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

描述(由申请者提供)：在美国，男男性行为者(MSM)受到艾滋病毒/艾滋病流行的影响不成比例。然而，很少有科学证明的针对黑人MSM的有效艾滋病毒预防干预措施。这个SBIR第一阶段项目将通过创建一个适应套件来弥补这一差距，以支持与黑人MSM一起提供广受欢迎的SISTA/Sihle/Willow艾滋病毒预防套件。产品开发将通过与两个社区组织的参与性研究过程进行，这些组织在向黑人MSM提供艾滋病毒预防服务方面有很长的历史。该项目将为开发创新的模块化适应工具包奠定基础，在该工具包中，每个活动模块将以多种交付形式(如面对面、多媒体、在线)提供，并有专门针对黑人MSM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，从而将适应成本降至最低，并减少偏离经证实的干预措施的基本逻辑和核心要素的可能性。第一阶段项目的最后成果将是来自SISTA/Sihle/Willow套件的一整套经过调整的活动模块，用于两个小时的会议，以及将在第二阶段开发的整个适应工具包的详细大纲。 公共卫生相关性：在美国，男男性行为者(MSM)黑人受到艾滋病毒/艾滋病流行的影响不成比例。然而，很少有科学证明的针对黑人MSM的有效艾滋病毒预防干预措施。该项目将通过创建适应套件来弥补这一差距，以支持黑人男男性接触者提供流行的SISTA/Sihle/Willow艾滋病毒预防套装。该项目将开发一种创新的模块化适应工具包，其中每个活动模块将以多种交付形式(如面对面、多媒体、在线)提供，并有专门针对黑人男男性接触者群体的不同版本。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，从而将适应成本降至最低，并减少偏离经证实的干预措施的基本逻辑和核心要素的可能性。这种用户友好和成本效益高的模块化方法提供了一种模式，可以应用于针对广泛的公共卫生问题的程序改编工具包。该项目还将生成广泛的过程数据，这些数据将阐明在一线的计划适应中平衡计划保真度和满足客户和组织需求的可能性和挑战。

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.