Cognitive Behavioral Therapy for AIDS Prevention among College Students in China: A Cluster Randomized Controlled Trial.

IF 0.8 4区医学 Q4 IMMUNOLOGY Current HIV Research Pub Date : 2023-01-01 DOI:10.2174/011570162X262976231026090819

Yumeng Lei, Xiaochen Xiang, Lingxue Chen, Mingxin He, Simin Li, Qiang Wang

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Abstract

Background: Acquired immune deficiency syndrome (AIDS) is a serious worldwide public health problem and has become the focus of prevention and control in China, while the student population is the key population for AIDS prevention.

Objective: The purpose of this study was to investigate the effects of cognitive behavioral therapy (CBT) on college students' AIDS-related cognitions, attitudes, and behaviors, and to find programmatic strategies for AIDS prevention in terms of changing college students' cognitions and behaviors.

Methods: In a cluster randomized controlled trial, 233 undergraduate students were assigned to the CBT group (CBT-based intervention, n=92), the TAU group (treatment as usual, n=72), and the CON group (no intervention, n=59). AIDS-related knowledge, attitudes, and behaviors of participants were assessed at pre-intervention, post-intervention, and follow-up.

Results: After one month of the study, AIDS-related knowledge, attitudes, and behaviors improved in both the TAU and CBT groups, while there were no significant changes in the CON group. The intervention effect was more significant and sustainable in the CBT group compared to the TAU group.

Conclusions: The application of CBT in AIDS prevention among college students is feasible, acceptable, and effective. CBT can increase the level of knowledge about AIDS, improve AIDS-related attitudes, and increase willingness to use condoms. CBT is expected to replace traditional health education as an innovative tool for AIDS prevention because of its long-lasting and efficacious nature.

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认知行为疗法在中国大学生艾滋病预防中的应用：一项整群随机对照试验。

背景：获得性免疫缺陷综合征（AIDS）是一个严重的世界性公共卫生问题，已成为我国防治的重点，而学生群体是预防艾滋病的重点人群。目的：探讨认知行为疗法（CBT）对大学生艾滋病相关认知、态度和行为的影响，并从改变大学生认知和行为的角度寻找预防艾滋病的方案策略。方法：在一项整群随机对照试验中，233名本科生被分为CBT组（基于CBT的干预，n=92）、TAU组（照常治疗，n=72）和CON组（不干预，n=59）。在干预前、干预后和随访时评估了参与者的艾滋病相关知识、态度和行为。与TAU组相比，CBT组的干预效果更显著且更可持续。结论：CBT在大学生艾滋病预防中的应用是可行的、可接受的、有效的。CBT可以提高对艾滋病的认识水平，改善与艾滋病相关的态度，并增加使用避孕套的意愿。CBT由于其持久有效的性质，有望取代传统的健康教育，成为预防艾滋病的创新工具。

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来源期刊

Current HIV Research 医学-病毒学

CiteScore

1.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current HIV Research covers all the latest and outstanding developments of HIV research by publishing original research, review articles and guest edited thematic issues. The novel pioneering work in the basic and clinical fields on all areas of HIV research covers: virus replication and gene expression, HIV assembly, virus-cell interaction, viral pathogenesis, epidemiology and transmission, anti-retroviral therapy and adherence, drug discovery, the latest developments in HIV/AIDS vaccines and animal models, mechanisms and interactions with AIDS related diseases, social and public health issues related to HIV disease, and prevention of viral infection. Periodically, the journal invites guest editors to devote an issue on a particular area of HIV research of great interest that increases our understanding of the virus and its complex interaction with the host.