Adapting the SISTA/SIHLE/WILLOW HIV Prevention Trilogy for Black Men Who Have Sex

描述（由申请人提供）：在美国，与男性发生性关系的黑人男性（MSM）受到艾滋病毒/艾滋病流行病的影响不成比例。然而，很少有科学证明针对黑人男同性恋者的有效艾滋病毒预防干预措施。SBIR第一阶段项目将通过创建一个适应工具包来解决这一差距，以支持向黑人男同性恋者提供流行的SISTA/SIHLE/WILLOW艾滋病毒预防套件。产品开发将通过与两个长期向黑人男男性行为者提供艾滋病毒预防服务的社区组织的参与性研究过程进行。该项目将为开发一种创新的模块化适应工具包奠定基础，其中每个活动模块将以多种交付形式（例如，面对面、多媒体、在线）呈现，并有专门针对黑人男男性行为者亚群体的不同版本。通过这种方式，艾滋病毒预防提供者将能够从符合其客户需求的活动版本中进行选择，从而最大限度地降低适应成本，并减少偏离已证实的干预措施的基本逻辑和核心要素的可能性。第一阶段项目的最终交付成果将是SISTA/SIHLE/WILLOW套件的一套完整的适应活动模块，用于两到小时的会议，以及第二阶段将开发的整个适应工具包的详细大纲。

DESCRIPTION (provided by applicant): Black men who have sex with men (MSM) have been disproportionately affected by the HIV/AIDS epidemic in the United States. Yet, there are very few scientifically demonstrated effective HIV prevention interventions targeting Black MSM. This SBIR Phase I project will address this gap by creating an adaptation kit to support the delivery of the popular SISTA/SIHLE/WILLOW HIV prevention suite with Black MSM. Product development will occur through a participatory research process with two community-based organizations with long histories of providing HIV prevention services to Black MSM. The project will lay the foundation for the development of an innovative modular adaptation kit in which each activity module will be presented in multiple delivery formats (e.g., face-to-face, multimedia, online) and with different versions specifically tailored to sub- populations of Black MSM. In this way, HIV prevention providers will be able to select from activity versions that match their clients' needs, thereby minimizing adaptation costs and reducing the likelihood of straying from the proven intervention's underlying logic and core elements. The final deliverables of the Phase I project will be a complete set of adapted activity modules for a two to hour session from the SISTA/SIHLE/WILLOW suite and a detailed outline for the entire adaptation kit to be developed in Phase II. PUBLIC HEALTH RELEVANCE: Black men who have sex with men (MSM) have been disproportionately affected by the HIV/AIDS epidemic in the United States. Yet, there are very few scientifically demonstrated effective HIV prevention interventions targeting Black MSM. This project will address this gap by creating an adaptation kit to support the delivery of the popular SISTA/SIHLE/WILLOW HIV prevention suite with Black MSM. The project will develop an innovative modular adaptation kit in which each activity module will be presented in multiple delivery formats (e.g., face-to-face, multimedia, online) and with different versions specifically tailored to sub-populations of Black MSM. In this way, HIV prevention provider will be able to select from activity versions that match their clients' needs, thereby minimizing adaptation costs and reducing the likelihood of straying from the proven intervention's underlying logic and core elements. This user-friendly and cost-effective modular approach provides a model that can be applied to program adaptation kits for a wide range of public health issues. The project will also generate extensive process data that will illuminate the possibilities and challenges of balancing program fidelity and meeting client and organizational needs in program adaptation on the frontline.