{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:02:50Z","timestamp":1782187370651,"version":"3.54.5"},"reference-count":37,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2015,1,21]]},"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sexually transmitted infections (STI) are a major public health problem. Condoms provide effective protection but there are many barriers to use. Face-to-face health promotion interventions are resource-intensive and show mixed results. Interactive digital interventions may provide a suitable alternative, allowing private access to personally tailored behaviour change support. We have developed an interactive digital intervention (the Men's Safer Sex (MenSS) website) which aims to increase condom use in men. We describe the protocol for a pilot trial to assess the feasibility of a full-scale randomised controlled trial of the MenSS website in addition to usual sexual health clinical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>Participants: Men aged 16 or over who report female sexual partners and recent unprotected sex or suspected acute STI. Participants (N=166) will be enrolled using a tablet computer in clinic waiting rooms. All trial procedures will be online, that is, eligibility checks; study consent; trial registration; automated random allocation; and data submission. At baseline and at 3, 6 and 12\u2005months, an online questionnaire will assess condom use, self-reported STI diagnoses, and mediators of condom use (eg, knowledge, intention). Reminders will be by email and mobile phone. The primary outcome is condom use, measured at 3\u2005months. STI rates will be recorded from sexual health clinic medical records at 12\u2005months. The feasibility of a cost-effectiveness analysis will be assessed, to calculate incremental cost per STI prevented (Chlamydia or Gonorrhoea), from the NHS perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval: City and East NHS Research Ethics Committee (reference number 13 LO 1801). Findings will be made available through publication in peer-reviewed journals, and to participants and members of the public via Twitter and from the University College London eHealth Unit website. Raw data will be made available on request.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      Current Controlled Trials.\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"isrctn\" xlink:href=\"18649610\">ISRCTN18649610<\/jats:ext-link>\n                      . Registered 15 October 2013\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.controlled-trials.com\/ISRCTN18649610\" ext-link-type=\"uri\">http:\/\/www.controlled-trials.com\/ISRCTN18649610<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2014-007552","type":"journal-article","created":{"date-parts":[[2015,2,16]],"date-time":"2015-02-16T22:54:10Z","timestamp":1424127250000},"page":"e007552","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["The Men's Safer Sex (MenSS) trial: protocol for a pilot randomised controlled trial of an interactive digital intervention to increase condom use in men"],"prefix":"10.1136","volume":"5","clinical-trial-number":[{"clinical-trial-number":"isrctn18649610","registry":"10.18810\/isrctn"}],"author":[{"given":"Julia V","family":"Bailey","sequence":"first","affiliation":[{"name":"eHealth Unit, Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosie","family":"Webster","sequence":"additional","affiliation":[{"name":"eHealth Unit, Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Hunter","sequence":"additional","affiliation":[{"name":"PRIMENT Clinical Trials Unit, Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Freemantle","sequence":"additional","affiliation":[{"name":"PRIMENT Clinical Trials Unit, Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greta","family":"Rait","sequence":"additional","affiliation":[{"name":"PRIMENT Clinical Trials Unit, Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Michie","sequence":"additional","affiliation":[{"name":"Research Department of Clinical, Educational, and Health Psychology, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Estcourt","sequence":"additional","affiliation":[{"name":"BICMS, Barts and The London School of Medicine & Dentistry, Barts Sexual Health Centre, St Bartholomew's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Anderson","sequence":"additional","affiliation":[{"name":"Homerton Sexual Health Services, Homerton University Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makeda","family":"Gerressu","sequence":"additional","affiliation":[{"name":"Centre for Sexual Health and HIV Research, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Centre for Sexual Health and HIV Research, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chee Siang","family":"Ang","sequence":"additional","affiliation":[{"name":"School of Engineering and Digital Arts, University of Kent, Canterbury, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Hart","sequence":"additional","affiliation":[{"name":"Department of Infection & Population Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sacha","family":"Dhanjal","sequence":"additional","affiliation":[{"name":"eHealth Unit, Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Murray","sequence":"additional","affiliation":[{"name":"eHealth Unit, Research Department of Primary Care and Population Health, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,2,16]]},"reference":[{"key":"2025121512315978000_5.2.e007552.1","unstructured":"National Institute for Health and Clinical Excellence. One to one interventions to reduce the transmission of sexually transmitted infections (STIs) including HIV, and to reduce the rate of under 18 conceptions, especially among vulnerable and at risk groups. London: National Institute for Health and Clinical Excellence, 2007."},{"key":"2025121512315978000_5.2.e007552.2","unstructured":"Health Protection Agency. Infection report. Health Protection Report: Weekly Report 2013 June 5;7(23) http:\/\/www.hpa.org.uk\/hpr\/archives\/2013\/hpr2313.pdf"},{"key":"2025121512315978000_5.2.e007552.3","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2008.008120"},{"key":"2025121512315978000_5.2.e007552.