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12万人感染艾滋病毒，是加勒比地区最多的。这些统计数字表明，除了进一步开展艾滋病毒教育和推广避孕套外，迫切需要将最近取得共识并有证据表明有效的新的艾滋病毒预防战略纳入其中。海地政府正在考虑的一个办法是新生儿医学男性包皮环切术。虽然NMMC可以大大减少海地未来的艾滋病毒/性传播感染，但其有效性取决于广泛的获取和人口水平的接受。如何最好地增加新生儿父母的吸收，特别是在海地，还没有探索。然而，在资源有限的情况下，卫生决定的决定因素正日益得到阐明。其中一个模型，即行为预测的整合模型，认为关键因素包括个人态度、社区规范和自我效能。这些因素可以加强和修改，以增加个人的意图和行为行动。我们的团队已经成功地使用这个模型创建了一个基于视频的教育干预，降低了美国临床患者中新的性传播感染的比率。我们将调整这个模型和干预发展过程，通过开发和试点测试一个简短的基于视频的教育干预来促进NMMC，以解决海地城市新生男孩父母对NMMC的接受。拟议的研究具有创新性，可能具有很高的公共卫生重要性，因为这将是第一个测试NMMC在未来预防艾滋病毒/性传播感染方面的可接受性的研究