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Using the multiphase optimization strategy to engineer an optimized STI preventive intervention among college students

Published online by Cambridge University Press:  10 May 2018

Kari Christine Kugler
Affiliation:
Penn State Clinical and Translational Science Institute, Hershey, PA, USA
Amanda E. Tanner
Affiliation:
Penn State Clinical and Translational Science Institute, Hershey, PA, USA
David L. Wyrick
Affiliation:
Penn State Clinical and Translational Science Institute, Hershey, PA, USA
Jeffrey J. Milroy
Affiliation:
Penn State Clinical and Translational Science Institute, Hershey, PA, USA
Brittany D. Chambers
Affiliation:
Penn State Clinical and Translational Science Institute, Hershey, PA, USA
Alice Ma
Affiliation:
Penn State Clinical and Translational Science Institute, Hershey, PA, USA
Linda M. Collins
Affiliation:
Penn State Clinical and Translational Science Institute, Hershey, PA, USA
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Abstract

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OBJECTIVES/SPECIFIC AIMS: The goal of this study is to develop an effective and efficient STI preventive intervention among college students following the principles and phases of MOST. METHODS/STUDY POPULATION As part of the preparation phase, an explicit conceptual model, drawing heavily on theory and prior research, was used to translate the existing science into 5 candidate intervention components (ie, descriptive norms, injunctive norms, expectancies, perceived benefits of protective behavioral strategies, and self-efficacy). For the optimization phase, in Fall 2016 all first-year students (n=3547) from 4 universities were recruited to participate. Students were randomized to 1 of 32 different experimental conditions that included a combination of the candidate intervention components. Component effectiveness was evaluated using data from an immediate post-intervention survey on respective component mediators (eg, alcohol and sex-related descriptive norms). After a second factorial experiment (Fall 2017), only those intervention components that meet the pre-specified criteria of day ≥0.15 will be included in the optimized intervention. The evaluation phase will evaluate the effectiveness of the optimized STI preventive intervention via a randomized-control trial (Fall 2018). RESULTS/ANTICIPATED RESULTS: Preliminary results from the first factorial experiment suggest that descriptive norms and injunctive norms intervention components were significantly effective in reducing post-intervention perceived alcohol prevalence (β=−0.28, p<0.001) and approval of alcohol (β=−0.33, p<0.001), and sex-related norms (β=−0.23, p<.001). These results, in combination with process data, are being used to inform revisions of the intervention components to be included in a second factorial screening experiment. DISCUSSION/SIGNIFICANCE OF IMPACT: This study demonstrates how an iterative approach to engineering an STI preventive intervention using MOST can affect the behaviors of college students and serve as a foundation for other translational science.

Type
Outcomes Research/Health Services Research/Comparative Effectiveness
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Association for Clinical and Translational Science 2018