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首页> 外文期刊>AIDS care. >+CLICK: harnessing web-based training to reduce secondary transmission among HIV-positive youth.
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+CLICK: harnessing web-based training to reduce secondary transmission among HIV-positive youth.

机译：+点击：利用基于网络的培训来减少艾滋病毒阳性青年之间的二次传播。

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摘要

Adolescents and young adults account for over 10 million HIV infections worldwide. Prevention of secondary transmission is a major concern as many HIV-positive youth continue to engage in risky sexual behavior. This study pilot-tested " + CLICK", an innovative, web-based, sexual risk reduction intervention for HIV-positive youth as an adjunct to traditional clinic-based, self-management education. The theory-based application, developed for perinatally and behaviorally infected youth 13-24 years of age, provides tailored activities addressing attitudes, knowledge, skills, and self-efficacy related to sexual risk reduction. HIV-positive youth (N=32) pilot-tested " + CLICK" to assess usability (ease of use, credibility, understandability, acceptability, motivation) and short-term psychosocial outcomes (importance and self-efficacy related to abstinence and condom use) using a single group, pre-/post-test study design in a hospital-based pediatric clinic and community locations. A subsample of participants (n=20) assessed feasibility for clinic use. Participants were 62.5% female, 68.8% Black, and 28.1% Hispanic. Mean age was 17.8 years (SD = 2.55), 43.8% were infected behaviorally, 56.2% perinatally, and 68.8% were sexually experienced. Usability ratings were high: 84.4% rated the application very easy to use; 93.8% perceived content as trustworthy; 87.5% agreed most words were understandable; 87.5% would use the application again. Short-term psychosocial outcomes indicate a significant increase in condom use self-efficacy (p=0.008) and positive trends toward importance (p=0.067) and self-efficacy (p=0.071) for waiting before having sex. Regarding feasibility, participants accessed " + CLICK" during waiting periods (average time, 15 minutes) in their routine clinic visit. Clinic staff rated " + CLICK" highly in providing consistent, confidential, and motivational sexual health education without significant disruption to clinic flow. Results suggest that the application is a feasible tool for use in the clinic and has the potential to affect psychological antecedents to sexual behavior change. Further research on long-term and behavioral effects is indicated prior to broader dissemination into clinical practice.
机译：青少年和成年人占全世界1000万以上的HIV感染人数。由于许多艾滋病毒呈阳性的青年继续从事危险的性行为，因此，防止继发性传播是一个主要问题。这项研究对“ + CLICK”进行了先导测试，这是一种针对艾滋病毒阳性青年的基于网络的创新性性风险降低干预措施，可作为传统基于诊所的自我管理教育的辅助手段。这种基于理论的应用程序是为13-24岁的围生期和行为感染的年轻人而开发的，提供针对性活动，以解决与降低性风险有关的态度，知识，技能和自我效能感。艾滋病毒阳性青年（N = 32）进行了“ +点击”试点测试，以评估可用性（易用性，可信度，易懂性，可接受性，动机）和短期社会心理结果（与禁欲和使用避孕套有关的重要性和自我效能感） ）在医院的儿科诊所和社区地点使用一组单独的，测试前/测试后的研究设计。参与者的子样本（n = 20）评估了临床使用的可行性。参加者为女性62.5％，黑人68.8％和西班牙裔28.1％。平均年龄为17.8岁（SD = 2.55），其中43.8％为行为性感染，围产期为56.2％，性行为感染率为68.8％。可用性等级很高：84.4％的应用程序非常易于使用; 93.8％的用户认为内容值得信赖; 87.5％的人同意大多数单词是可以理解的; 87.5％的用户将再次使用该应用程序。短期的社会心理结果表明，性生活前使用安全套的自我效能感（p = 0.008）显着增加，重要性（p = 0.067）和自我效能感（p = 0.071）呈积极趋势。关于可行性，参与者在例行例行就诊的等待时间（平均时间15分钟）中访问了“ + CLICK”。诊所工作人员在提供持续，保密和激励性的性健康教育而对诊所流程没有显着影响的情况下，对“ +点击”的评价很高。结果表明，该应用程序是可用于临床的可行工具，并且有可能影响性行为改变的心理先兆。在更广泛地传播到临床实践之前，需要对长期和行为影响进行进一步研究。

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