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Thato R, Daengsaard E, Sukrak N. The Effect of a Brief HIV Prevention Program on Risk Reduction Behaviors Among Thai Men Diagnosed With Sexually Transmitted Infections. Asian Nurs Res (Korean Soc Nurs Sci) 2018; 12:265-272. [PMID: 30342223 DOI: 10.1016/j.anr.2018.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2018] [Revised: 10/05/2018] [Accepted: 10/08/2018] [Indexed: 01/08/2023] Open
Abstract
PURPOSE Men diagnosed with sexually transmitted infections (STIs) are at greater risk for Human Immunodeficiency Virus (HIV) infection and STIs reinfection. This study aimed to test the effectiveness of a brief human immunodeficiency virus (B-HIV) prevention program on HIV and sexually transmitted infection (STI) knowledge, perceived benefits of condom use, risk reduction self-efficacy, risk reduction behaviors, and reinfection rate among Thai men with STIs. METHODS A quasi-experimental design was conducted. Participants were selected from men with STI symptoms. They were randomly assigned to a B-HIV prevention program or usual care, 100 each. The program consisted of 3 modules. Key messages for HIV prevention were sent weekly through Line. Outcomes were HIV and STI knowledge, perceived benefits of condom use, risk reduction self-efficacy, risk reduction behaviors (condom use, the number of sexual partners, and condomless sex), and STI reinfection rate. Independent t-test and binary logistic regression were performed. RESULTS The B-HIV prevention program significantly increased HIV and STI knowledge and resulted in perception of greater benefits from condoms and greater risk reduction self-efficacy. Program participants used condoms more frequently with many types of partners, especially with casual partners and sex workers. The intervention group practiced condomless sex less frequently than the control group. The program did not improve participants' condom use with lovers/steady partners and did not decrease the number of sexual partners and STI reinfection rate at 3-month follow-up. CONCLUSIONS A B-HIV prevention program could reduce the risk of HIV infection among male clients with current STIs by enhancing their condom use with casual partners and sex workers. Strategies to improve condom use with lovers/steady partners among this high-risk population is needed.
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Affiliation(s)
- Ratsiri Thato
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
| | - Ekkachai Daengsaard
- General Male Clinic, Bangrak STIs Cluster, Bureau of AIDS, TB, and STIs, Ministry of Public Health, Bangkok, Thailand
| | - Nutthavit Sukrak
- General Male Clinic, Bangrak STIs Cluster, Bureau of AIDS, TB, and STIs, Ministry of Public Health, Bangkok, Thailand
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Kuang H, Jin S, Thomas T, Engmann L, Hansen KR, Coutifaris C, Casson P, Christman G, Alvero R, Santoro N, Eisenberg E, Diamond MP, Legro RS, Zhang H. Predictors of participant retention in infertility treatment trials. Fertil Steril 2015; 104:1236-43.e1-2. [PMID: 26354094 PMCID: PMC4630082 DOI: 10.1016/j.fertnstert.2015.08.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2015] [Revised: 07/22/2015] [Accepted: 08/03/2015] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To identify variables associated with retention (or dropout) in infertility clinical trials. Retention of subjects in randomized controlled clinical trials (RCTs) has received considerable attention, but there have been few consistent findings. DESIGN Secondary analysis of data from RCTs. SETTING Academic medical centers. PATIENT(S) Women with polycystic ovary syndrome (PCOS) or couples with unexplained infertility, aged 18-40 years. INTERVENTION(S) This study is not an intervention study, but the patients in the original RCTs were treated with any or combination of metformin, clomiphene citrate (CC), letrozole, and gonadotropins. MAIN OUTCOME MEASURE(S) Successful retention versus dropout during the RCTs. RESULT(S) Race, ethnicity, body mass index (BMI), insurance coverage, history of smoking, and history of alcohol use were significantly associated with retention whether they were considered in bivariate analyses or a multivariable logistic model. Specifically, white race, higher income, having graduate degrees, normal weight, better insurance coverage, nonsmokers, and those who reported current use of alcohol at the start of the trial, had higher retention rates. CONCLUSION(S) We identified several additive and persistent predictors of retention that can be used to guide the conduct of RCTs and improve the retention rate. Given the limitation of our association analysis, methodologically sound and theoretically grounded research are warranted so that high quality data can be collected to improve our understanding on the causes of dropout. CLINICAL TRIAL REGISTRATION NUMBER NCT00068861 (PPCOS-I), NCT00719186 (PPCOS-II), and NCT01044862 (AMIGOS).
