scholarly journals An Intervention to Increase Condom Use Among Users of Chlamydia Self-Sampling Websites (Wrapped): Intervention Mapping and Think-Aloud Study (Preprint)

2018 ◽  
Author(s):  
Katie Newby ◽  
Rik Crutzen ◽  
Katherine Brown ◽  
Julia Bailey ◽  
John Saunders ◽  
...  
Keyword(s):  
Young People ◽  
Behavior Change ◽  
Condom Use ◽  
Intervention Mapping ◽  
Sexually Transmitted ◽  
Intervention Goal ◽  
Group A ◽  
The Uk ◽  
Demonstration Video ◽  
Missed Opportunity

BACKGROUND Young people aged 16-24 years are disproportionately affected by sexually transmitted infections (STIs). STIs can have serious health consequences for affected individuals and the estimated annual cost of treatment to the National Health Service is £620 million. Accordingly, the UK government has made reducing the rates of STIs among this group a priority. A missed opportunity to intervene to increase condom use is when young people obtain self-sampling kits for STIs via the internet. OBJECTIVE Our aim was to develop a theory-based tailored intervention to increase condom use for 16-24-years-olds accessing chlamydia self-sampling websites. METHODS The intervention, Wrapped, was developed using Intervention Mapping and was co-designed with young people. The following steps were performed: (1) identification of important determinants of condom use and evidence of their changeability using computer and digital interventions; (2) setting the intervention goal, performance objectives, and change objectives; (3) identification of Behavior Change Principles (BCPs) and practical strategies to target these determinants; and (4) development of intervention materials able to deliver the BCPs and practical strategies. RESULTS Users of existing chlamydia self-sampling websites are signposted to Wrapped after placing an order for a sampling kit. Salient barriers to condom use are identified by each user and relevant intervention components are allocated to target these. The components include the following: (1) a sample box of condoms, (2) an online condom distribution service, (3) a product for carrying condoms, (4) a condom demonstration video, (5) a series of videos on communication about condom use, and (6) erotic films of real couples discussing and demonstrating condom use. CONCLUSIONS This intervention will be directed at young people who may be particularly receptive to messages and support for behavior change due to their testing status.

scholarly journals Safetxt: a safer sex intervention delivered by mobile phone messaging on sexually transmitted infections (STI) among young people in the UK - protocol for a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e031635
Author(s):  
Caroline Free ◽  
Ona L McCarthy ◽  
Melissa J Palmer ◽  
Rosemary Knight ◽  
Phil Edwards ◽  
...  
Keyword(s):  
Young People ◽  
Condom Use ◽  
Partner Notification ◽  
Text Messages ◽  
Trial Registration ◽  
Sexually Transmitted ◽  
Sti Testing ◽  
Randomised Controlled ◽  
The Uk ◽  
To Receive

IntroductionYoung people aged 16 to 24 have the highest prevalence of genital chlamydia and gonorrhoea compared with other age groups and re-infection rates following treatment are high. Long-term adverse health effects include subfertility and ectopic pregnancy, particularly among those with repeated infections. We developed the safetxt intervention delivered by text message to reduce sexually transmitted infection (STI) by increasing partner notification, condom use and (STI) testing among young people in the UK.Methods and analysisA single-blind randomised trial to reliably establish the effect of the safetxt intervention on chlamydia and gonorrhoea infection at 1 year. We will recruit 6250 people aged 16 to 24 years who have recently been diagnosed with chlamydia, gonorrhoea or non-specific urethritis from health services in the UK. Participants will be allocated to receive the safetxt intervention (text messages designed to promote safer sexual health behaviours) or to receive the control text messages (monthly messages asking participants about changes in contact details) by an automated remote online randomisation system. The primary outcome will be the cumulative incidence of chlamydia and gonorrhoea infection at 1 year assessed by nucleic acid amplification tests. Secondary outcomes include partner notification, correct treatment of infection, condom use and STI testing prior to sex with new partners.Ethics and disseminationEthics approval was obtained from NHS Health Research Authority - London – Riverside Research Ethics Committee (REC reference: 15/LO/1665) and the London School of Hygiene & Tropical Medicine. We will submit the results of the trial for publication in peer-reviewed journals.Trial registration numberInternational Standard Randomised Controlled Trials Number:ISRCTN64390461. Registered on 17thMarch 2016.WHO trial registration data setavailable at:http://apps.who.int/trialsearch/Trial2.aspx?TrialID=ISRCTN64390461.Trial protocol version12, 19thJuly 2018.

