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评估“性福!”:一项针对 HIV 感染者的视频电子健康干预措施。

Evaluation of Sex Positive! A Video eHealth Intervention for Men Living with HIV.

机构信息

Department of Medicine, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY, 11203, USA.

Department of Psychology, Lehman College, City University of New York (CUNY), Bronx, NY, USA.

出版信息

AIDS Behav. 2019 Nov;23(11):3103-3118. doi: 10.1007/s10461-019-02498-5.

Abstract

Sex Positive! is a two-arm, video-based web intervention aimed at reducing condomless anal sex (CAS) with partners of known and unknown serostatus that was delivered online to a racially and ethnically diverse sample of 830 gay, bisexual, and other men who have sex with men living with HIV. Men in each arm received 6 weekly videos after completing a baseline assessment and 4 weekly booster videos following a 6-month assessment. Follow-up assessments were conducted every 3 months for 1 year. At 3-month follow-up, men in the intervention arm reported significantly reduced risk of having unknown serodiscordant CAS partners than men in the control arm (RR 0.60, 95% CI 0.39-0.92), partially supporting study hypotheses. Aside from this finding, similar reductions in sexual risk behaviors were observed in both arms over the study period. There is much to be learned about video-based web interventions in terms of methodological development and intervention delivery, including frequency and duration of intervention components.

摘要

《性积极!》是一项双臂、基于视频的网络干预措施,旨在减少与已知和未知血清学状态的性伴侣进行无保护肛交(CAS),该措施通过网络提供给 830 名居住在 HIV 感染的男同性恋、双性恋和其他男性性行为者的种族和民族多样化样本。每个臂的男性在完成基线评估后接受 6 周的视频,在 6 个月评估后接受 4 周的强化视频。在接下来的 1 年中,每 3 个月进行一次随访评估。在 3 个月的随访中,与对照组相比,干预组的男性报告与未知血清不一致的 CAS 伴侣的风险显著降低(RR 0.60,95%CI 0.39-0.92),部分支持了研究假设。除了这一发现,在研究期间,两个组的性行为风险行为都有类似的减少。在方法学发展和干预措施的实施方面,还有很多关于基于视频的网络干预措施需要学习,包括干预措施组成部分的频率和持续时间。

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