Human Papilloma Virus (HPV)
Conditions
Keywords
intervention, Knowledge, Homosexual me
Brief summary
Intervention aimed at increasing knowledge of the human papillomavirus in homosexual men as a means of preventing sexually transmitted diseases and controlling complications associated with the pathology.
Detailed description
Introduction: The World Health Organization reports a 21% prevalence of Human Papillomavirus (HPV) in men, with rates reaching 93% among homosexual men. This group exhibits specific characteristics, such as high rates of sexually transmitted infections (STIs) due to multiple partners and inconsistent condom use, along with limited knowledge about HPV. The intervention Safe and Protected Sex, using a horizontal methodology, aims to address this health issue. Objective: To evaluate the effect of the Safe and Protected Sex program on HPV knowledge among homosexual men. Methodology: A quasi-experimental study with a test-retest design and convenience sampling. The sample size was calculated using n'Query Advisor 4.0, resulting in 20 homosexual men per group (n=40).
Interventions
BEHAVIORALSafe and Protected Sex intervention targeting HPV
This study used the Safe and Protected Sex intervention (Báez et al., 2019), adapted and validated from an HIV prevention program to focus on HPV. The intervention consists of a single module with two stages aimed at increasing HPV knowledge by enhancing personal (self-determination) and social (controlled behavior) motivation. Module 1: Nursing Consultation on HPV This structured, planned process follows Corona and Kaltmeier's (2012) horizontal methodology, promoting self-care through social support and trust in nurse-patient dialogue. The goal is to provide counseling on HPV prevention and responsible sexual behavior while acknowledging participants' prior knowledge. Stage 1: A 4.21-minute educational video, HPV Fun Facts, uses persuasive narrative to explain HPV transmission, symptoms, complications, and prevention. Stage 2: A 45-minute Friendly Educational Guidance session uses open-ended questions to explore participants' experiences.
BEHAVIORALDiptych of the Secretary of Health in Mexico
a brochure is provided with general information about the human papilloma virus in men, including the form of contagion, diagnosis, treatment and the use of condoms for prevention.
Sponsors
Francisco Javier Báez Hernández
Hospital Univeristario Benemerita Universidad Autonoma de Puebla
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Masking description
The participants do not know to which group they belong. A single-blind intervention was determined
Intervention model description
The Safe and Protected Sex intervention program for HPV is based on Fisher and Fisher's (1993) IMB model, using social motivation to promote specific preventive actions. It raises cognitive awareness among homosexual men, enhancing their knowledge and understanding of the benefits of protective measures. The program links HPV prevention information to behavior change, incorporating key details on transmission through a horizontal methodology in nursing consultations. The teaching process builds on individuals' perceptions, knowledge, and past experiences. Through reflective learning in nursing consultations, participants make informed decisions, shaping their understanding. HPV knowledge is seen as an evolving process influenced by beliefs, attitudes, concerns, and misconceptions. The intervention fosters a dialogic awareness process, encouraging critical reflection and motivation for prevention, ultimately aiming to create a lasting impact on personal health behavios
Eligibility
Sex/Gender
MALE
Healthy volunteers
Yes
Inclusion criteria
* Males who self-identify as homosexual and/or bisexual. * Engage in sexual relationships with individuals of the same sex. * Willing to voluntarily participate in the study. * Have provided informed consent.
Exclusion criteria
* Homosexual and/or bisexual males with a profession related to the healthcare field.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge of human papillomavirus | 1 month | This Spanish-language questionnaire is intended to measure knowledge about HPV. It is structured by 38 questions, distributed in four dimensions: 1) causal agent of HPV (1, 2 and 3); 2) risk factors (4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 and 15); 3) signs and symptoms (16, 17, 18, 19 and 20) and 4) prevention, diagnosis and treatment (21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 and 38). The structure for answering each of the questions is through a Likert-type scale, where three possible options are presented: A= true, B= false and C= don't know. To obtain the cut-off points of the instrument, percentiles (zero to 100) will be used, where Percentile 1 (P125) = no knowledge, Percentile 2 (P250) = insufficient knowledge, Percentile 3 (P375) = fair knowledge and Percentile 4 (P4100) = adequate knowledge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Personal Motivation | 1 month | To measure personal motivation (self-determination), the Personal Motivation Questionnaire adapted to the Mexican context. It consists of 13 items, which address the preventive behaviors performed by the homosexual male as a result of an emotional-cognitive process, derived from the values and beliefs related to knowledge of HPV, which are manifested during the nursing consultation, through the intervention Safe and Protected Sex. The response form is Likert type: 1= Strongly agree, 2=Significantly agree, 3= Agree, 4= Neither agree nor disagree, 5= Disagree, 6= Strongly disagree, 7= Strongly disagree, also the score ranges from 13 to 91 points, however for a better interpretation of the data the values are converted into a scale from 0 to 100, where high scores indicate a higher personal motivation during the nursing consultation. The validity of the instrument was through eight experts, which yielded a content validity index |
| social motivation | 1 month | To measure social motivation (controlled behavior), the Social Motivation Questionnaire adapted to the Mexican context . It consists of 15 items, which deal with the actions that the homosexual male has derived from the social support perceived during the nursing consultancy with horizontal methodology, granted through the intervention Safe and Protected Sex directed towards HPV. The response form is Likert type: 1= Strongly agree, 2= Strongly agree, 3= Agree, 4= Neither agree nor disagree, 5= Disagree, 6= Strongly disagree, 7= Strongly disagree, also the score ranges from 15 to 105 points, however for a better interpretation of the data the values are converted into a scale from 0 to 100, where high scores indicate a higher extrinsic motivation during the nursing consultation. |
Countries
Mexico
Outcome results
None listed