Greene George J, Madkins Krystal, Andrews Katie, Dispenza Jill, Mustanski Brian
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Center on Halsted, Chicago.
AIDS Educ Prev. 2016 Jun;28(3):231-45. doi: 10.1521/aeap.2016.28.3.231.
Once HIV prevention programs have proven efficacy in research settings, it is important that ongoing data are collected to demonstrate effects in public health applications, yet such evaluations are rare in the published literature. This project describes the adaptation, implementation, and outcome evaluation of the Keep It Up! (KIU!) online HIV prevention intervention as a prevention service delivered in a community-based organization. Compared to pilot research examining KIU! feasibility and efficacy, intervention outcomes were robust to service delivery and client characteristics. In a sample of ethnically and racially diverse young men who have sex with men (N = 343), the intervention produced significant decreases in condomless anal sex acts with casual male partners at the 3-month follow-up compared to baseline (p < .05). In both qualitative and quantitative measures, participants reported that the intervention was highly acceptable and valuable to their sexual health needs.
一旦艾滋病病毒预防项目在研究环境中证明了其有效性，持续收集数据以证明其在公共卫生应用中的效果就很重要，但此类评估在已发表的文献中很少见。本项目描述了“坚持下去！”（KIU！）在线艾滋病病毒预防干预措施在一个社区组织中作为预防服务的改编、实施和结果评估。与检验KIU！可行性和有效性的试点研究相比，干预结果对服务提供和客户特征具有稳健性。在一个种族和民族多样化的男男性行为青年样本（N = 343）中，与基线相比，干预措施在3个月随访时显著减少了与随意男性伴侣的无保护肛交行为（p < .05）。在定性和定量测量中，参与者报告称该干预措施对他们的性健康需求非常可接受且有价值。