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Affiliation(s)
- Hongying Kuang
- Department of Obstetrics and Gynecology, First Affiliated Hospital and Heilongjiang University of Chinese Medicine, Harbin, People's Republic of China; Department of Biostatistics, Yale University School of Public Health, New Haven, Connecticut
| | - Susan Jin
- Department of Biostatistics, Yale University School of Public Health, New Haven, Connecticut
| | - Tracey Thomas
- Department of Biostatistics, Yale University School of Public Health, New Haven, Connecticut
| | - Lawrence Engmann
- Department of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, Connecticut
| | - Karl R Hansen
- Department of Obstetrics and Gynecology, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma
| | - Christos Coutifaris
- Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Peter Casson
- Department of Obstetrics and Gynecology, University of Vermont, Burlington, Vermont
| | - Gregory Christman
- Department of Obstetrics and Gynecology, Shands Hospital, University of Florida, Gainesville, Florida
| | - Ruben Alvero
- Department of Obstetrics and Gynecology, University of Colorado, Aurora, Colorado
| | - Nanette Santoro
- Department of Obstetrics and Gynecology, University of Colorado, Aurora, Colorado
| | - Esther Eisenberg
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland
| | - Michael P Diamond
- Department of Obstetrics and Gynecology, Georgia Regents University, Augusta, Georgia
| | - Richard S Legro
- Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania
| | - Heping Zhang
- Department of Biostatistics, Yale University School of Public Health, New Haven, Connecticut.
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Speck AL, Hess M, Baptist AP. An Electronic Asthma Self-Management Intervention for Young African American Adults. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE 2015; 4:89-95.e2. [PMID: 26441151 DOI: 10.1016/j.jaip.2015.08.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Revised: 07/15/2015] [Accepted: 08/14/2015] [Indexed: 10/23/2022]
Abstract
BACKGROUND Health disparities are seen in many chronic conditions including asthma. Young African American adults represent a population at high risk for poor asthma outcomes due to both their minority status and the difficult transition from adolescence to adulthood. Recruitment and retention has been challenging in this demographic stratum, and traditional asthma education is often not feasible. OBJECTIVE The objective of this study was to develop and assess the feasibility of an electronic asthma self-management program for young African American adults. METHODS A total of 44 African American adults (age 18-30 years) with uncontrolled persistent asthma were enrolled in an asthma self-management program. The 6-week Breathe Michigan program (predicated on the social cognitive theory) was tailored specifically to the concerns and preferences of young African American adults. The entire program was completed electronically, without any specialized human support. At 2 weeks and 3 months after program completion, participants were contacted for follow-up. RESULTS A total of 89% of enrolled subjects completed the 6-week intervention, and 77% were available for evaluation at 3 months. All subjects completing the 2-week postprogram survey reported that the program was helpful, and 97% would recommend it to others. Asthma control as measured by the Asthma Control Test improved from 16.1 to 19.3 (P < .01), and asthma quality of life as measured by the Mini Asthma Quality of Life Questionnaire improved from 4.0 to 5.1 (P < .01). CONCLUSIONS The Breathe Michigan program is feasible for recruitment and retention, and demonstrated an improvement in asthma control and quality of life for young African American adults.
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Affiliation(s)
- Aimee L Speck
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich
| | - Michael Hess
- School of Information, University of Michigan, Ann Arbor, Mich
| | - Alan P Baptist
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, University of Michigan, Ann Arbor, Mich; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Mich.
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Le D, Holt CL, Saunders DR, Wang MQ, Coriolan A, Savoy AD, Slade JL, Muwwakkil B, Atkinson NL. Feasibility and acceptability of SMS text messaging in a prostate cancer educational intervention for African American men. Health Informatics J 2015; 22:932-947. [PMID: 26324051 DOI: 10.1177/1460458215598636] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
African Americans' greater access to mobile phones makes short messaging service technology a promising complement to health promotion interventions. Short messaging service text messages were added to the Men's Prostate Awareness Church Training project, a men's health intervention for African American men. We report on the feasibility and acceptability of the use of short messaging service text messages in the intervention. Short messaging service text messages served as (1) workshop reminders; (2) post-workshop message reinforcement; (3) spiritual/motivational messages; and (4) participant retention. At workshop 4, over 65 percent of participants wished to continue receiving the messages. While there was an increase in recall over time, more than one-third of the participants did not recall receiving the 53 text messages. However, recall was considerably greater among men who attended the Men's Prostate Awareness Church Training workshops. Overall, the inclusion of text messages in health promotion interventions targeting mature African American men was found to be feasible and acceptable.
