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首页> 外文期刊>AIDS care. >Outcomes and lessons from a pilot RCT of a community-based HIV prevention multi-session group intervention for gay men.
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Outcomes and lessons from a pilot RCT of a community-based HIV prevention multi-session group intervention for gay men.

机译：一项基于社区的针对男同性恋者的艾滋病毒预防多阶段小组干预的试点RCT的成果和教训。

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This paper presents the first outcome evaluation of multi-session groupwork for HIV prevention among gay men in the UK. This community-based RCT recruited 50 men, of whom 42% were HIV-positive or untested, and 32% reported status unknown or serodiscordant UAI in the previous 12 months. No knowledge, skills, attitudinal or behavioural differences were detected between intervention and control at baseline. At eight weeks, those attending the group reported significant gains over their control in making sexual choices, physical safety, HIV and STI transmission knowledge, and sexual negotiation skills. At 20 weeks, significant differences remained for HIV and STI transmission knowledge and comfort with sexual choices. Although no behavioural differences were detected, the aims of the National Prevention Strategy were met. This pilot RCT is appraised in the light of modest sample size and attrition, and recommendations for establishing behavioural outcomes are presented. This study has demonstrated that high-risk community samples can be recruited to multi-session interventions, and has provided feasibility data for future rigorous evaluation designs.
机译：本文介绍了英国男同性恋者多阶段小组合作预防艾滋病毒的首次成果评估。这项基于社区的RCT招募了50名男性，其中42％的HIV阳性或未经测试，在过去的12个月中，有32％的人报告状态未知或血清溶血性UAI。在基线时，没有发现干预和对照之间的知识，技能，态度或行为差异。在八周的时间里，与会人员报告说，他们在做出性选择，人身安全，艾滋病毒和性传播疾病的传播知识以及性谈判技巧方面的控制力有了显着提高。在20周时，艾滋病毒和性传播疾病的传播知识以及对性选择的舒适度仍存在显着差异。尽管没有发现任何行为差异，但实现了《国家预防战略》的目标。根据适度的样本量和消耗量评估了该试点RCT，并提出了建立行为结果的建议。这项研究表明，可以将高风险社区样本招募到多阶段干预中，并为将来的严格评估设计提供了可行性数据。

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