测试人际行为模型以解释使用患者传递伴侣治疗的意愿。

Testing the Interpersonal-Behavior model to explain intentions to use patient-delivered partner therapy.

机构信息

Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, United States of America.

Joseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, United States of America.

出版信息

PLoS One. 2020 May 20;15(5):e0233348. doi: 10.1371/journal.pone.0233348. eCollection 2020.

DOI:10.1371/journal.pone.0233348

PMID:32433680

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7239460/

Abstract

BACKGROUND

Patient-delivered partner therapy (PDPT) is an evidence-based method of partner treatment, but further research was needed to understand theoretical underpinnings of potential PDPT use.

PURPOSE

We sought to develop and test a theoretical framework to understand PDPT intentions.

METHODS

A Midwestern sample of sexually transmitted infection clinic patients were recruited to participate in a three-phase study incorporating semi-structured interviews (n = 20, total), cognitive interviews (n = 5), and surveys (n = 197; Mage = 31.3, 61% male, 91% Black or African-American). Thematic analysis was conducted to identify major themes, which guided development and testing of a theoretical framework on PDPT intentions using structural equation modeling.

RESULTS

We identified themes of information (knowledge); motivation (individual and partner protection beliefs, partner and provider motivation-to-comply); social support (sexual health and general); and behavioral skills (partner notification, medication delivery, and communication skills self-efficacy) in thematic analysis. The developed Interpersonal-Behavior model demonstrated good model fit in structural equation modeling [χ2(36) = 95.56, p<0.01; RMSEA = 0.09 (0.07-0.11, 90%C.I.); CFI = 0.94; SRMR = 0.05]. Information was associated with motivation (β = 0.37, p<0.001) and social support (β = 0.23, p = 0.002). Motivation was associated with social support (β = 0.64, p<0.001) and behavioral skills (β = 0.40, p<0.001), and social support was associated with behavioral skills (β = 0.23, p = 0.025). Behavioral skills were associated with higher PDPT intentions (β = 0.31, p<0.001), partially mediated the association of motivation with intentions (βdirect = 0.53, p<0.001; βindirect = 0.12, 95%CI: 0.03-0.30), and fully mediated the association of social support with intentions (βindirect = 0.07, 95%CI: 0.00-0.21).

CONCLUSIONS

The Interpersonal-Behavior model seems appropriate for PDPT intentions but should be tested longitudinally with PDPT outcomes and other interpersonal health behaviors.

摘要

背景

患者传递伴侣治疗（PDPT）是一种基于证据的伴侣治疗方法，但需要进一步研究来了解潜在 PDPT 使用的理论基础。

目的

我们试图开发和测试一个理解 PDPT 意图的理论框架。

方法

我们招募了中西部性传播感染诊所的患者参与一项三阶段研究，该研究包括半结构化访谈（n = 20，总计）、认知访谈（n = 5）和调查（n = 197；Mage = 31.3，61%男性，91%黑人或非裔美国人）。主题分析用于确定主要主题，这些主题指导了使用结构方程模型对 PDPT 意图的理论框架的开发和测试。

结果

我们在主题分析中确定了信息（知识）；动机（个人和伴侣保护信念、伴侣和提供者的动机遵守）；社会支持（性健康和一般）；和行为技能（伴侣通知、药物输送和沟通技巧自我效能）的主题。在结构方程建模中，开发的人际行为模型表现出良好的模型拟合[χ2（36）= 95.56，p<0.01；RMSEA = 0.09（0.07-0.11，90%CI）；CFI = 0.94；SRMR = 0.05]。信息与动机（β=0.37，p<0.001）和社会支持（β=0.23，p=0.002）相关。动机与社会支持（β=0.64，p<0.001）和行为技能（β=0.40，p<0.001）相关，社会支持与行为技能（β=0.23，p=0.025）相关。行为技能与较高的 PDPT 意图相关（β=0.31，p<0.001），部分中介了动机与意图的关系（β直接=0.53，p<0.001；β间接=0.12，95%CI：0.03-0.30），并完全中介了社会支持与意图的关系（β间接=0.07，95%CI：0.00-0.21）。