Skip to main content

The Men’s Safer Sex project: intervention development and feasibility randomised controlled trial of an interactive digital intervention to increase condom use in men

Bailey, J.V., Webster, R., Hunter, R., Griffin, M., Freemantle, N., Rait, G., Estcourt, C., Michie, S., Anderson, J., Stephenson, J., and others. (2016) The Men’s Safer Sex project: intervention development and feasibility randomised controlled trial of an interactive digital intervention to increase condom use in men. Health Technology Assessment, 20 (91). ISSN 1366-5278. E-ISSN 2046-4924. (doi:10.3310/hta20910) (KAR id:59743)

Abstract

Background: This report details the development of the Men’s Safer Sex website and the results of a feasibility randomised controlled trial (RCT), health economic assessment and qualitative evaluation.

Methods: (1) Website development: we combined evidence from research literature and the views of experts (n = 18) and male clinic users (n = 43); (2) feasibility RCT: 159 heterosexually active men were recruited from three sexual health clinics and were randomised by computer to the Men’s Safer Sex website plus usual care (n = 84) or usual clinic care only (n = 75). Men were invited to complete online questionnaires at 3, 6, 9 and 12 months, and sexually transmitted infection (STI) diagnoses were recorded from clinic notes at 12 months; (3) health economic evaluation: we investigated the impact of using different questionnaires to calculate utilities and QALYs (the EQ-5D-3L and SQoL questionnaire), and compared different methods to collect resource use; and (4) qualitative evaluation: thematic analysis of interviews with 11 male trial participants and nine clinic staff, as well as free-text comments from online outcome questionnaires.

Conclusions: It would be feasible to conduct a large-scale RCT using clinic STI diagnoses as a primary outcome; however, technical errors and a poor response rate limited the collection of online self-reported outcomes. The next steps are (1) to optimise software for online trials, (2) to find the best ways to integrate digital health promotion with clinical services, (3) to develop more precise methods for collecting resource use data and (4) to work out how to overcome barriers to digital intervention testing and implementation in the NHS.

Funding: This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 20, No. 91. See the NIHR Journals Library website for further project information.

Item Type: Article
DOI/Identification number: 10.3310/hta20910
Subjects: Q Science > QA Mathematics (inc Computing science) > QA 76 Software, computer programming,
R Medicine > RA Public aspects of medicine > RA788 Sexual health
Divisions: Divisions > Division of Computing, Engineering and Mathematical Sciences > School of Engineering and Digital Arts
Depositing User: Chee Siang Ang
Date Deposited: 10 Jan 2017 13:16 UTC
Last Modified: 16 Feb 2021 13:40 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/59743 (The current URI for this page, for reference purposes)
Ang, C.S.: https://orcid.org/0000-0002-1109-9689
  • Depositors only (login required):

Downloads

Downloads per month over past year