HIV Risk Prevention: A Computer Tutorial

描述（由申请人提供）：最近的证据表明，男男性行为者（MSM）中新的艾滋病毒和性病感染率正在上升，特别是在30岁以下的男男性行为者中。有色人种社区似乎面临的风险尤其大。该项目的第一阶段通过交互式多媒体计算机教程开发了一项艾滋病毒预防干预计划，该计划包含信息、动机和行为成分。安全性行为教程的可用性在32名年轻男男性行为者（包括40%的少数群体男男性行为者）中得到了成功的演示。拟议的第二阶段安全性行为将以更大的灵活性继续进行，将首先在医生办公室和其他男男性接触者导向的机构提供。扩展后的项目将包括多个层次的分支；它将为目前处于高风险和低至中度风险的男男性行为者提供有针对性的动机干预，基于他们改变更危险活动的意图。该课程将通过CD-Rom或通过面向msm的网站和聊天室的互联网提供。第二阶段的主要研究共涉及140名男男性行为者，他们将被随机分配到实验条件(安全性行为II指南或由我们的男男性行为机构专家选择的传统风险降低信息，这些信息将被设计为与指南相同的时间（45分钟到一个小时）。两组都将立即进行后测，测量信息和态度。对两组进行为期3个月和6个月的计算机跟踪评估，评估风险行为、降低风险的知识以及改变风险行为的态度。艾滋病毒和艾滋病的治疗非常昂贵。一种基于经验的艾滋病毒预防方法，能够以低成本接触到广泛的受众，对那些有财政激励或公共卫生责任来处理艾滋病毒/性病问题的组织非常有吸引力。

DESCRIPTION (provided by applicant): Recent evidence indicates that the rate of new HIV and STD infections among men who have sex with men (MSM) is rising, especially among MSM under age 30. Communities of color appear to be at particular risk. Phase I of this project developed an HIV preventative intervention program with informational, motivational and behavioral components via an interactive, multimedia computer tutorial. Usability of the Safer Sex Tutorial was successfully demonstrated with 32 young MSM, including 40% minority MSM. The proposed Phase II Safer Sex will continue with increased flexibility, will be available initially in physician's offices and other MSM oriented agencies. The expanded program will include multiple levels of branching; and it will provide targeted motivational interventions for MSM currently at high risk and low to moderate risk, based on their intention to change their more risky activities. The program will be designed to be delivered by CD-Rom or through the internet at MSM-oriented websites and chat rooms. The major study for Phase II involves a total of 140 MSM who will be randomly assigned to experimental condition (the Safer Sex II Tutorial or traditional risk reduction information chosen by our experts from MSM agencies, which will be designed to take the same amount of time as the Tutorial (45 minutes to an hour). There will be an immediate post-test for both groups, measuring information and attitudes. There will also be a 3 month and a 6 month computerized assessment follow up for both groups, assessing risky behaviors, knowledge about risk reduction, and attitudes toward changing risky behaviors. HIV and AIDS treatment is very costly. An empirically based HIV prevention method with the ability to reach a wide audience at low cost is quite attractive to organizations that have either a financial incentive or a public health responsibility to address the issue of HIV/STD.