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MSM中。有色人种社区似乎面临特别的风险。该项目的第一阶段制定了一个艾滋病毒预防性干预方案，通过交互式多媒体计算机教程提供信息、激励和行为方面的内容。安全性行为指南的可用性在32名年轻的男男性接触者中得到了成功的证明，其中包括40%的少数民族男男性接触者。拟议的第二阶段更安全的性行为将继续增加灵活性，最初将在医生的办公室和其他面向男男性接触者的机构提供。扩大后的计划将包括多个层次的分支;它将为目前处于高风险和低至中等风险的男男性行为者提供有针对性的动机干预，根据他们改变风险更大的活动的意图。该计划将被设计为通过光盘或通过互联网在面向MSM的网站和聊天室提供。第二阶段的主要研究涉及总共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咨询或由我们的专家从男男性行为者机构选择的传统风险降低信息，其设计时间与咨询时间相同（45分钟至1小时）。两组都将立即进行事后测试，衡量信息和态度。还将对两组进行为期3个月和6个月的计算机化评估随访，评估危险行为，降低风险的知识以及对改变危险行为的态度。艾滋病毒和艾滋病的治疗非常昂贵。一种以经验为基础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解决艾滋病毒/性传播疾病问题的组织来说，是相当有吸引力的。

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.