An Innovative Educational Intervention for Newborn Medical Male Circumcision

新生儿医学男性包皮环切术的创新教育干预

• 批准号: 8603699
• 负责人: JESSY G DEVIEUX
• 金额: $ 22.2万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-15 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8603699
• 关键词: AIDS prevention; AIDS/HIV problem; Academy; Acquired Immunodeficiency Syndrome; Address; Adolescent; Adult; Advocate; Affect; Age; American; Area; Attitude; Behavioral; Belief; Caribbean region; Case Study; Clinic; Clinical Services; Communities; Consensus; Cost Savings; Country; Couples; Earthquakes; Education; Educational Intervention; Effectiveness; Epidemic; Fertility Rates; Future; Government; HIV; HIV Infections; HIV/STD; Haiti; Health; Health system; Human papilloma virus infection; Incidence; Individual; Infant; Infant Health; Infection; Institution; International; Intervention; Life; Male Circumcision; Malignant neoplasm of cervix uteri; Malignant neoplasm of penis; Medical; Methods; Modeling; Mothers; Newborn Infant; Parents; Participant; Patients; Pediatrics; Policy Making; Population; Prevention; Prevention strategy; Process; Provider; Psychosocial Factor; Public Health; Randomized; Readiness; Recruitment Activity; Reporting; Research; Research Infrastructure; Resources; Risk; Safety; Self Efficacy; Services; Simplexvirus; Surveys; System; Testing; Urinary tract infection; Vulnerable Populations; Woman; World Health Organization; aged; base; behavior prediction; boys; case-based; condoms; cost; innovation; male; member; parental influence; pressure; public health relevance; sexually active; statistics; theories; therapy development; transmission process; uptake; young man

DESCRIPTION (provided by applicant): Haiti has more than 120,000 people living with HIV, the most in the Caribbean region. Such statistics suggest that beyond additional HIV education and condom promotion, there is a compelling need to integrate new HIV prevention strategies that have recently gained consensus and evidence of efficacy. One approach that the Government of Haiti is considering is newborn medical male circumcision (NMMC). While NMMC could generate significant reduction in future HIV/STI transmission in Haiti, its effectiveness depends on widespread access and population-level uptake. How best to increase uptake among parents of newborn males, particularly in Haiti, has not been explored. However, the determinants of health decisions in resource-limited settings are increasingly being elucidated. One model, the integrative model of behavioral prediction, posits that the key factors include individual attitudes, community norms and self-efficacy. These factors can be strengthened and modified to increase an individual's intent and behavioral action. Our group has successfully used this model to create a video-based educational intervention that reduced the rate of new STIs in clinic patients in the U.S. We will adapt that model and the intervention development process to address uptake of NMMC among parents of newborn boys in urban Haiti by developing and pilot testing a brief video based educational intervention to promote NMMC. The proposed study is innovative and is likely to have high public health importance because this will be the first study to test acceptability of NMMC for future HIV/STI prevention in Haiti.

描述（由申请人提供）：海地拥有超过120,000名艾滋病毒的人，这是加勒比地区最多的人。这样的统计数据表明，除了额外的艾滋病毒教育和避孕套促进外，还需要将新的艾滋病毒预防策略整合在一起，这些策略最近获得了共识和有效性的证据。海地政府正在考虑的一种方法是新生的医学男性包皮环切术（NMMC）。尽管NMMC可以大大减少海地的未来HIV/STI传播，但其有效性取决于广泛的访问和人口水平的吸收。尚未探索如何最好地增加新生男性的父母，特别是在海地的摄取。但是，在资源有限的环境中，健康决策的决定因素越来越多地被阐明。一种模型是行为预测的综合模型，认为关键因素包括个人态度，社区规范和自我效能感。可以加强和修改这些因素，以提高个人的意图和行为行动。我们的小组已成功使用该模型来创建一种基于视频的教育干预措施，从而降低了美国诊所患者的新性传播感染率，我们将通过开发和飞行员测试基于简短的视频教育干预措施来促进NMMC，以适应该模型和干预开发过程，以解决海地新生男孩的NMMC的吸收。拟议的研究具有创新性，很可能具有很高的公共健康重要性 海地。