针对智利年轻女性的基于互联网的性传播感染-艾滋病预防干预措施的开发、可行性及可接受性
The development, feasibility and acceptability of an Internet-based STI-HIV prevention intervention for young Chilean women.
作者信息
Villegas N, Santisteban D, Cianelli R, Ferrer L, Ambrosia T, Peragallo N, Lara L
机构信息
School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA.
出版信息
Int Nurs Rev. 2014 Mar;61(1):55-63. doi: 10.1111/inr.12080.
BACKGROUND
Young Chilean women between 18 and 24 years of age are at high risk of contracting sexually transmitted infection (STI) and human immunodeficiency virus (HIV). The literature shows a shortage of STI-HIV prevention interventions focused on this specific high-risk population and a unique set of barriers to receiving prevention messages. Internet-based interventions are promising for delivering STI-HIV prevention interventions and avoiding barriers to services.
AIMS
The study aimed to develop a culturally informed Internet-based STI-HIV prevention intervention for Chilean women between 18 and 24 years of age, to investigate its feasibility and acceptability, and to compile recommendations on what would make the intervention more acceptable and feasible for these women.
METHODS
The development of the Internet intervention was facilitated by a process that featured consultation with content and technology experts. A pre-post test design was used to test the acceptability and feasibility of the intervention with 40 young Chilean women between 18 and 24 years of age.
RESULTS
The intervention website consisted of four modules of content and activities that support learning. The intervention was feasible and acceptable for young Chilean women between 18 and 24 years of age.
DISCUSSION AND CONCLUSION
This study demonstrated the value of engaging multiple expert panels to develop culturally informed and technology-based interventions. The results of this study support the feasibility and acceptability of conducting an Internet-based intervention with multiple sessions, yielding high participation rates in a population in which there are barriers to discussion of STI-HIV prevention and sex-related content.
IMPLICATIONS FOR NURSING AND HEALTH POLICY
The outcomes have implications for nursing education and clinical practice and they can be used for the legal and judicial systems to promote or reinforce policies that encourage STI-HIV prevention strategies among women.
背景
18至24岁的智利年轻女性感染性传播感染（STI）和人类免疫缺陷病毒（HIV）的风险很高。文献表明，针对这一特定高危人群的性传播感染-艾滋病毒预防干预措施不足，且在接收预防信息方面存在一系列独特的障碍。基于互联网的干预措施有望提供性传播感染-艾滋病毒预防干预，并避免服务障碍。
目的
本研究旨在为18至24岁的智利女性开发一种基于互联网且符合文化背景的性传播感染-艾滋病毒预防干预措施，调查其可行性和可接受性，并就如何使该干预措施对这些女性更具可接受性和可行性编写建议。
方法
通过与内容和技术专家协商的过程来推动互联网干预措施的开发。采用前后测试设计，对40名18至24岁的智利年轻女性测试该干预措施的可接受性和可行性。
结果
干预网站由四个支持学习的内容和活动模块组成。该干预措施对18至24岁的智利年轻女性来说是可行且可接受的。
讨论与结论
本研究证明了让多个专家小组参与开发符合文化背景且基于技术的干预措施的价值。本研究结果支持进行多阶段基于互联网的干预措施的可行性和可接受性，在一个存在性传播感染-艾滋病毒预防和性相关内容讨论障碍的人群中产生了高参与率。
对护理和卫生政策的启示
这些结果对护理教育和临床实践具有启示意义，并且可用于法律和司法系统，以促进或加强鼓励女性采取性传播感染-艾滋病毒预防策略的政策。
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