An Interactive Website to Reduce HIV Risk Behavior among Adolescents

简介（由申请人提供）：一个促进青少年使用避孕套的互动网站摘要：在美国，青少年占每年所有性传播感染（STIs）的一半。尽管以信息、动机和行为技能为基础的性健康干预措施在促进青年使用避孕套方面取得了成功，但接受干预措施的青年中有相当大比例的人随后不一致地使用避孕套并感染了性传播感染。虽然行为改变理论——例如减少艾滋病毒风险的IMB模型——在确定干预领域方面是有用的，但个人是否采纳所建议的行为改变可能取决于传播理论的成功应用。互联网是一个理想的论坛，可以测试不同类型的卫生传播是否得到年轻人的关注、理解和接受，因为他们可以对卫生传播提供即时反馈。年轻人可以放心地使用互联网获取性健康信息，并向保健专业人员表达与性有关的关切。这项申请的目的是开发和开展一个互动式性健康网站的可行性研究，以促进在性关系和恋爱关系中使用避孕套和其他健康决策。这项研究的长远目标是降低青少年性传播感染的发病率。拟议的研究有两个目标：(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版本，以促进避孕套的使用；(2)对性活跃青少年互动网站进行可行性研究，为网站干预的全面随机对照试验提供信息。网站干预将采用以下互动技术：(1)通过性健康和关系问题留言板主持青少年网站用户（其身份受到保护）与我们研究团队的卫生专业人员之间的讨论；(2)随着时间的推移，根据青少年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)年轻榜样的视频片段，他们提供和澄清信息，鼓励动机从事健康保护行为，并展示行为技能（如谈判）；(4)网站用户私下和公开评价视频的论坛；(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改进对年轻人的保健干预措施的概念化和提供。

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.