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重新构想健康传播:中国众包干预的非劣效随机对照试验。

Reimagining Health Communication: A Noninferiority Randomized Controlled Trial of Crowdsourced Intervention in China.

机构信息

SESH Study Group of University of North Carolina at Chapel Hill, Guangzhou, China.

School of Medicine.

出版信息

Sex Transm Dis. 2019 Mar;46(3):172-178. doi: 10.1097/OLQ.0000000000000930.


DOI:10.1097/OLQ.0000000000000930
PMID:30741854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6380681/
Abstract

BACKGROUND: Crowdsourcing, the process of shifting individual tasks to a large group, may be useful for health communication, making it more people-centered. We aimed to evaluate whether a crowdsourced video is noninferior to a social marketing video in promoting condom use. METHODS: Men who have sex with men (≥16 years old, had condomless sex within 3 months) were recruited and randomly assigned to watch 1 of the 2 videos in 2015. The crowdsourced video was developed through an open contest, and the social marketing video was designed by using social marketing principles. Participants completed a baseline survey and follow-up surveys at 3 weeks and 3 months postintervention. The outcome was compared with a noninferiority margin of +10%. RESULTS: Among the 1173 participants, 907 (77%) and 791 (67%) completed the 3-week and 3-month follow-ups. At 3 weeks, condomless sex was reported by 146 (33.6%) of 434 participants and 153 (32.3%) 473 participants in the crowdsourced and social marketing arms, respectively. The crowdsourced intervention achieved noninferiority (estimated difference, +1.3%; 95% confidence interval, -4.8% to 7.4%). At 3 months, 196 (52.1%) of 376 individuals and 206 (49.6%) of 415 individuals reported condomless sex in the crowdsourced and social-marketing arms (estimated difference: +2.5%, 95% confidence interval, -4.5 to 9.5%). The 2 arms also had similar human immunodeficiency virus testing rates and other condom-related secondary outcomes. CONCLUSIONS: Our study demonstrates that crowdsourced message is noninferior to a social marketing intervention in promoting condom use among Chinese men who have sex with men. Crowdsourcing contests could have a wider reach than other approaches and create more people-centered intervention tools for human immunodeficiency virus control.

摘要

背景:众包是将个体任务转移给大量人群的过程,可能对健康传播有用,使其更以人为本。我们旨在评估众包视频在促进 condom 使用方面是否不劣于社会营销视频。

方法:招募≥16 岁、在过去 3 个月内有无保护性行为的男男性行为者(MSM),并在 2015 年将其随机分配观看 2 个视频中的 1 个。众包视频是通过公开竞赛开发的,社会营销视频是使用社会营销原则设计的。参与者在干预后 3 周和 3 个月完成基线调查和随访调查。结果与+10%的非劣效性边界进行比较。

结果:在 1173 名参与者中,有 907(77%)和 791(67%)完成了 3 周和 3 个月的随访。在 3 周时,434 名参与者中有 146 名(33.6%)和 473 名参与者中有 153 名(32.3%)报告了 condom 无使用情况,众包和社会营销组分别如此。众包干预达到非劣效性(估计差异,+1.3%;95%置信区间,-4.8%至 7.4%)。在 3 个月时,376 名参与者中有 196 名(52.1%)和 415 名参与者中有 206 名(49.6%)报告了 condom 无使用情况,众包和社会营销组分别如此(估计差异:+2.5%;95%置信区间,-4.5 至 9.5%)。这 2 个组的人类免疫缺陷病毒检测率和其他 condom 相关次要结局也相似。

结论:我们的研究表明,众包信息在促进中国 MSM 使用 condom 方面不劣于社会营销干预。众包竞赛的传播范围可能比其他方法更广,并为人类免疫缺陷病毒控制创建更以人为本的干预工具。

相似文献

[1]
Reimagining Health Communication: A Noninferiority Randomized Controlled Trial of Crowdsourced Intervention in China.

Sex Transm Dis. 2019-3

[2]
Comparing the effectiveness of a crowdsourced video and a social marketing video in promoting condom use among Chinese men who have sex with men: a study protocol.

BMJ Open. 2016-10-3

[3]
Crowdsourcing HIV Test Promotion Videos: A Noninferiority Randomized Controlled Trial in China.

