Taboada Arianna, Taggart Tamara, Holloway Ian, Houpt Amanda, Gordon Robert, Gere David, Milburn Norweeta, Lightfoot Alexandra F
University of California, Los Angeles, CA, USA
University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Health Promot Pract. 2016 Jul;17(4):537-47. doi: 10.1177/1524839916632567. Epub 2016 Apr 19.
Theater-based interventions are a viable prevention strategy for changing sexual health knowledge, attitudes, and behaviors related to HIV prevention. However, few studies have explored interventions in English-speaking, high-income countries such as the United States, Canada, or the United Kingdom. This article critically reviews the literature to identify key characteristics of theater-based HIV prevention strategies used for adolescents in school-settings in the United States, Canada, and the United Kingdom. Specifically, we identify the theatrical approach used in HIV prevention interventions, the behavioral theories that inform such interventions, and the study design and results of existing evaluation studies conducted in school settings. In the 10 articles reviewed, we found limited grounding in theory and the use of nonrigorous study design. To strengthen the evidence and practical application of theater-based HIV prevention interventions, we highlight three specific recommendations for practitioners and researchers: (1) define and operationalize the theater approach and techniques used, (2) ensure theater-based interventions are grounded in theory, and (3) conduct rigorous evaluation of theater-based interventions. These recommendations are key to strengthening future research on and implementation of theater-based interventions for HIV prevention.
基于戏剧的干预措施是改变与艾滋病毒预防相关的性健康知识、态度和行为的一种可行预防策略。然而，很少有研究探讨在诸如美国、加拿大或英国等英语国家的高收入环境中的干预措施。本文批判性地回顾了相关文献，以确定在美国、加拿大和英国学校环境中用于青少年的基于戏剧的艾滋病毒预防策略的关键特征。具体而言，我们确定了艾滋病毒预防干预措施中使用的戏剧方法、为这类干预措施提供依据的行为理论，以及在学校环境中进行的现有评估研究的研究设计和结果。在所审查的10篇文章中，我们发现理论基础有限且研究设计不够严谨。为了加强基于戏剧的艾滋病毒预防干预措施的证据和实际应用，我们向从业者和研究人员强调三项具体建议：（1）界定并实施所使用的戏剧方法和技巧；（2）确保基于戏剧的干预措施有理论依据；（3）对基于戏剧的干预措施进行严格评估。这些建议是加强未来对基于戏剧的艾滋病毒预防干预措施的研究和实施的关键。