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Affiliation(s)
- Daisy Le
- University of Maryland, USA .,Community Ministry of Prince George's County, USA .,Access to Wholistic and Productive Living Institute, Inc., USA .,Westat, USA
| | - Cheryl L Holt
- University of Maryland, USA.,Community Ministry of Prince George's County, USA.,Access to Wholistic and Productive Living Institute, Inc., USA.,Westat, USA
| | - Darlene R Saunders
- University of Maryland, USA.,Community Ministry of Prince George's County, USA.,Access to Wholistic and Productive Living Institute, Inc., USA.,Westat, USA
| | - Min Qi Wang
- University of Maryland, USA.,Community Ministry of Prince George's County, USA.,Access to Wholistic and Productive Living Institute, Inc., USA.,Westat, USA
| | | | - Alma D Savoy
- University of Maryland, USA.,Community Ministry of Prince George's County, USA.,Access to Wholistic and Productive Living Institute, Inc., USA.,Westat, USA
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Mitchell SG, Schwartz RP, Alvanzo AAH, Weisman MS, Kyle TL, Turrigiano EM, Gibson ML, Perez L, McClure EA, Clingerman S, Froias A, Shandera DR, Walker R, Babcock DL, Bailey GL, Miele GM, Kunkel LE, Norton M, Stitzer ML. The Use of Technology in Participant Tracking and Study Retention: Lessons Learned From a Clinical Trials Network Study. Subst Abus 2015; 36:420-6. [PMID: 25671593 DOI: 10.1080/08897077.2014.992565] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND The growing use of newer communication and Internet technologies, even among low-income and transient populations, require research staff to update their outreach strategies to ensure high follow-up and participant retention rates. This paper presents the views of research assistants on the use of cell phones and the Internet to track participants in a multisite randomized trial of substance use disorder treatment. METHODS Preinterview questionnaires exploring tracking and other study-related activities were collected from 21 research staff across the 10 participating US sites. Data were then used to construct a semistructured interview guide that, in turn, was used to interview 12 of the same staff members. The questionnaires and interview data were entered in Atlas.ti and analyzed for emergent themes related to the use of technology for participant-tracking purposes. RESULTS Study staff reported that most participants had cell phones, despite having unstable physical addresses and landlines. The incoming call feature of most cell phones was useful for participants and research staff alike, and texting proved to have additional benefits. However, reliance on participants' cell phones also proved problematic. Even homeless participants were found to have access to the Internet through public libraries and could respond to study staff e-mails. Some study sites opened generic social media accounts, through which study staff sent private messages to participants. However, the institutional review board (IRB) approval process for tracking participants using social media at some sites was prohibitively lengthy. Internet searches through Google, national paid databases, obituaries, and judiciary Web sites were also helpful tools. CONCLUSIONS Research staff perceive that cell phones, Internet searches, and social networking sites were effective tools to achieve high follow-up rates in drug abuse research. Studies should incorporate cell phone, texting, and social network Web site information on locator forms; obtain IRB approval for contacting participants using social networking Web sites; and include Web searches, texting, and the use of social media in staff training as standard operating procedures.
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Affiliation(s)
| | | | - Anika A H Alvanzo
- b Johns Hopkins University School of Medicine , Baltimore , Maryland , USA
| | - Monique S Weisman
- c The Alcoholic Rehabilitation Center of Hawaii , Kaneohe , Hawaii , USA
| | - Tiffany L Kyle
- d The Center for Drug Free Living , Orlando , Florida , USA
| | | | - Martha L Gibson
- f Eskenazi Health, Midtown Community Mental Health Center , Indianapolis , Indiana , USA
| | | | - Erin A McClure
- g Medical University of South Carolina , Charleston , South Carolina , USA
| | - Sara Clingerman
- h Department of Epidemiology , University of Miami , Orlando , Florida , USA
| | - Autumn Froias
- i Stanley Street Treatment and Resources , Fall River , Massachusetts , USA
| | | | - Robrina Walker
- k University of Texas Southwestern Medical Center , Dallas , Texas , USA
| | - Dean L Babcock
- f Eskenazi Health, Midtown Community Mental Health Center , Indianapolis , Indiana , USA
| | - Genie L Bailey
- i Stanley Street Treatment and Resources , Fall River , Massachusetts , USA
| | - Gloria M Miele
- l Columbia University College of Physicians and Surgeons , New York , New York , USA
| | - Lynn E Kunkel
- m Oregon Health & Science University , Eugene , Oregon , USA
| | - Michael Norton
- n Midwestern Connecticut Council on Alcoholism , Danbury , Connecticut , USA
| | - Maxine L Stitzer
- o Johns Hopkins Bayview Medical Center , Baltimore , Maryland , USA
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