Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2025 Apr 18:11:e65674.
doi: 10.2196/65674.

The Effect of a Brief Video-Based Intervention to Improve AIDS Prevention in Older Men: Randomized Controlled Trial

Tian Huaju #  1 , Xie Rendie #  2 , Xiao Lu  1 , Li Mei  3 , Luo Yue  3 , Zhang Daiying  1 , Chen Yanhua  4 , Ren Jianlan #  1
Affiliations
Randomized Controlled Trial

The Effect of a Brief Video-Based Intervention to Improve AIDS Prevention in Older Men: Randomized Controlled Trial

Tian Huaju et al. JMIR Public Health Surveill. .

Abstract

Background: The AIDS epidemic among older people is becoming more serious. Evidence-based, acceptable, and effective preventive interventions are urgently needed. Video-based interventions have become an innovative way to change behaviors, and we have developed a brief video-based intervention named Sunset Without AIDS.

Objective: In this study, we tested the effectiveness of a brief video-based intervention targeting older men's understanding of AIDS prevention.

Methods: A randomized controlled trial was conducted from June 20 to July 3, 2023. In total, 100 older men were randomly divided into the intervention group (n=50) and the control group (n=50) using the envelope extraction method. The intervention group was shown the Sunset Without AIDS video; the control group viewed a standard AIDS education video. A questionnaire was used to measure the effect of Sunset Without AIDS after 2 interventions. AIDS-related high-risk behaviors were followed up 1 and 3 months after the intervention. The difference was statistically significant at P≤.05.

Results: After 2 interventions, the total awareness rates (%) of AIDS-related knowledge in the intervention and control groups were 84% (42/50) and 66% (33/50), respectively (P=.04). The mean stigma attitude scores of the 2 groups were 2.53 (SD 0.45) and 2.58 (SD 0.49), respectively (P=.55), but there was a statistically significant difference in the first dimension (fear of infection) between the 2 groups (P<.001). The mean positive scores of attitudes of AIDS-related high-risk behaviors of the 2 groups were 83.33 (SD 21.56) and 75.67 (SD 26.77), respectively (P=.58). In addition, 82% reported that they were satisfied with the educational content within the Sunset Without AIDS video. At 1- and 3-month follow-ups conducted after the intervention, participants in the 2 groups did not report AIDS-related high-risk behaviors. After watching the 2 videos, more people accepted and were satisfied with Sunset Without AIDS.

Conclusions: Sunset Without AIDS could improve the ability of older men in China to follow best practices for AIDS prevention and provide a certain basis for the innovation of AIDS education in the older adult population.

Keywords: AIDS; AIDS prevention; HIV; older men; video; video-based intervention.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1.
Figure 1.. Screenshots of the Sunset Without AIDS intervention video.
Figure 2.
Figure 2.. The participant flow throughout the study from screening to follow-up.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. AIDSinfo: people living with HIV. UNAIDS. Nov 8, 2023. [28-02-2025]. https://aidsinfo.unaids.org/ URL. Accessed.
    1. National Health Commission of the People’s Republic of China. Nov 23, 2018. [28-02-2025]. http://www.nhc.gov.cn/wjw/xwdt/201811/b0ca3817224e44899a3248a0f6e48948.s... URL. Accessed.
    1. World AIDS Day Focus: these changes have emerged among domestic infected people! [Website in Chinese] Chinanews. Dec 1, 2020. [28-02-2025]. http://www.chinanews.com/sh/2020/12-01/9351177.shtml URL. Accessed.
    1. The latest core information on AIDS prevention in 2020 is released! [Website in Chinese] Chinese Center for Disease Control and Prevention. Nov 8, 2023. [28-02-2025]. https://www.chinacdc.cn/ URL. Accessed.
    1. Gao Y, Lu HZ. Research progress on influencing factors of AIDS-related high-risk sexual behavior in the elderly. Chin J AIDS STD. 2020;26(4):452–454. doi: 10.13419/j.cnki.aids.2020.04.31. doi. - DOI

Publication types

LinkOut - more resources