PROMOTING ADOPTION OF SAFER SEX PRACTICES IN YOUNG WOMEN

描述(申请人摘要)：通过行为一级预防 改变仍然是控制收购和传播的主要手段 性传播感染，最明显的是艾滋病毒。尽管行为 性传播疾病(STDS)的危险因素是已知的、有效的 干预策略仍然是必要的。年轻女性面临着患上 异性感染或传播性传播疾病尤其需要 有效干预。建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研究 在患病风险增加的年轻女性中增加避孕套的使用 异性传播的艾滋病毒/性传播疾病。在这项试验中，1200名未怀孕的人， 18-24岁的性行为活跃的未婚女性将从 两个管理型保健网站：普吉特湾和杜克大学的团体健康合作社 家庭医学诊所。符合条件的妇女将被随机分配到通常的 护理控制或到量身定做的自助干预组。这个 干预组将收到一本自助手册，介绍认知和 与使用避孕套和更安全的性行为礼物相关的行为因素 和一封为他们量身定做的介绍性求职信 个人特征(在基线调查中确定)。助推器 在第一次后续调查后，将发送量身定制的时事通讯。控制 干预参与者将在2个月和6个月内接受电话调查 随机化后评估风险认知、自我效能感和 使用避孕套的意图，以及避孕套的使用情况。这项随机试验的目的是 制定和评估行为改变干预措施，如果得到证实 有效，可应用于各种医疗保健环境。

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.