Clin Infect Dis. 2016-6-1

[4]
Crowdsourcing to expand HIV testing among men who have sex with men in China: A closed cohort stepped wedge cluster randomized controlled trial.

PLoS Med. 2018-8-28

[5]
Digital crowdsourced intervention to promote HIV testing among MSM in China: study protocol for a cluster randomized controlled trial.

Trials. 2020-11-17

[6]
Crowdsourcing to promote HIV testing among MSM in China: study protocol for a stepped wedge randomized controlled trial.

Trials. 2017-10-2

[7]
Digital, Crowdsourced, Multilevel Intervention to Promote HIV Testing Among Men Who Have Sex With Men: Cluster Randomized Controlled Trial.

J Med Internet Res. 2023-10-30

[8]
A crowdsourced intervention to promote hepatitis B and C testing among men who have sex with men in China: study protocol for a nationwide online randomized controlled trial.

BMC Infect Dis. 2018-9-29

[9]
Driving force of condomless sex after online intervention among Chinese men who have sex with men.

BMC Public Health. 2019-7-22

[10]
Crowdsourced Partner Services Among Men Who Have Sex With Men Living With HIV: A Pilot Randomized Controlled Trial in China.

Sex Transm Dis. 2024-10-1

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Implement Sci. 2025-5-1

[2]
Technology-Based HIV Prevention Interventions for Men Who Have Sex With Men: Systematic Review and Meta-Analysis.

J Med Internet Res. 2025-4-28

[3]
Enhancing HIV Cognitive Abilities and Self-Management Through Information Technology-Assisted Interventions: Scoping Review.

J Med Internet Res. 2025-1-13

[4]
Data science research in sub-Saharan Africa: Ethical considerations in crowdsourcing for community engagement.

S Afr J Sci. 2023

[5]
A designathon to co-create HPV screening and vaccination approaches for mothers and daughters in Nigeria: findings from a community-led participatory event.

BMC Infect Dis. 2024-6-20

[6]
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J Infect Dis. 2023-11-28

[7]
Public's preferences for health science popularization short videos in China: a discrete choice experiment.

Front Public Health. 2023

[8]
Strategies for enhancing uptake of HIV self-testing among Nigerian youths: a descriptive analysis of the 4YouthByYouth crowdsourcing contest.

BMJ Innov. 2021-7

[9]
A randomized controlled trial enhancing viral hepatitis testing in primary care via digital crowdsourced intervention.

NPJ Digit Med. 2022-7-19

[10]
Social innovations to increase health coverage: evidence from a crowdsourcing contest in Ghana.

BMJ Open. 2022-6-7

本文引用的文献

[1]
Crowdsourcing to promote HIV testing among MSM in China: study protocol for a stepped wedge randomized controlled trial.

Trials. 2017-10-2

[2]
Community engagement in sexual health and uptake of HIV testing and syphilis testing among MSM in China: a cross-sectional online survey.

J Int AIDS Soc. 2017-4-3

[3]
Innovation contests to promote sexual health in China: a qualitative evaluation.

BMC Public Health. 2017-1-14

[4]
Comparing the effectiveness of a crowdsourced video and a social marketing video in promoting condom use among Chinese men who have sex with men: a study protocol.

BMJ Open. 2016-10-3

[5]
Crowdsourcing HIV Test Promotion Videos: A Noninferiority Randomized Controlled Trial in China.

Clin Infect Dis. 2016-6-1

[6]
Creative Contributory Contests to Spur Innovation in Sexual Health: 2 Cases and a Guide for Implementation.

Sex Transm Dis. 2015-11

[7]
Barriers to Condom Use among High Risk Men Who Have Sex with Men in Uganda: A Qualitative Study.

PLoS One. 2015-7-14

[8]
Health communication, self-care, and treatment satisfaction among low-income diabetes patients in a public health setting.

Patient Educ Couns. 2015-2

[9]
HIV self-testing among online MSM in China: implications for expanding HIV testing among key populations.

J Acquir Immune Defic Syndr. 2014-10-1

[10]
Correlates of chlamydia and gonorrhea infection among female sex workers: the untold story of Jiangsu, China.

PLoS One. 2014-1-15

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