HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive (Unit 15), New York, NY 10032, USA.
AIDS Behav. 2012 Jul;16(5):1121-32. doi: 10.1007/s10461-012-0176-3.
We conducted a structural intervention to promote the female condom (FC), comparing 44 agencies randomized to a Minimal Intervention (MI) [developing action plans for promotion and free access] or an Enhanced Intervention (EI) [with the addition of counselor training]. Intervention effects were evaluated via surveys with agency directors, counselors and clients at baseline and 12 months. Agency-level outcomes of the FC did not differ between the two interventions at follow-up. Counselors in the EI showed significantly greater gains in FC knowledge and positive attitudes, although there was no difference in the proportion of clients counseled on the FC, which significantly increased in both conditions. There was a greater increase in intention to use the FC among clients in EI agencies. Intervention effects were stronger in medical agencies. Findings suggest that making subsidized FCs available and assisting agencies to formulate action plans led to increased FC promotion. Limitations and implications for future research and intervention efforts are discussed.
我们进行了一项结构干预措施以推广女用避孕套（FC），将 44 家机构随机分为最小干预（MI）组[制定促进和免费获取的行动计划]或增强干预（EI）组[增加顾问培训]。通过在基线和 12 个月时对机构主管、顾问和客户进行调查，评估干预效果。在随访时，两种干预措施对 FC 的机构结果没有差异。尽管在接受 FC 咨询的客户比例方面没有差异，但 EI 中的顾问在 FC 知识和积极态度方面的收益显著增加，这两种情况都显著增加。EI 机构中的客户使用 FC 的意愿增加幅度更大。在医疗服务机构中，干预效果更强。研究结果表明，提供补贴的 FC 和协助机构制定行动计划可促进 FC 的推广。讨论了限制因素和对未来研究和干预措施的影响。
