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Motivating Changes in Condom, Methamphetamine Use During MSM Sexual Encounters

促使男男性行为者发生性行为时使用安全套和甲基苯丙胺的变化

基本信息

批准号：
7494566
负责人：
WILLIAM A ZULE
金额：
$ 21.83万
依托单位：
RESEARCH TRIANGLE INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-30 至 2009-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7494566
关键词：
Motivating Changes Condom Methamphetamine Use

项目摘要

DESCRIPTION (provided by applicant): Methamphetamine use among men who have sex with men (MSM) has been associated with participation in a variety of high-risk sexual behaviors and increased HIV incidence rates. However, few, if any, effective interventions targeting methamphetamine use among MSM have been developed and tested with this population. Methamphetamine use among MSM was initially considered a problem primarily in large western cities, such as San Francisco and Los Angeles, and the majority of research on its use among MSM has been conducted in these areas. More recently, methamphetamine use has become a significant problem in smaller cities and in other parts of the country. Yet less is known about methamphetamine use among MSM and its association with HIV risk in these other areas. This proposed 2-year study will be conducted in the Raleigh-Durham area in North Carolina. The study will be conducted in two phases. Year 1 will consist of a formative phase to (a) increase our understanding of the relationship between methamphetamine use and risky sexual behavior among MSM, (b) evaluate different strategies for recruiting methamphetamine-using MSM, (c) identify barriers to safer sex among methamphetamine-using MSM, and (d) assess the acceptability of a range of behavioral change objectives for reducing HIV risk behaviors among methamphetamine-using MSM. An intervention mapping approach will be used to develop an intervention based on motivational interviewing (Ml) and instruments for measuring outcomes. In Year 2, we will test the intervention with 80 methamphetamine-using MSM using a pre-post test design, analyze the results, and disseminate findings. The specific aims are to (1) conduct formative work to understand the context of HIV risk for methamphetamine-using MSM, evaluate the feasibility (e.g., recruitment and retention strategies) and acceptability of behavioral change objectives for an intervention to reduce HIV risk among methamphetamine-using MSM, and identify barriers to change (e.g., skills deficits, perceived risk, perceived self-efficacy); we will also conduct a literature review and secondary data analysis of existing data sets to better understand the issues surrounding methamphetamine use and risky sexual behavior; (2) develop and pretest a motivational interviewing HIV prevention intervention based on the findings from the formative Phase; and (3) pilot test the intervention through a one-group pretest-posttest design to determine efficacy of he intervention to increase readiness to change and reduce sexual risk behaviors.

描述（由申请人提供）：男男性行为者（MSM）使用甲基苯丙胺与参与各种高风险性行为和增加艾滋病毒发病率有关。然而，很少，如果有的话，有效的干预措施，针对甲基苯丙胺使用的男男性行为者已经制定和测试与这一人群。最初认为男男性行为者使用甲基苯丙胺主要是在西部大城市，如旧金山弗朗西斯科和洛杉矶，大多数关于男男性行为者使用甲基苯丙胺的研究都是在这些地区进行的。最近，甲基安非他明的使用在小城市和该国其他地区已成为一个严重问题。然而，对MSM中甲基苯丙胺的使用及其与这些其他领域艾滋病毒风险的关联知之甚少。这项拟定的2年研究将在北卡罗来纳州的罗利-达勒姆地区进行。研究将分两个阶段进行。第一年将包括一个形成阶段，以（a）增加我们对甲基苯丙胺使用和MSM之间危险性行为之间关系的理解，（B）评估招募使用甲基苯丙胺的MSM的不同策略，（c）识别使用甲基苯丙胺的MSM之间安全性行为的障碍，（d）评估一系列行为改变目标的可接受性，以减少使用甲基苯丙胺的MSM中的艾滋病毒风险行为。将采用干预绘图方法，根据动机访谈和衡量结果的工具制定干预措施。在第二年，我们将测试干预与80甲基苯丙胺使用MSM使用前后测试设计，分析结果，并传播的结果。具体目标是（1）开展形成性工作，以了解使用甲基苯丙胺的MSM的艾滋病毒风险背景，评估可行性（例如，招募和保留策略）和行为改变目标的可接受性，以减少使用甲基苯丙胺的MSM中的艾滋病毒风险，并确定改变的障碍（例如，技能缺陷、感知风险、感知自我效能）;我们还将对现有数据集进行文献综述和二级数据分析，以更好地了解有关甲基苯丙胺使用和危险性行为的问题;（2）开发和预测试动机访谈艾滋病毒预防干预措施基于形成阶段的调查结果;（3）通过单组前测-后测设计对干预措施进行预试，以确定干预措施对提高改变意愿和减少危险性行为的有效性。