Literacy-scaffolded, web-based change of HIV risk intention

以扫盲为基础、基于网络的艾滋病毒风险意向改变

• 批准号: 7121323
• 负责人: Alvin Rees Midgley
• 金额: $ 10万
• 依托单位: NOTABOOK PUBLISHING, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2007-11-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7121323
• 关键词: AIDS; behavior; clinical research; perception

DESCRIPTION (provided by applicant): This SBIR application hypothesizes that a tailored, interactive, literacy-scaffolded, web-based intervention that is based on an adaptation of a validated, behavioral model can 1) improve understanding of transmission of HIV/AIDS and 2) improve intent to reduce risky behavior more than a static website with similar content. Our specific aims are to: 1) develop a pilot version of a literacy-scaffolded intervention to promote understanding of HIV/AIDS transmission and improve intent to reduce risky behavior; 2) evaluate the feasibility of using the intervention for both those with HIV or at risk for acquiring it to improve understanding of HIV/AIDS transmission, improve intent to reduce risky behavior, and obtain feedback on the intervention; and 3) develop our Phase II application. With assurances of anonymity and explanation of potential value of the intervention, we will recruit participants 18 to 35 years old from HIV clinics and testing facilities. A review team from the target audience will assist with content development and help evaluate the Phase I pilot. In a pre-website survey, we will assess participants' knowledge about HIV/AIDS (especially transmission), perception of personal susceptibility of acquiring or spreading HIV, reported behaviors that increase their risk of acquiring or spreading HIV, perception of peer group norms, balance of barriers to and benefits of changing their risk behavior, and feelings of self-efficacy. By combining this input with discrete approaches for those with and without HIV, and guided by an adaptation of the Health Belief Model, we will tailor what each participant sees by providing personalized, content written at 3 levels of reading ability. In comparison with controls viewing a conventional website, this individualized website is expected to 1) motivate and engage participants, 2) help all, including those with low literacy, to understand better what they need and want to know about HIV/AIDS, 3) improve intention to reduce risky behavior, 4) increase rates of HIV screening among at-risk participants, and 5) have a positive effect on perception of peer group norms. We anticipate that customized versions of the resulting product will have commercial applications leading to widespread dissemination via license to physicians, clinics, and health care support groups; corporations; universities, colleges, community colleges, preparatory schools, and high schools; and individuals. With 40,000 people/yr continuing to be infected with HIV, an effective means to reduce risk behaviors for contracting/transmitting HIV that could be disseminated widely at low cost would have great public health value.

描述（由申请人提供）：该 SBIR 申请假设，基于经过验证的行为模型的改编的定制、交互式、扫盲支架、基于网络的干预措施可以 1) 提高对 HIV/艾滋病传播的理解，2) 比具有类似内容的静态网站更能提高减少危险行为的意图。我们的具体目标是： 1) 开发扫盲支架干预措施的试点版本，以促进对艾滋病毒/艾滋病传播的了解并提高减少危险行为的意愿； 2) 评估对艾滋病毒感染者或有感染艾滋病毒风险的人使用干预措施的可行性，以提高对艾滋病毒/艾滋病传播的了解，提高减少危险行为的意愿，并获得有关干预措施的反馈； 3) 开发我们的第二阶段应用程序。在保证匿名并解释干预措施潜在价值的情况下，我们将从艾滋病诊所和检测机构招募 18 至 35 岁的参与者。来自目标受众的审核团队将协助内容开发并帮助评估第一阶段试点。在网站前的调查中，我们将评估参与者对艾滋病毒/艾滋病（尤其是传播）的了解、对个人感染或传播艾滋病毒易感性的看法、报告的增加感染或传播艾滋病毒风险的行为、对同侪群体规范的看法、改变危险行为的障碍和好处的平衡，以及自我效能感。通过将这种输入与针对感染和未感染艾滋病毒的人的离散方法相结合，并在健康信念模型的指导下，我们将通过提供按 3 个阅读能力级别编写的个性化内容来定制每个参与者所看到的内容。与浏览传统网站的对照组相比，这个个性化网站预计将 1) 激励和吸引参与者，2) 帮助所有人，包括识字率低的人，更好地了解他们需要和想了解的有关艾滋病毒/艾滋病的信息，3) 提高减少危险行为的意愿，4) 提高高危参与者的艾滋病毒筛查率，5) 对同伴群体规范的看法产生积极影响。我们预计最终产品的定制版本将具有商业应用，从而通过向医生、诊所和医疗保健支持团体授予许可而广泛传播；公司；大学、学院、社区学院、预科学校和高中；和个人。由于每年有 40,000 人继续感染艾滋病毒，因此一种能够以低成本广泛传播的减少感染/传播艾滋病毒危险行为的有效方法将具有巨大的公共卫生价值。