Wyoming Rural AIDS Prevention Research Project (WRAP)

怀俄明州农村艾滋病预防研究项目 (WRAP)

• 批准号: 6752426
• 负责人: Anne M Bowen
• 金额: $ 40.42万
• 依托单位: UNIVERSITY OF WYOMING
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-07-01 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6752426
• 关键词: AIDS education /prevention; HIV infections; Internet; behavioral /social science research tag; bisexual; clinical research; communication; condoms; disease /disorder proneness /risk; education evaluation /planning; high risk behavior /lifestyle; homosexuals; human subject; human therapy evaluation; male; rural area; safe sex /sex abstinence; sex behavior; social status; social support network; telemedicine

This proposal is in response to the NIMH RFA MH-01-003, "Communication and HIV/STD Prevention". Seventy-four percent of male HIV cases in Wyoming are among men who have sex with men (MSM). MSM in rural areas are isolated and tend to be secretive about their sexual preferences. Primary means of socializing and meeting sexual partners is by electronic communication and traveling to urban areas. Fear of discovery and/or lack of self- identification as gay or bisexual may inhibit rural MSM from attending face-to-face interventions. Fear, homophobia, and distance prohibit rural MSM from creating identifiable communities, may make community level interventions irrelevant. Although intensive interventions may be cost effective in cities, it is doubtful that small, rural jurisdictions will ever have sufficient funds to implement extensive HIV risk reduction interventions. The development of Internet risk reduction interventions targeting MSM in rural areas presents a unique and cost effective means for intervention delivery. Although Internet interventions have been shown to be useful for assessing sexuality issues, little is known about the dynamics of recruiting and retaining MSM in internet interventions or about the efficacy of internet delivered sexual risk reduction interventions. The Wyoming Rural AIDS Prevention Research Project will be implemented in 2 phases and accomplish the following specific aims: Phase l) Determine the dynamics of Internet use by MSM and develop a typology of HIV risk among rural MSM, and Phase 2) Determine the acceptability and effectiveness of 4 Internet interventions (Information, Self- efficacy, Expert system, Social Network). Social Cognitive theory will be used as an organizing tool for identifying precursors to behavior change. In phase 1 a purposeful sample of 60 men for focus groups and 480 MSM for the Internet assessment will be recruited. The elicitation data from Phase 1 will be used to refine the Phase 2 Internet assessment and interventions. In Phase 2, 960 MSM will be recruited to participate in the intervention efficacy study. This research study is designed as a completely randomized factorial design that will permit comparing the effects of each intervention separately as well as combinations of interventions. If the Internet is an effective medium for delivering HIV risk reduction messages to rural MSM, it will have important implications for many under served rural jurisdictions.

该提案是对NIMH RFA MH-01-003的回应，“通讯和艾滋病毒/性病预防”。怀俄明州男性艾滋病毒案件中有74％是与男性发生性关系的男性。 农村地区的MSM是孤立的，并且倾向于对其性偏好秘密。 社交和与性伴侣会面的主要手段是通过电子沟通和前往城市地区的旅行。 害怕发现和/或缺乏自我识别，因为同性恋或双性恋可能会抑制农村MSM参加面对面的干预措施。 恐惧，同性恋恐惧症和距离禁止农村MSM创建可识别的社区，可能会使社区层面的干预措施无关紧要。尽管密集的干预措施在城市中可能具有成本效益，但怀疑，小型农村司法管辖区将拥有足够的资金来实施大量的艾滋病毒风险降低干预措施。 针对农村地区MSM的互联网风险降低干预措施的开发为干预提供了一种独特的成本效益手段。 尽管互联网干预措施已被证明可用于评估性问题，但对招募和保留MSM在互联网干预措施中的动态或互联网提供了减少性风险干预措施的功效知之甚少。 怀俄明州的农村艾滋病预防研究项目将分为两个阶段，并实现以下具体目的：L）确定MSM的互联网使用动态，并在农村MSM之间开发艾滋病毒风险的类型学，以及第2阶段）确定4个Internet干预措施的可接受性和有效性（信息，自我效率，专家系统，社交网络）。 社会认知理论将用作识别行为改变前体的组织工具。 在第1阶段，将招募60名男性的60名男性和480 MSM的互联网评估样本。 第1阶段的启发数据将用于完善第二阶段的Internet评估和干预措施。在第2阶段，将招募960个MSM参加干预功效研究。 这项研究设计为一种完全随机的阶乘设计，可以分别比较每种干预措施的影响以及干预措施的组合。 如果互联网是向农村MSM传递艾滋病毒风险降低信息的有效媒介，那么它将对许多不足的农村司法管辖区具有重要意义。