Effects of a Health Behavior Change Model—Based HIV/STI Prevention Intervention on Condom Use Among Heterosexual Couples: A Randomized Trial

2008 ◽  
Vol 36 (5) ◽  
pp. 878-894 ◽  
Author(s):  
S. Marie Harvey ◽  
Joan Marie Kraft ◽  
Stephen G. West ◽  
Aaron B. Taylor ◽  
Katina A. Pappas-DeLuca ◽  
...  
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Condom Use ◽  
Standard Of Care ◽  
Health Behavior Change ◽  
Heterosexual Couples ◽  
Sti Prevention ◽  
Sexually Transmitted ◽  
Intermediate Outcomes ◽  
Relationship Factors

This study examines an intervention for heterosexual couples to prevent human immunodeficiency virus/sexually transmitted infections. It also evaluates the effect of the intervention, which is based on current models of health behavior change, on intermediate outcomes (individual and relationship factors) and consistency of condom use. Eligible couples were administered a baseline interview and randomized to either a 3-session theory-based intervention or a 1-session standard of care comparison condition. Men and women completed 3-month interviews; only women completed 6-month interviews. No significant intervention effect on condom use was found among couples at 3 months ( n = 212) or among women ( n = 178) at 6 months. However, condom use increased significantly between baseline and 3 months and baseline and 6 months for participants in both treatment conditions. Intervention effects on condom use self-efficacy were found at 3 months and 6 months and on health-protective communication at 3 months. These findings provide valuable information for the design of future studies to help disentangle the effects of intervening with couples.

Partner‐specific relationship characteristics and condom use among young people with sexually transmitted diseases

2000 ◽  
Vol 37 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Barry P. Katz ◽  
J. Dennis Fortenberry ◽  
Gregory D. Zimet ◽  
Margaret J. Blythe ◽  
Donald P. Orr
Keyword(s):  
Young People ◽  
Condom Use ◽  
Sexually Transmitted Diseases ◽  
Sexually Transmitted ◽  
Specific Relationship

scholarly journals “It’s Not Something You Have to Be Scared About”: Attitudes towards Pregnancy and Fertility among Canadian Aboriginal Young People

2013 ◽  
Vol 7 (1) ◽  
pp. 8
Author(s):  
Karen M. Devries ◽  
Caroline J. Free
Keyword(s):  
Young People ◽  
Condom Use ◽  
Hormonal Contraception ◽  
Unprotected Sex ◽  
Transmitted Infection ◽  
Adolescent Childbearing ◽  
Sexually Transmitted ◽  
Individual Interviews ◽  
Contextual Elements ◽  
Using Data

Using data from a qualitative study on sexual health and condom use among Aboriginal young people in British Columbia, we explore young people’s views on pregnancy, fertility, and how these relate to sexually transmitted infection (STI) vulnerability. During 2004–2005, in-depth individual interviews were conducted with 15 young men and 15 young women who self-identified as Aboriginal. A descriptive thematic analysis is presented here. Aboriginal young people reported that there was some stigma attached to adolescent childbearing in their communities, but also acceptance and some positive norms around adolescent pregnancy. Most young people wanted to delay pregnancy until they were ready; for some, a serious relationship was an acceptable context for pregnancy. In this context, young people’s ambivalence toward pregnancy and concerns about hormonal contraception created a situation where unprotected sex was likely to occur. Families of origin played an important but complex role in shaping behaviour. Interventions that focus solely on condom use are unlikely to reduce rates of STIs among Aboriginal young people, especially those who are ambivalent about pregnancy. Efforts must focus on contextual elements that shape desire for pregnancy to maximize success.

