CONDOM PROMOTION INTERVENTIONS FOR STD PATIENTS

针对性病患者的安全套推广干预措施

• 批准号: 6235377
• 负责人: JONATHAN HOWLAND
• 金额: $ 20.84万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-07-01 至 1998-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6235377
• 关键词: HIV infections; alcoholic beverage consumption; behavior modification; behavioral /social science research tag; child rearing; communicable disease control; communicable disease diagnosis; condoms; cooperative study; counseling; disease /disorder prevention /control; drug abuse; family planning; health education; high risk behavior /lifestyle; human subject; interview; questionnaires; relapse /recurrence; sex behavior; sex partner; sexually transmitted diseases; sign /symptom; videotape /videodisc

This study proposes to develop and evaluate an educational intervention promoting condom use among patients at an inner city public STD clinic (Boston City Hospital). A randomized, single-blinded controlled trial involving two treatment groups (N1=N2=500) and a routine care group (N=500) will be used to test the efficacy of a 15 minute, soap-opera style video on STD prevention in two configurations: (1) video alone, viewed while waiting for diagnosis and treatment for presenting symptoms, and (2) video in combination with small group counseling conducted by a health educator while patients wait for diagnosis and treatment. The video and counseling will include information on the use of condoms for the prevention of a range of STDs, including HIV infection, as well as information on the risks of alcohol and drug use in compromising intended safe sex practices. Desire for children and the responsibilities of child rearing will also be discussed both within the context of the video and the small groups. The primary response variable will be condom use. Several surrogate measures will be used to measure this outcome, including STD reinfections at 6 months and one year as determined by (1) physical examination (6 weeks and 6 months follow-ups); (2) record review of return visits to the Boston City Hospital clinic, and by (3) use the Massachusetts Department of Health statewide STD reporting system (Data from the State reporting system will be provided to the study without identifiers.). Condom use will also be measured by self reports at follow-up interviews (six weeks and six months) and redemption rates for condom coupons at local private pharmacies. Other response variables will include: (1) reported condom use during sex following alcohol or drug use; (2) the number of sexual partners subjects have had; and, (3) the number of occasions of unprotected sex. Our hypothesis is that the subjects assigned to interventions will show a 20%, at one year posttest, reduction in STD reinfection rates relative to the routine care group (controls). Several previous studies have indicated the effectiveness of the video and video plus counseling approach to promoting condom use among the public STD clinic population. This study, however, uses a number of surrogate measures for condom use, including physiologic determination of STD endpoints.

本研究提出发展和评估一种教育干预 在市中心一家公共性病诊所的病人中推广安全套的使用 （波士顿市立医院） 一项随机、单盲对照试验 包括两个治疗组（N1=N2=500）和一个常规护理组 （N=500）将用于测试15分钟肥皂剧风格的功效 两种配置的性病预防视频：（1）单独视频，观看 在等待诊断和治疗出现的症状，和（2） 视频结合健康咨询小组进行 在患者等待诊断和治疗的同时， 视频和 咨询将包括关于使用避孕套的信息， 预防一系列性病，包括艾滋病毒感染，以及 关于酒精和药物使用危害预期健康的风险的信息 安全性行为 对孩子的渴望和孩子的责任 饲养也将讨论双方的背景下的视频， 小团体。 主要反应变量将是避孕套的使用。 将使用几个替代指标来衡量这一结果，包括 6个月和1年时的性病再感染，通过（1）身体检查确定 检查（6周和6个月随访）;（2）返回记录审查 访问波士顿市医院诊所，并通过（3）使用 马萨诸塞州卫生部全州性传播疾病报告系统（数据 将向研究提供国家报告系统中的信息， 标识符）。 安全套的使用也将通过自我报告来衡量， 后续访谈（六周和六个月）和赎回率 当地私人药店的避孕套优惠券。 其他响应变量将 包括：（1）据报告，在酗酒或吸毒后发生性行为时使用避孕套 （2）性伴侣的数量;（3） 无保护性行为的次数。 我们的假设是 被分配到干预的受试者将在测试后一年显示20%， 与常规护理组相比，性病再感染率降低 （对照）。 以前的几项研究表明， 采取录像和录像加咨询的办法， 公共性病诊所的人口。 然而，这项研究使用了一些 避孕套使用的替代措施，包括 STD终点。