SESH Study Group of University of North Carolina at Chapel Hill, Guangzhou, China.
School of Medicine.
Sex Transm Dis. 2019 Mar;46(3):172-178. doi: 10.1097/OLQ.0000000000000930.
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.
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。
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