scholarly journals Young people’s knowledge of sexually transmitted infections and condom use surveyed in England

2005 ◽  
Vol 10 (31) ◽  
Author(s):  
Collective Editorial team
Keyword(s):  
Young People ◽  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted ◽  
Sexual Encounters

Many young people in England are not using condoms consistently or correctly during sexual encounters. This is a result of a survey of 1373 young people aged 16-21 at 21 schools and colleges at four sites in England

Report1: Impact of Covid-19 on young people aged 13-24 in the UK- preliminary findings

2020 ◽  
Author(s):  
Liat Levita ◽  
Jilly Gibson Miller ◽  
Todd K. Hartman ◽  
Jamie Murphy ◽  
Mark Shevlin ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Emotional Regulation ◽  
Health Anxiety ◽  
Self Control ◽  
Social Risk ◽  
Need For Support ◽  
The Uk ◽  
Social Recovery ◽  
The Impact

COVID-19 has led to an unprecedented disruption of normal social relationships and activities, which are so important during the teen years and young adulthood, and to education and economic activity worldwide. The impact of this on young people’s mental health and future prospects may affect their need for support and services, and the speed of the nation’s social recovery afterwards. This study focused on the unique challenges facing young people at different points during adolescent development, which spans from the onset of puberty until the mid-twenties. Although this is an immensely challenging time and there is a potential risk for long term trauma, adolescence can be a period of opportunity, where the teenagers’ brain enjoys greater capacity for change. Hence, the focus on young people is key for designing age-specific interventions and public policies, which can offer new strategies for instilling resilience, emotional regulation, and self-control. In fact, adolescents might be assisted to not only cope, but excel, in spite of the challenges imposed by this pandemic. Our work will feed into the larger societal response that utilizes the discoveries about adolescence in the way we raise, teach, and treat young people during this time of crisis. Wave 1 data has already been collected from 2,002 young people aged 13-24, measuring their mental health (anxiety, depression, trauma), family functioning, social networks, and resilience, and social risk-taking at the time of the pandemic. Here we present a preliminary report of our findings, (Report 1). Data collected 21/4/20- 29/4/20 - a month after the lockdown started).

Reed bed treatment systems for sewage treatment in the United Kingdom - the first 10 years’ experience

1995 ◽  
Vol 32 (3) ◽  
pp. 317-327 ◽  
Author(s):  
P. Cooper ◽  
B. Green
Keyword(s):  
Root Zone ◽  
Sewage Treatment ◽  
Horizontal Flow ◽  
Water Industry ◽  
Soil Systems ◽  
Design Changes ◽  
Flow Systems ◽  
Group A ◽  
Reed Bed ◽  
The Uk

The UK Water Industry first became interested in Reed Bed Treatment Systems for sewage in 1985. Early problems were experienced with soil-based horizontal-flow systems of the Root Zone type. The problems were overcome by national co-ordination of a development programme and international co-operation by an EC Expert Contact Group. A number of different types of systems have now been developed and the systems are now being accepted. The paper reviews the development of these systems for secondary and tertiary treatment and nitrification and mentions development of systems for other forms of treatment. The design changes made to overcome the problems are described. These include the gradual move to the use of gravel-based systems because of the difficulty experienced with over-land flow in the soil systems. The sizing of the systems is described together with performance data for the original horizontal-flow and the more recently developed vertical-flow systems. Treatment at secondary and tertiary levels is illustrated and the potential for nitrification. Early problems with reed growth have been overcome by planting with port-grown seedlings. After 10 years the process is generally accepted by the Water Industry as an appropriate treatment for villages and there are now between 200 and 300 systems in operation.

scholarly journals Brief Behavioural Activation (Brief BA) for Adolescent Depression: A Pilot Study

2017 ◽  
Vol 46 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Laura Pass ◽  
Carl W. Lejuez ◽  
Shirley Reynolds
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Young People ◽  
Adolescent Depression ◽  
Psychological Intervention ◽  
Clinical Effectiveness ◽  
Evidence Based ◽  
Behavioural Activation ◽  
Evidence Based Treatments ◽  
The Uk

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.

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