An Interactive Website to Reduce HIV Risk Behavior among Adolescents

描述（由申请人提供）：一个互动网站，以促进安全套使用青少年摘要青年代表一半的所有性传播感染（STI）合同在美国每年。尽管基于信息、动机和行为技能的性健康干预措施在促进青年人使用安全套方面取得了成功，但接受干预措施的相当大比例的青年随后不经常使用安全套并感染性传播感染。虽然行为改变理论--如IMB减少艾滋病毒风险的模型--在针对干预领域方面是有用的，但个人对建议的行为改变的采纳可能取决于交流理论的成功应用。互联网是测试不同类型的健康传播是否被年轻人关注、理解和接受的理想论坛，因为它们可以提供关于健康传播的即时反馈。年轻人对使用互联网获取性健康信息和向卫生专业人员表达与性有关的关切感到放心。 这项申请的目的是开发一个互动性健康网站并进行可行性研究，以促进在性关系和恋爱关系中使用避孕套和作出其他健康的决定。这项研究的广泛、长期目标是减少青年人性传播感染的发生率。拟议的研究有两个目的：（1）根据PI进行的形成性研究的结果，开发一个理论上知情的、高度互动的网站1.0版，以促进安全套的使用;（2）在性活跃的青少年中进行一项互动网站的可行性研究，以告知一项全面的随机对照试验，从而产生网站干预。网站干预措施将采用以下互动技术：（1）通过性健康和关系问题留言板，在身份受到保护的青少年网站用户与我们研究小组的卫生专业人员之间进行有节制的讨论;（2）根据青少年随着时间的推移发现的使用避孕套的新障碍和关系问题，不断更新网站内容;（3）提供和澄清信息的年轻榜样的视频剪辑，鼓励参与健康保护行为的动机，并展示行为技能（例如，谈判）;（4）供网站用户私下和公开评估视频剪辑的论坛;（5）可搜索、易于浏览的视频和文本档案。拟议的工作说明了如何利用互联网来改善青年人健康干预措施的概念化和交付。 公共卫生相关性：对公共卫生的重要性：一个互动网站，让青少年塑造性健康干预的内容，并与彼此和卫生专业人员不断互动，可以促进持续参与和接受安全套的使用。

DESCRIPTION (provided by applicant): An Interactive Website to Promote Condom Use among Adolescents Abstract Youth represent half of all sexually transmitted infections (STIs) contracted in the United States each year. Despite the success of Information, Motivation, Behavioral Skills (IMB)-based sexual health interventions in promoting condom use among youth, sizable percentages of youth who receive interventions subsequently engage in inconsistent condom use and contract STIs. While behavior change theories - such as the IMB model of HIV-risk reduction - are useful in targeting areas for intervention, an individual's adoption of recommended behavior change may depend on the successful application of communication theory. The internet is an ideal forum to test whether different types of health communications are attended to, understood, and accepted by young people, because they can provide immediate feedback on health communications. Young people feel comfortable using the internet to obtain sexual health information and to express sexuality-related concerns to health professionals. The objective of this application is to develop and conduct a feasibility study of an interactive sexual health website to promote condom use and other healthy decision-making in the context of sexual and romantic relationships. The broad, long-term goal of this research is to reduce the incidence of STIs among youth. The proposed study has two aims: (1) Develop Version 1.0 of a theoretically informed, highly interactive website promoting condom use, based on findings from formative research conducted by the PI; and (2) Conduct a feasibility study of the interactive website among sexually active adolescents to inform a full-scale randomized controlled trial of the resulting website intervention. The website intervention will feature the following interactive technologies: (1) Moderated discussion between adolescent website users, whose identities are protected, and health professionals on our research team via a sexual health and relationship concerns message board; (2) Continual updating of website content based on new barriers to condom use and relationship concerns identified by adolescents over time; (3) Video clips of young role models who provide and clarify information, encourage motivation to engage in health protective behavior, and demonstrate behavioral skills (e.g., negotiation); (4) Forums for website users to privately and publicly evaluate video clips; and (5) Searchable, easily navigable archives of video and text. The proposed work illustrates how the internet can be used to improve the conceptualization and delivery of health interventions for young people. PUBLIC HEALTH RELEVANCE: An Interactive Website to Promote Condom Use among Adolescents Significance to public health: An interactive website that allows adolescents to shape the content of a sexual health intervention and interact with one another and health professionals on an ongoing basis may promote continual engagement and acceptance of condom use.