Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA.
Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor, MI, USA.
AIDS Behav. 2023 Aug;27(8):2703-2719. doi: 10.1007/s10461-023-03994-5. Epub 2023 Feb 12.
We Prevent is a virtual counseling intervention designed to improve communication as a mechanism for reducing HIV risk among young sexual minority men (SMM) in relationships. We evaluated the feasibility, acceptability, and preliminary efficacy of We Prevent in comparison to standard Counseling, Testing, and Referral among a national sample of 318 SMM ages 15-24 in a pilot randomized control trial. We found significant differences in condomless sex with outside partners; however, there were no differences in other sexual behaviors, sexual agreements, intimate partner violence (IPV), or communication between the conditions across the 9-month follow-ups. Stratified analyses found non-significant trends suggestive that We Prevent may reduce condomless sex for those ages 15-17 and for relationships over 1-year and may reduce IPV in relationships over 1-year. Though study retention was adequate, session attendance was low. Exit interviews participants reported benefits of We Prevent and provided insights into how to increase uptake.
我们预防是一种虚拟咨询干预措施，旨在通过改善沟通作为减少性少数男性（SMM）青年性行为风险的机制。我们评估了 We Prevent 的可行性、可接受性和初步效果，将其与全国范围内 318 名年龄在 15-24 岁的 SMM 进行的标准咨询、检测和转介进行了比较，这是一项试点随机对照试验。我们发现，与外部伴侣发生无保护性行为的情况存在显著差异；然而，在 9 个月的随访期间，在其他性行为、性协议、亲密伴侣暴力（IPV）或沟通方面，两种条件之间没有差异。分层分析发现，We Prevent 可能会减少 15-17 岁年龄组和 1 年以上关系中无保护性行为的非显著趋势，并可能减少 1 年以上关系中的 IPV。尽管研究保留率足够，但课程出勤率较低。退出访谈的参与者报告了 We Prevent 的益处，并提供了如何增加参与度的见解。
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