Web-Based Intervention for Black Bisexually-Active Men

针对活跃双性恋黑人男性的网络干预

• 批准号: 8080367
• 负责人: JEFFREY T PARSONS
• 金额: $ 21.34万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-10 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8080367
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Adopted; Affect; African American; Alcohol or Other Drugs use; Anus; Area; Attention; Behavior; Behavior Control; Behavioral; Bisexual; Caring; Clinical; Communities; Comprehension; Control Groups; Diagnosis; Disclosure; Education; Enrollment; Evaluation; Feedback; Female; Frequencies; Goals; Grant; HIV; HIV Infections; Health; Human immunodeficiency virus test; Incidence; Individual; Infection prevention; Internet; Intervention; Knowledge; Literature; Measures; Modeling; Motivation; Online Systems; Oral; Outcome; Participant; Patient Self-Report; Pattern; Perception; Pharmaceutical Preparations; Population; Prevalence; Prevention; Prevention program; Preventive Intervention; Process; Provider; Randomized; Randomized Controlled Trials; Recording of previous events; Recruitment Activity; Relative (related person); Reporting; Research; Respondent; Risk; Risk Behaviors; Risk Reduction; Sampling; Self Efficacy; Services; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Testing; Theoretical model; Time; Treatment Efficacy; Unsafe Sex; Vagina; Woman; base; brief intervention; condoms; contextual factors; cost; efficacy testing; experience; high risk; innovation; intervention program; male; meetings; men; men who have sex with men; peer; prevent; sex risk; sexually active; skills; social cognitive theory; therapy design; transmission process

Description (provided by the applicant): African Americans are disproportionately affected by HIV/AIDS, and this disparity is further evident among bisexually-active African American men (BAAM).Yet, there is insufficient knowledge regarding sexual risk behaviors of BAAM and the context in which they occur. To date, no interventions in the literature with demonstrated efficacy in reducing HIV-related sexual risk behaviors have been developed and evaluated for BAAM who do not inject drugs. The proposed study will develop and test the efficacy and acceptability of an innovative individually-tailored and culturally-sensitive 6-session online-delivered video intervention that simultaneously targets multiple domains of socio-cultural, structural-level factors, and contextual factors related to HIV risk behavior among BAAM, relative to an attention control (education) condition. This intervention is theoretically informed both in content (using the Information-Motivation-Behavior Skills model) and delivery (using tenets of Social Cognitive theory) and will feature peer BAAM. Both behavioral and biologic outcomes will be measured. Using respondent-driven sampling, a total of 120 BAAM will be enrolled and randomly assigned to either treatment or education-control conditions. They will be longitudinally tracked for six months (assessed at Baseline, month 3, and month 6). In addition to determining the prevalence of lifetime and recent HIV-associated risk behavior among BAAM, this study seeks to evaluate the impact of a brief intervention across three domains over time: (1) intentions/motivations to reduce HIV-associated risk behavior, (2) self-reported HIV-associated risk behavior, and (3) health/prevention knowledge and self-efficacy skills. The long term goal of the proposed project is to develop an empirically validated HIV/STI prevention program that can be delivered online BAAM. Consistent with the R34 mechanism, the final product will be the basis for an R01 application to conduct a large-scale efficacy study in this population. Should this intervention demonstrate effective, it will be a cost feasible approach to preventing HIV transmissions among BAAM, delivered via the medium where many men who have sex with men (including BAAM) actively meet sex partners (i.e., the Internet). Finally, the model for this intervention can easily be adopted by HIV service providers and delivered outside of traditional clinical setting with a variety of populations.

描述（申请人提供）：非裔美国人受艾滋病毒/艾滋病影响的比例过高，这种差异在双性恋活跃的非裔美国人男性（BAAM）中更为明显。然而，对BAAM的性风险行为及其发生的背景知识不足。迄今为止，文献中尚未针对不注射毒品的BAAM开发和评估任何具有减少艾滋病毒相关性风险行为的有效性的干预措施。拟议的研究将开发和测试的有效性和可接受性的创新的个性化和文化敏感的6个会话在线提供的视频干预，同时针对多个领域的社会文化，结构层面的因素，和背景因素之间的艾滋病毒风险行为BAAM，相对于注意力控制（教育）条件。从理论上讲，这种干预在内容（使用信息-动机-行为技能模型）和交付（使用社会认知理论的原则）方面都有信息，并将以同伴BAAM为特色。将测量行为和生物结果。使用应答者驱动抽样，将招募总共120名BAAM，并随机分配至治疗或教育对照条件。他们将被纵向跟踪6个月（在基线、第3个月和第6个月进行评估）。除了确定BAAM中终生和近期HIV相关风险行为的患病率外， 本研究旨在评估短期干预对三个领域的影响：（1） 减少HIV相关危险行为的意图/动机，（2）自我报告的HIV相关危险行为，（3）健康/预防知识和自我效能技能。拟议项目的长期目标是制定一个经经验验证的艾滋病毒/性传播感染预防方案，该方案可以在BAAM在线提供。与R34机制一致，最终产品将是 R 01申请在该人群中进行大规模疗效研究。如果这次干预 证明有效，这将是一个成本可行的方法，以防止艾滋病毒传播之间的BAAM，提供通过媒介，许多男子与男子发生性关系（包括BAAM）积极会见性伙伴（即，互联网）。最后，这种干预模式可以很容易地被艾滋病毒服务提供者采用，并在传统的临床环境之外提供给各种人群。