Cargando…
Feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting U.S. Military personnel and family members
BACKGROUND: Over the past 10 years, incidence of sexually transmitted infections (STIs) has increased to record numbers in the United States, with the most significant increases observed among adolescents and young adults. The US military, where the majority of active duty personnel are 18–30 years...
Autores principales: | , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8977033/ https://www.ncbi.nlm.nih.gov/pubmed/35366848 http://dx.doi.org/10.1186/s12889-022-13096-x |
_version_ | 1784680688915578880 |
---|---|
author | Kunz, Anjali Moodley, Amber Colby, Donn J. Soltis, Michele Robb-McGrath, Wesley Fairchok, Alexandra Faestel, Paul Jungels, Amanda Bender, Alexis A. Kamau, Edwin Wingood, Gina DiClemente, Ralph Scott, Paul |
author_facet | Kunz, Anjali Moodley, Amber Colby, Donn J. Soltis, Michele Robb-McGrath, Wesley Fairchok, Alexandra Faestel, Paul Jungels, Amanda Bender, Alexis A. Kamau, Edwin Wingood, Gina DiClemente, Ralph Scott, Paul |
author_sort | Kunz, Anjali |
collection | PubMed |
description | BACKGROUND: Over the past 10 years, incidence of sexually transmitted infections (STIs) has increased to record numbers in the United States, with the most significant increases observed among adolescents and young adults. The US military, where the majority of active duty personnel are 18–30 years old, has seen similar increases. However, the US military does not yet have a standardized, service-wide program for STI education and prevention. METHODS: The KISS intervention (Knocking out Infections through Safer-sex and Screening) was adapted from an evidence-based intervention endorsed by the US Centers for Disease Control and Prevention and consisted of a one-time, small group session. Content included STI/HIV knowledge and prevention, condom use skills, and interpersonal communication techniques. The intervention was pilot tested for feasibility and acceptability among a population of service members and medical beneficiaries at Joint Base Lewis-McChord in Washington state. RESULTS: A total of 79 participants aged 18–30 years were consented to participate in the pilot study and met entry criteria, 66/79 (82.5%) attended the intervention session, and 46/66 (69.7%) returned at 3 months for the final follow-up assessment. The intervention sessions included 31 male (47.0%) and 35 female (53.0%) participants. Almost all participants felt comfortable discussing sexual issues in the group sessions, reported that they intended to practice safer sex after the intervention, and would also recommend the intervention to friends. Knowledge about STI/HIV prevention significantly increased after the intervention, and intervention effects were maintained at 3 months. About one-fifth of participants tested positive for N. gonorrhea or C. trachomatis infection at enrollment, while none had recurrent STIs at the final visit. Use of both male and female condoms increased after the intervention. CONCLUSIONS: The KISS intervention was feasible to implement in the military setting and was acceptable to the active duty service members and other medical beneficiaries who participated in the pilot project. Further studies are needed to determine if the KISS intervention, or others, effectively decrease STI incidence in active duty personnel and would be appropriate for more widespread implementation. TRIAL REGISTRATION: Retrospectively registered as the pilot phase of clinicaltrials.gov NCT04547413, “Prospective Cohort Trial to Assess Acceptability and Efficacy of an Adapted STI/HIV Intervention Behavioral Intervention Program in a Population of US Army Personnel and Their Medical Beneficiaries—Execution Phase.” SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13096-x. |
format | Online Article Text |
id | pubmed-8977033 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-89770332022-04-04 Feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting U.S. Military personnel and family members Kunz, Anjali Moodley, Amber Colby, Donn J. Soltis, Michele Robb-McGrath, Wesley Fairchok, Alexandra Faestel, Paul Jungels, Amanda Bender, Alexis A. Kamau, Edwin Wingood, Gina DiClemente, Ralph Scott, Paul BMC Public Health Research BACKGROUND: Over the past 10 years, incidence of sexually transmitted infections (STIs) has increased to record numbers in the United States, with the most significant increases observed among adolescents and young adults. The US military, where the majority of active duty personnel are 18–30 years old, has seen similar increases. However, the US military does not yet have a standardized, service-wide program for STI education and prevention. METHODS: The KISS intervention (Knocking out Infections through Safer-sex and Screening) was adapted from an evidence-based intervention endorsed by the US Centers for Disease Control and Prevention and consisted of a one-time, small group session. Content included STI/HIV knowledge and prevention, condom use skills, and interpersonal communication techniques. The intervention was pilot tested for feasibility and acceptability among a population of service members and medical beneficiaries at Joint Base Lewis-McChord in Washington state. RESULTS: A total of 79 participants aged 18–30 years were consented to participate in the pilot study and met entry criteria, 66/79 (82.5%) attended the intervention session, and 46/66 (69.7%) returned at 3 months for the final follow-up assessment. The intervention sessions included 31 male (47.0%) and 35 female (53.0%) participants. Almost all participants felt comfortable discussing sexual issues in the group sessions, reported that they intended to practice safer sex after the intervention, and would also recommend the intervention to friends. Knowledge about STI/HIV prevention significantly increased after the intervention, and intervention effects were maintained at 3 months. About one-fifth of participants tested positive for N. gonorrhea or C. trachomatis infection at enrollment, while none had recurrent STIs at the final visit. Use of both male and female condoms increased after the intervention. CONCLUSIONS: The KISS intervention was feasible to implement in the military setting and was acceptable to the active duty service members and other medical beneficiaries who participated in the pilot project. Further studies are needed to determine if the KISS intervention, or others, effectively decrease STI incidence in active duty personnel and would be appropriate for more widespread implementation. TRIAL REGISTRATION: Retrospectively registered as the pilot phase of clinicaltrials.gov NCT04547413, “Prospective Cohort Trial to Assess Acceptability and Efficacy of an Adapted STI/HIV Intervention Behavioral Intervention Program in a Population of US Army Personnel and Their Medical Beneficiaries—Execution Phase.” SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13096-x. BioMed Central 2022-04-02 /pmc/articles/PMC8977033/ /pubmed/35366848 http://dx.doi.org/10.1186/s12889-022-13096-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Kunz, Anjali Moodley, Amber Colby, Donn J. Soltis, Michele Robb-McGrath, Wesley Fairchok, Alexandra Faestel, Paul Jungels, Amanda Bender, Alexis A. Kamau, Edwin Wingood, Gina DiClemente, Ralph Scott, Paul Feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting U.S. Military personnel and family members |
title | Feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting U.S. Military personnel and family members |
title_full | Feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting U.S. Military personnel and family members |
title_fullStr | Feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting U.S. Military personnel and family members |
title_full_unstemmed | Feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting U.S. Military personnel and family members |
title_short | Feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting U.S. Military personnel and family members |
title_sort | feasibility, acceptability, and short-term impact of a brief sexually transmitted infection intervention targeting u.s. military personnel and family members |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8977033/ https://www.ncbi.nlm.nih.gov/pubmed/35366848 http://dx.doi.org/10.1186/s12889-022-13096-x |
work_keys_str_mv | AT kunzanjali feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT moodleyamber feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT colbydonnj feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT soltismichele feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT robbmcgrathwesley feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT fairchokalexandra feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT faestelpaul feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT jungelsamanda feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT benderalexisa feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT kamauedwin feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT wingoodgina feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT diclementeralph feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers AT scottpaul feasibilityacceptabilityandshorttermimpactofabriefsexuallytransmittedinfectioninterventiontargetingusmilitarypersonnelandfamilymembers |