PDF(Pubmed)
Abstract：
BACKGROUND: The incidence of sexually transmitted infections has been increasing throughout the world. Additionally, substantial changes in emerging adults\' attitudes toward sex and the popularization of premarital sex could further affect the diagnosis and treatment of sexually transmitted infections. With the high acceptability and effectiveness of instant messaging (IM) interventions for health promotion, there is potential for such interventions to improve condom use knowledge and promote safer sex practice.
OBJECTIVE: The study evaluates the feasibility of a nurse-led IM intervention to promote safer sex practices in emerging adults.
METHODS: A 30-minute adaptive IM intervention and a 5-day booster dose of daily messages after 2 weeks through WhatsApp (Meta Platforms, Inc) were conducted with emerging adults in local universities in Hong Kong aged between 18 and 29 years with previous sexual experience. A questionnaire was distributed 1 week after the intervention that measured the consistency in condom use, the change in condom use knowledge and attitudes, and the acceptability of the intervention. The feasibility of the intervention was assessed by Bowen\'s feasibility framework.
RESULTS: A total of 20 participants completed the intervention and questionnaire. Results showed (1) high satisfaction level (mean satisfaction score: 9.10/10), (2) high demand of the intervention (retention rate: 95%), (3) smooth implementation of the intervention, (4) high practicality (13/20, 65% of the participants viewed IM to be an effective means of intervention), (5) potential integration of the intervention, and (6) significant mean increase in condom use knowledge and attitudes (mean increase 9.05; t19=3.727; 95% CI 3.97-14.13; P=.001).
CONCLUSIONS: The IM intervention was feasible, acceptable, and had potential impacts on improving safer sex practices. These findings will support the future development of IM interventions in the arena of sexual health promotion.
OBJECTIVE: The study evaluates the feasibility of a nurse-led IM intervention to promote safer sex practices in emerging adults.
METHODS: A 30-minute adaptive IM intervention and a 5-day booster dose of daily messages after 2 weeks through WhatsApp (Meta Platforms, Inc) were conducted with emerging adults in local universities in Hong Kong aged between 18 and 29 years with previous sexual experience. A questionnaire was distributed 1 week after the intervention that measured the consistency in condom use, the change in condom use knowledge and attitudes, and the acceptability of the intervention. The feasibility of the intervention was assessed by Bowen\'s feasibility framework.
RESULTS: A total of 20 participants completed the intervention and questionnaire. Results showed (1) high satisfaction level (mean satisfaction score: 9.10/10), (2) high demand of the intervention (retention rate: 95%), (3) smooth implementation of the intervention, (4) high practicality (13/20, 65% of the participants viewed IM to be an effective means of intervention), (5) potential integration of the intervention, and (6) significant mean increase in condom use knowledge and attitudes (mean increase 9.05; t19=3.727; 95% CI 3.97-14.13; P=.001).
CONCLUSIONS: The IM intervention was feasible, acceptable, and had potential impacts on improving safer sex practices. These findings will support the future development of IM interventions in the arena of sexual health promotion.
摘要：
背景：性传播感染的发病率在世界范围内一直在增加。此外,新兴成年人对性态度的实质性变化和婚前性行为的普及可能进一步影响性传播感染的诊断和治疗。随着即时消息（IM）干预措施对健康促进的可接受性和有效性，此类干预措施有可能提高安全套使用知识并促进安全性行为。
目的：该研究评估了护士主导的IM干预在新兴成年人中促进安全性行为的可行性。
方法：通过WhatsApp进行30分钟的适应性IM干预和2周后的5天加强剂量的每日信息（Meta平台，Inc）是与香港本地大学中年龄在18至29岁之间并有性经历的新兴成年人一起进行的。干预后1周发放问卷，测量避孕套使用的一致性，避孕套使用知识和态度的变化，以及干预的可接受性。通过Bowen的可行性框架评估干预措施的可行性。
结果：共有20名参与者完成了干预和问卷。结果显示(1)满意度较高(平均满意度得分为9.10/10)，(2)干预需求高(保留率:95%),（3）干预措施的顺利实施，（4）实用性高（13/20，65％的参与者认为IM是一种有效的干预手段），(5)干预的潜在整合，（6）避孕套使用知识和态度的平均显着增加（平均增加9.05;t19=3.727;95％CI3.97-14.13;P=.001）。
结论：IM干预是可行的，可接受,并对改善安全性行为产生了潜在影响。这些发现将支持IM干预措施在性健康促进领域的未来发展。
目的：该研究评估了护士主导的IM干预在新兴成年人中促进安全性行为的可行性。
方法：通过WhatsApp进行30分钟的适应性IM干预和2周后的5天加强剂量的每日信息（Meta平台，Inc）是与香港本地大学中年龄在18至29岁之间并有性经历的新兴成年人一起进行的。干预后1周发放问卷，测量避孕套使用的一致性，避孕套使用知识和态度的变化，以及干预的可接受性。通过Bowen的可行性框架评估干预措施的可行性。
结果：共有20名参与者完成了干预和问卷。结果显示(1)满意度较高(平均满意度得分为9.10/10)，(2)干预需求高(保留率:95%),（3）干预措施的顺利实施，（4）实用性高（13/20，65％的参与者认为IM是一种有效的干预手段），(5)干预的潜在整合，（6）避孕套使用知识和态度的平均显着增加（平均增加9.05;t19=3.727;95％CI3.97-14.13;P=.001）。
结论：IM干预是可行的，可接受,并对改善安全性行为产生了潜在影响。这些发现将支持IM干预措施在性健康促进领域的未来发展。
