An Innovative Educational Intervention for Newborn Medical Male Circumcision

新生儿医学男性包皮环切术的创新教育干预

• 批准号: 8700449
• 负责人: JESSY G DEVIEUX
• 金额: $ 16万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-15 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8700449
• 关键词: AIDS prevention; AIDS/HIV problem; Academy; Acquired Immunodeficiency Syndrome; Address; Adolescent; Adult; Advocate; Affect; Age; American; Area; Attitude; Behavioral; Belief; Caribbean region; Case Study; Clinic; Clinical Services; Communities; Consensus; Cost Savings; Country; Couples; Earthquakes; Education; Educational Intervention; Effectiveness; Epidemic; Fertility Rates; Future; Government; HIV; HIV Infections; HIV/STD; Haiti; Health; Health system; Human papilloma virus infection; Incidence; Individual; Infant; Infant Health; Infection; Institution; International; Intervention; Life; Male Circumcision; Malignant neoplasm of cervix uteri; Malignant neoplasm of penis; Medical; Methods; Modeling; Mothers; Newborn Infant; Parents; Participant; Patients; Pediatrics; Policy Making; Population; Prevention; Prevention strategy; Process; Provider; Psychosocial Factor; Public Health; Randomized; Readiness; Recruitment Activity; Reporting; Research; Research Infrastructure; Resources; Risk; Safety; Self Efficacy; Services; Simplexvirus; Surveys; System; Testing; Urinary tract infection; Vulnerable Populations; Woman; World Health Organization; aged; base; behavior prediction; boys; case-based; condoms; cost; innovation; male; member; parental influence; pressure; public health relevance; sexually active; statistics; theories; therapy development; transmission process; uptake; young man

DESCRIPTION (provided by applicant): Haiti has more than 120,000 people living with HIV, the most in the Caribbean region. Such statistics suggest that beyond additional HIV education and condom promotion, there is a compelling need to integrate new HIV prevention strategies that have recently gained consensus and evidence of efficacy. One approach that the Government of Haiti is considering is newborn medical male circumcision (NMMC). While NMMC could generate significant reduction in future HIV/STI transmission in Haiti, its effectiveness depends on widespread access and population-level uptake. How best to increase uptake among parents of newborn males, particularly in Haiti, has not been explored. However, the determinants of health decisions in resource-limited settings are increasingly being elucidated. One model, the integrative model of behavioral prediction, posits that the key factors include individual attitudes, community norms and self-efficacy. These factors can be strengthened and modified to increase an individual's intent and behavioral action. Our group has successfully used this model to create a video-based educational intervention that reduced the rate of new STIs in clinic patients in the U.S. We will adapt that model and the intervention development process to address uptake of NMMC among parents of newborn boys in urban Haiti by developing and pilot testing a brief video based educational intervention to promote NMMC. The proposed study is innovative and is likely to have high public health importance because this will be the first study to test acceptability of NMMC for future HIV/STI prevention in Haiti.

描述（由申请人提供）：海地有超过 120,000 名艾滋病毒感染者，是加勒比地区最多的。这些统计数据表明，除了额外的艾滋病毒教育和安全套推广之外，迫切需要整合最近获得共识和有效性证据的新的艾滋病毒预防战略。海地政府正在考虑的一种方法是新生儿医学男性包皮环切术（NMMC）。虽然 NMMC 可以显着减少海地未来艾滋病毒/性传播感染的传播，但其有效性取决于广泛的获取和人口水平的接受。尚未探讨如何最好地提高新生儿男性父母的吸收率，特别是在海地。然而，在资源有限的环境中，健康决策的决定因素正日益被阐明。一种模型，即行为预测综合模型，认为关键因素包括个人态度、社区规范和自我效能。这些因素可以得到加强和修改，以增加个人的意图和行为行动。我们小组已成功利用该模型创建了基于视频的教育干预措施，降低了美国临床患者新发性传播感染的发生率。我们将调整该模型和干预开发流程，通过开发和试点测试基于简短视频的教育干预措施来推广 NMMC，以解决海地城市新生男婴父母对 NMMC 的吸收问题。拟议的研究具有创新性，可能具有高度的公共卫生重要性，因为这将是第一项测试 NMMC 在未来艾滋病毒/性传播感染预防中的可接受性的研究。 海地。