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69662-1"},{"key":"2025121512315978000_5.2.e007552.5","doi-asserted-by":"publisher","DOI":"10.1016\/0738-3991(94)90065-5"},{"key":"2025121512315978000_5.2.e007552.6","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.2.211"},{"key":"2025121512315978000_5.2.e007552.7","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025493503255"},{"key":"2025121512315978000_5.2.e007552.8","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1007\/s11121-012-0300-7","article-title":"A systematic review of behavioral interventions to prevent HIV infection and transmission among heterosexual, adult men in low- and middle-income countries","volume":"14","author":"Townsend","year":"2013","journal-title":"Prev Sci"},{"key":"2025121512315978000_5.2.e007552.9","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318247925e"},{"key":"2025121512315978000_5.2.e007552.10","doi-asserted-by":"publisher","DOI":"10.1177\/135581969800300405"},{"key":"2025121512315978000_5.2.e007552.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(98)00440-7"},{"key":"2025121512315978000_5.2.e007552.12","doi-asserted-by":"publisher","DOI":"10.1177\/1359105302007003220"},{"key":"2025121512315978000_5.2.e007552.13","doi-asserted-by":"crossref","unstructured":"Bailey JV , Murray E , Rait G , et al . Interactive computer-based interventions for sexual health promotion. Cochrane Database Syst Rev 2010;(9):CD006483. doi:10.1002\/14651858.CD006483.pub2","DOI":"10.1002\/14651858.CD006483.pub2"},{"key":"2025121512315978000_5.2.e007552.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2004.01.015"},{"key":"2025121512315978000_5.2.e007552.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.08.023"},{"key":"2025121512315978000_5.2.e007552.16","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1052"},{"key":"2025121512315978000_5.2.e007552.17","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32831c5500"},{"key":"2025121512315978000_5.2.e007552.18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2958.2010.01376.x"},{"key":"2025121512315978000_5.2.e007552.19","doi-asserted-by":"crossref","first-page":"S102","DOI":"10.1016\/S0140-6736(13)62527-1","article-title":"Development of a theory-based interactive digital intervention to improve condom use in men in sexual health clinics: an application of qualitative methods using the behaviour change wheel","volume":"382","author":"Webster","year":"2013","journal-title":"Lancet"},{"key":"2025121512315978000_5.2.e007552.20","unstructured":"Erens B , McManus S , Field J , et al . National survey of sexual attitudes and lifestyles II: Technical report. National Centre for Social Research London, 2001."},{"key":"2025121512315978000_5.2.e007552.21","doi-asserted-by":"crossref","first-page":"e278","DOI":"10.2196\/jmir.2668","article-title":"The Sexunzipped pilot trial: optimizing the design of online randomized controlled trials","volume":"15","author":"Bailey","year":"2013","journal-title":"J Med Internet Res"},{"key":"2025121512315978000_5.2.e007552.22","doi-asserted-by":"publisher","DOI":"10.1348\/135910710X492341"},{"key":"2025121512315978000_5.2.e007552.23","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"2025121512315978000_5.2.e007552.24","unstructured":"National Institute for Clinical Excellence. Guide to the methods of technology appraisal. National Institute for Clinical Excellence (NICE), 2004."},{"key":"2025121512315978000_5.2.e007552.25","doi-asserted-by":"publisher","DOI":"10.1002\/hec.1426"},{"key":"2025121512315978000_5.2.e007552.26","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-1"},{"key":"2025121512315978000_5.2.e007552.27","unstructured":"West R , Hardy A . Theory of addiction. Wiley-Blackwell, 2006."},{"key":"2025121512315978000_5.2.e007552.28","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(03)00015-1"},{"key":"2025121512315978000_5.2.e007552.29","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1300\/J499v08n01_02","article-title":"Validation of a partner sexual communication scale for use in HIV\/AIDS prevention interventions","volume":"8","author":"Milhausen","year":"2007","journal-title":"J HIV\/AIDS Prev Child Youth"},{"key":"2025121512315978000_5.2.e007552.30","doi-asserted-by":"publisher","DOI":"10.1177\/107319119900600409"},{"key":"2025121512315978000_5.2.e007552.31","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.1991.9936238"},{"key":"2025121512315978000_5.2.e007552.32","doi-asserted-by":"crossref","first-page":"e276","DOI":"10.2196\/jmir.2647","article-title":"The Sexunzipped trial: young people's views of participating in an online randomized controlled trial","volume":"15","author":"Nicholas","year":"2013","journal-title":"J Med Internet Res"},{"key":"2025121512315978000_5.2.e007552.33","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60701-0"},{"key":"2025121512315978000_5.2.e007552.34","unstructured":"Curtis L . Unit costs of health and social care. Personal Social Services Research Unit, 2013."},{"key":"2025121512315978000_5.2.e007552.35","unstructured":"Joint Formulary Committee. British national formulary. 65th edn. Pharmaceutical Press, 2013."},{"key":"2025121512315978000_5.2.e007552.36","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2009.07.012"},{"key":"2025121512315978000_5.2.e007552.37","unstructured":"Kelly MP , McDaid D , Ludbrook A , et al . Economic appraisal of public health interventions. London: Health Development Agency, 2005."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2014-007552","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T20:32:11Z","timestamp":1765830731000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2014-007552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2]]},"references-count":37,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2015,2,16]]},"published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1136\/bmjopen-2014-007552"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2014-007552","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2]]}}}