Development of a HIV prevention program matching the needs of young men and women

本研究的目的是评估预防青年男女艾滋病毒感染的教育计划的影响。本研究以信息-动机-行为技能（IMB）模型为基础。该教育计划旨在告知年轻人如何在性行为中正确使用避孕套。该计划包括两个会议给小团体超过2天。每个小组由不到10个同性朋友组成。为了确定教育计划的有效性，采用了准实验设计。受试者是同意的男性和女性，年龄从十几岁到20岁出头。以下项目，包括心理和行为因素进行了测量：人口统计数据;艾滋病毒/性传播疾病的知识;对避孕和性交的态度;怀孕和艾滋病毒/性传播疾病的风险的认识;预测反应的建议，使用安全套;自我效能感的能力，实施安全套的使用;性活动;和安全套的使用。这些项目进行了调查之前，之后立即和1个月和3个月后的程序。本研究得到了兵库大学护理艺术与科学学院研究伦理委员会的批准。共有19个团体（37名男子，57名妇女）接受了教育方案。受试者的平均年龄为16.8岁（标准差为1.6岁）。从28名受试者谁回答所有3个调查获得的数据进行了分析。结果显示，在计划前后的性行为，如使用安全套或阴道外射精没有显着差异。然而，艾滋病毒/性病的知识和自我效能的安全套使用的得分显着改善后的程序（1和3个月后的程序）。教育计划没有改变行为，但提高了知识和自我效能。

The objective of the present study was to evaluate the impact of an educational program to prevent HIV infection in young men and women. This study was based on the Information-Motivation-Behavioral Skill (IMB) model. The educational program was designed to inform young people about how to correctly use condoms during sex. The program consisted of 2 sessions given to small groups over 2 days. Each group consisted of less than 10 friends of the same gender. To ascertain the effectiveness of the educational program, a quasi-experimental design was used. Subjects were consenting men and women ranging in age from late teens to early 20s. The following items including psychosocial and behavioral factors were measured: demographic data; knowledge of HIV/STDs; attitudes towards contraception and sexual intercourse; awareness of the risk for pregnancy and HIV/STD; predicted reactions to a proposal to use a condom; perceived self-efficacy regarding the ability to implement condom use; sexual activity; and condom use. These items were surveyed before, immediately after and 1 and 3 months after the program. The present study was approved by the Research Ethics Committee of the College of Nursing Art and Science at the University of Hyogo. A total of 19 groups (37 men,57 women) received the educational program. Mean age of subjects was 16.8 years (standard deviation, 1.6 years). Data obtained from 28 subjects who responded to all 3 surveys were analyzed. The results showed no significant differences in sexual behaviors such as condom use or extravaginal ejaculation before and after the program. However, scores for knowledge of HIV/STDs and self-efficacy for condom use were significantly improved after the program (1 and 3 months after the program). The educational program did not change behaviors, but improved knowledge and self-efficacy.