34)

DESCRIPTION (Applicant's Abstract): Primary prevention through behavioral change remains the principal means of controlling the acquisition and spread of sexually-transmitted infections, most notably HIV. Although behavioral risk factors for sexually-transmitted diseases (STDs) are known, effective intervention strategies continue to be needed. Young women at risk for heterosexual acquisition or transmission of STDs are in particular need of effective intervention. Proposed is a randomized trial evaluating the effectiveness of a theory-based self-help behavior change intervention to increase condom use among young women at increased risk for heterosexually-transmitted HIV/STD. For this trial, 1,200 non-pregnant, sexually-active unmarried women 18-24 years of age will be recruited from two managed care sites: Group Health Cooperative of Puget Sound and Duke Family Medicine Clinic. Eligible women will be randomized to either a usual care control or to a tailored self-help intervention group. The intervention group will receive a self-help booklet addressing cognitive and behavioral factors associated with condom use along with a safer sex gift package and an introductory cover letter that has been tailored to their individual characteristics (as identified in a baseline survey). A booster tailored newsletter will be sent after the first follow-up survey. Control and intervention participants will be surveyed by telephone 2 and 6 months after randomization to assess changes in risk perception, self-efficacy and intentions to use condoms, and condom use. This randomized trial aims to develop and evaluate a behavior change intervention that, if proven effective, could be applied in a wide variety of health care settings.

描述（申请人摘要）：通过行为进行一级预防 变革仍然是控制获取和传播的主要手段 性传播感染，尤其是艾滋病毒。 虽然行为上 性传播疾病（STD）的危险因素是已知的、有效的 仍然需要干预策略。 年轻女性面临以下风险 异性恋获得或传播性病尤其需要 有效干预。 提议进行一项随机试验，评估 基于理论的自助行为改变干预的有效性 增加风险增加的年轻女性使用安全套的数量 异性传播艾滋病毒/性病。 在这项试验中，1,200 名未怀孕、 18-24岁性活跃的未婚女性将被招募 两个管理式医疗中心：普吉特湾和杜克大学的 Group Health Cooperative 家庭医学诊所。 符合条件的女性将被随机分配到通常的 护理控制或量身定制的自助干预小组。 这 干预小组将收到一本自助小册子，涉及认知和 与使用安全套以及安全性行为礼物相关的行为因素 包装和一封针对他们量身定制的介绍性求职信 个人特征（如基线调查中确定的）。 助推器 定制的新闻通讯将在第一次后续调查后发送。 控制 干预参与者将在2个月和6个月进行电话调查 随机化后评估风险认知、自我效能和 使用安全套的意图以及安全套的使用情况。 这项随机试验旨在 制定并评估行为改变干预措施，如果得到证实 有效，可以应用于各种医疗保健环境。