日记研究是否会导致行为改变？对男男性行为者的性行为风险和物质使用中的反应性的考察。
Do Diary Studies Cause Behavior Change? An Examination of Reactivity in Sexual Risk and Substance Use in Young Men Who Have Sex with Men.
机构信息
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N. Michigan Ave., Suite 2700, Chicago, IL, 60611, USA.
出版信息
AIDS Behav. 2018 Jul;22(7):2284-2295. doi: 10.1007/s10461-018-2027-3.
Abstract
Behavioral diaries are frequently used for observing sexual and substance use behaviors, but participating in diary studies may cause behavior change. This study examined change in sexual and substance use behaviors among young men who have sex with men (YMSM) in a two-month diary study compared to control. An analytic sample of 324 YMSM was randomized to receive daily diaries, weekly diaries, or no diaries (control) for 2 months. Half of the diary participants were randomized to receive automated weekly feedback. Between-subjects analyses found no evidence of change in sexual or substance use behaviors from baseline to 2-month follow-up when comparing the diary conditions to control. Within-persons growth mixture models of all diary data showed significant decreases in condomless anal sex (CAS) and illicit drug use. Weekly automated feedback had no effect on behavior change. Findings provide evidence of change in CAS and illicit drug use amongst diary participants.
摘要
行为日记经常被用于观察性行为和物质使用行为，但参与日记研究可能会导致行为改变。本研究比较了在为期两个月的日记研究中，与对照组相比，男男性行为者（MSM）的性行为和物质使用行为的变化。对 324 名 MSM 进行分析性随机抽样，分为每日日记组、每周日记组或无日记组（对照组），随访 2 个月。一半的日记参与者被随机分配到每周自动反馈。在将日记条件与对照组进行比较时，发现与基线相比，性行为或物质使用行为没有变化的证据。对所有日记数据的个体内增长混合模型分析表明，无保护肛交（CAS）和非法药物使用显著减少。每周的自动反馈对行为改变没有影响。研究结果提供了日记参与者中 CAS 和非法药物使用变化的证据。
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