Glowacka Marta, Yardley Lucy, Stone Nicole, Graham Cynthia A
Department of Psychology, Faculty of Social, Human and Mathematical Sciences, University of Southampton, Southampton, United Kingdom.
JMIR Res Protoc. 2018 Jan 2;7(1):e1. doi: 10.2196/resprot.7937.
Although condoms are effective in reducing the risk of sexually transmitted infections (STIs) and unintended pregnancy, they are still often not used consistently and correctly. Negative impact on sensation and pleasure, ruining the mood, causing problems with maintaining erection, and condom slippage or breakage are some of the reasons given by men explaining why they do not want to use condoms. Although many interventions promoting condom use exist, some of them delivered online are complex and time- and resource-intensive. The Homework Intervention Strategy (eHIS) program, adapted from the existing face-to-face Kinsey Institute Homework Intervention Strategy (KIHIS) program, aims to address these issues by encouraging men to focus on sensation and pleasure when trying different types of condoms and lubricants in a low-pressure situation (on their own, without a partner present).
The objectives of this study are to assess the feasibility, acceptability, and users' engagement with the eHIS program, its preliminary effectiveness in increasing condom use frequency and consistency, as well as the feasibility of the program's evaluation approach, including choice of measures and participant recruitment and retaining strategies (primary outcomes). Secondary outcomes include condom use experience, condom use attitudes, condom use self-efficacy, condom use errors and problems, and condom fit-and-feel. All of these will be analyzed in the context of participants' demographics, sexual history, and previous condom use.
The study has a pre-post-test, within-subjects design. Men aged 18 to 69 and living in the United Kingdom are recruited through posters, leaflets, social media, and emails. Study participants are asked to complete T1 (baseline) measures before entering the eHIS website. After completing the T1 measures, they can order a free condoms and lubricants kit and have access to the eHIS website for 4 weeks. During that time they are asked to practice using different types of condoms and lubricants on their own in a no-pressure situation. Following T1, participants are asked to complete the T2 and T3 measures at 4 and 10 weeks, respectively.
Data collection for the study is completed. Data analysis is in progress and is expected to be completed by February 2018.
This brief, home-based, self-guided program may lead to increased consistent and correct condom use. Online delivery can make the program an easily accessible and low-cost health promotion intervention, which has the potential to reach a wide and diverse audience. If results of the current study show the program's feasibility and preliminary effectiveness in changing condom use related outcomes, a larger scale randomized controlled trial (RCT) will be conducted.
Research Registry: researchregistry2325; http://www.researchregistry.com/browse-the-registry.html# home/registrationdetails/58da6cad1d7ab0314337d076/ (Archived by WebCite at http://www.webcitation.org/6vXs6S9XW).
尽管避孕套在降低性传播感染（STIs）风险和意外怀孕方面有效，但它们仍常常未被持续且正确地使用。对感觉和愉悦感有负面影响、破坏情绪、导致勃起维持问题以及避孕套滑落或破裂，是男性解释为何不想使用避孕套的部分原因。尽管存在许多促进避孕套使用的干预措施，但其中一些在线提供的干预措施复杂且耗费时间和资源。家庭作业干预策略（eHIS）项目改编自现有的面对面金赛研究所家庭作业干预策略（KIHIS）项目，旨在通过鼓励男性在低压环境下（独自，无伴侣在场）尝试不同类型的避孕套和润滑剂时关注感觉和愉悦感来解决这些问题。
本研究的目的是评估eHIS项目的可行性、可接受性和用户参与度，其在提高避孕套使用频率和持续性方面的初步效果，以及该项目评估方法的可行性，包括测量方法的选择以及参与者招募和留存策略（主要结果）。次要结果包括避孕套使用体验、避孕套使用态度、避孕套使用自我效能、避孕套使用错误和问题以及避孕套的贴合度和触感。所有这些都将在参与者的人口统计学特征、性史和既往避孕套使用情况的背景下进行分析。
该研究采用前后测试、受试者内设计。通过海报、传单、社交媒体和电子邮件招募年龄在18至69岁且居住在英国的男性。研究参与者在进入eHIS网站之前被要求完成T1（基线）测量。完成T1测量后，他们可以订购免费的避孕套和润滑剂套装，并可访问eHIS网站4周。在此期间，要求他们在无压力的情况下独自练习使用不同类型的避孕套和润滑剂。在T1之后，分别要求参与者在4周和10周时完成T2和T3测量。
该研究的数据收集已完成。数据分析正在进行中，预计于2018年2月完成。
这个简短的、基于家庭的、自我指导的项目可能会导致更持续且正确地使用避孕套。在线提供可以使该项目成为一种易于获取且低成本的健康促进干预措施，有可能覆盖广泛且多样化的受众。如果当前研究结果显示该项目在改变与避孕套使用相关结果方面的可行性和初步效果，将进行更大规模的随机对照试验（RCT）。
研究注册库：researchregistry2325；http://www.researchregistry.com/browse-the-registry.html# home/registrationdetails/58da6cad1d7ab0314337d076/（由WebCite存档于http://www.webcitation.org/6vXs6S9XW）
