基于视频的简短干预对改善老年男性艾滋病预防的效果：随机对照试验。

The Effect of a Brief Video-Based Intervention to Improve AIDS Prevention in Older Men: Randomized Controlled Trial.

作者信息

Huaju Tian, Rendie Xie, Lu Xiao, Mei Li, Yue Luo, Daiying Zhang, Yanhua Chen, Jianlan Ren

机构信息

Department of the Operating Room, the Affiliated Hospital of Southwest Medical University, 25 Taiping Street, Luzhou, Sichuan Province, China.

Department of Anesthesiology, the Affiliated Hospital of Southwest Medical University, Luzhou, China.

出版信息

JMIR Public Health Surveill. 2025 Apr 18;11:e65674. doi: 10.2196/65674.

DOI:10.2196/65674

PMID:40249768

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12025342/

Abstract

BACKGROUND

The AIDS epidemic among older people is becoming more serious. Evidence-based, acceptable, and effective preventive interventions are urgently needed. Video-based interventions have become an innovative way to change behaviors, and we have developed a brief video-based intervention named Sunset Without AIDS.

OBJECTIVE

In this study, we tested the effectiveness of a brief video-based intervention targeting older men's understanding of AIDS prevention.

METHODS

A randomized controlled trial was conducted from June 20 to July 3, 2023. In total, 100 older men were randomly divided into the intervention group (n=50) and the control group (n=50) using the envelope extraction method. The intervention group was shown the Sunset Without AIDS video; the control group viewed a standard AIDS education video. A questionnaire was used to measure the effect of Sunset Without AIDS after 2 interventions. AIDS-related high-risk behaviors were followed up 1 and 3 months after the intervention. The difference was statistically significant at P≤.05.

RESULTS

After 2 interventions, the total awareness rates (%) of AIDS-related knowledge in the intervention and control groups were 84% (42/50) and 66% (33/50), respectively (P=.04). The mean stigma attitude scores of the 2 groups were 2.53 (SD 0.45) and 2.58 (SD 0.49), respectively (P=.55), but there was a statistically significant difference in the first dimension (fear of infection) between the 2 groups (P<.001). The mean positive scores of attitudes of AIDS-related high-risk behaviors of the 2 groups were 83.33 (SD 21.56) and 75.67 (SD 26.77), respectively (P=.58). In addition, 82% reported that they were satisfied with the educational content within the Sunset Without AIDS video. At 1- and 3-month follow-ups conducted after the intervention, participants in the 2 groups did not report AIDS-related high-risk behaviors. After watching the 2 videos, more people accepted and were satisfied with Sunset Without AIDS.

CONCLUSIONS

Sunset Without AIDS could improve the ability of older men in China to follow best practices for AIDS prevention and provide a certain basis for the innovation of AIDS education in the older adult population.

摘要

背景

老年人中的艾滋病流行情况日益严峻。迫切需要有循证、可接受且有效的预防干预措施。基于视频的干预已成为改变行为的一种创新方式，我们开发了一种名为“无艾夕阳”的简短视频干预措施。

目的

在本研究中，我们测试了一种针对老年男性艾滋病预防知识理解的简短视频干预措施的效果。

方法

于2023年6月20日至7月3日进行了一项随机对照试验。总共100名老年男性使用信封抽取法随机分为干预组（n = 50）和对照组（n = 50）。干预组观看了“无艾夕阳”视频；对照组观看了标准的艾滋病教育视频。在2次干预后使用问卷来衡量“无艾夕阳”的效果。在干预后1个月和3个月对艾滋病相关高危行为进行随访。差异在P≤0.05时具有统计学意义。

结果

2次干预后，干预组和对照组艾滋病相关知识的总知晓率（%）分别为84%（42/50）和66%（33/50）（P = 0.04）。两组的平均耻辱态度得分分别为2.53（标准差0.45）和2.58（标准差0.49）（P = 0.55），但两组在第一个维度（对感染的恐惧）上存在统计学显著差异（P<0.001）。两组艾滋病相关高危行为态度的平均积极得分分别为83.33（标准差21.56）和75.67（标准差26.77）（P = 0.58）。此外，82%的人表示对“无艾夕阳”视频中的教育内容满意。在干预后进行的1个月和3个月随访中，两组参与者均未报告艾滋病相关高危行为。观看这两个视频后，更多人接受并对“无艾夕阳”感到满意。