An Innovative HIV Prevention Intervention Using Social Networking Technology

利用社交网络技术的创新艾滋病毒预防干预措施

• 批准号: 8140725
• 负责人: Corina Lelutiu-Weinberger
• 金额: $ 14.66万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8140725
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Address; Affect; Age; Anal Sex; Attitude; Award; Behavior; Behavior Therapy; Behavioral; Budgets; Consent; Data; Data Collection; Drug usage; Education; Enrollment; Feedback; Focus Groups; Generations; HIV; HIV Infections; Individual; Infection; Intervention; Intervention Trial; Interview; Life Style; Methodology; Methods; Modality; Modeling; Modification; Motivation; New York City; Office Visits; Participant; Pattern; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Preparation; Prevention; Preventive Intervention; Procedures; Process; Professional counselor; Protocols documentation; Qualitative Evaluations; Randomized Controlled Trials; Readiness; Recommendation; Reporting; Research; Research Personnel; Risk; Risk Assessment; Risk Reduction; Risk-Taking; Rural Population; Science; Shapes; Site; Social Network; Staging; Structure; Technology; Testing; Therapeutic Intervention; Time; Training; Transcript; United States Public Health Service; Unsafe Sex; base; behavior change; design; efficacy trial; follow-up; high risk; high risk sexual behavior; informant; innovation; male health; men who have sex with men; motivational enhancement therapy; post intervention; preference; response; sex risk; social; social networking website; therapy design

DESCRIPTION (provided by applicant): This project proposes to reconfigure traditional HIV prevention intervention mechanisms to better serve young men who have sex with men (YMSM), whose social and sexual patterns are increasingly shaped by social networking. Drawing on the Information Motivation Behavior model and the principles of Motivational Interviewing (MI), this project will engage HIV-negative YMSM (ages 18-29) in an intervention intended to impact their readiness to change behaviors that put them at risk for HIV infection, namely drug use and sexual risk. The proposed project is a modification of an existing intervention (the Young Men's Health Project or YMHP), in which 24% of those who consented to participate in longitudinal assessments declined participation in the intervention component. This group reported significantly more sexual risk behaviors than intervention participants, however, did not find our current mode of intervention delivery - four weekly office visits with a trained counselor - to fit their lifestyle or preferences. In response to pilot data collected from these participants, the proposed project adapts the existing intervention to support changes in (1) the intervention tailoring process (incorporating key informant feedback instead of delivering solely researcher-designed sessions) and (2) the space in which the intervention takes place (online rather than face-to-face). The study will iteratively adapt and pilot-test the existing face-to-face intervention for delivery through social networking sites, such as Facebook, to increase engagement of high-risk YMSM, who have been difficult to enroll in traditional intervention efforts. This pilot study entails a two-phase process. During Phase I, 15 former YMHP participants (intervention decliners and those who only completed one session) will participate in focus groups to advise us on the feasibility and pragmatic specifications of an HIV prevention intervention received via the instant messaging (IM) function of Facebook. Transcripts of these focus groups will be examined to isolate key recommendations for modifying the delivery modality, structure, and procedures. Once the intervention is modified, the focus groups will be reconvened for additional feedback, from which we will further adjust the intervention. During Phase II, 30 high-risk YMSM (ages 18-29) who are Facebook users will be enrolled in a pilot of the modified intervention. The intervention will span 4 weeks and contain 8 bi-weekly 30 minute MI chat-window sessions consisting of a sequential progression of intervention approaches tailored to each participant's readiness to change their drug use and high risk sexual behavior. Data from Phase II will include pre-post intervention behavioral risk assessments, as well as individual interviews with all 30 intervention participants for a qualitative evaluation regarding the feasibility and acceptability of the intervention's process, structure, and content. The proposed design provides an ideal forum to develop, implement, and iteratively fine-tune a pioneering, interactive intervention delivered via social networking, which will in turn set the stage for a larger efficacy trial. PUBLIC HEALTH RELEVANCE: Findings from the proposed study will inform existing HIV prevention interventions for high-risk drug-using young men who have sex with men (YMSM), in order to make them more acceptable, culturally appropriate, and accessible to this population. This iterative modification of a face-to-face intervention to be delivered via social networking will facilitate more successful recruitment of hard-to-engage HIV-negative behaviorally risky YMSM. This model has tangible benefits to sexual risk and drug use reduction efforts nationally as it (1) provides a pragmatic alternative to the traditional face-to-face intervention model, (2) facilitates engagement with a wider, more diverse pool of high-risk YMSM, including underserved rural populations, and (3) provides a feasible and culturally acceptable protocol for online intervention trials among high-risk YMSM to public health/service agencies, allowing them to circumvent budget, time and staffing constraints.

描述（由申请人提供）：该项目建议重新配置传统的艾滋病毒预防干预机制，以更好地为男同性恋青年（YMSM）提供服务，他们的社交和性模式越来越多地受到社交网络的影响。利用信息动机行为模型和动机访谈（MI）的原则，该项目将使艾滋病毒阴性的YMSM（18-29岁）参与干预，旨在影响他们改变使他们处于艾滋病毒感染风险的行为的准备，即吸毒和性风险。拟议的项目是对现有干预措施（青年男子健康项目或YMHP）的修改，其中24%同意参加纵向评估的人拒绝参加干预部分。这组人报告的性风险行为明显多于干预参与者，但是，没有发现我们目前的干预提供模式-每周四次与训练有素的顾问进行办公室访问-适合他们的生活方式或偏好。针对从这些参与者收集的试点数据，拟议的项目调整了现有的干预措施，以支持以下方面的变化：（1）干预措施定制过程（纳入关键的知情人反馈，而不是仅提供研究人员设计的会议）和（2）干预措施发生的空间（在线而不是面对面）。该研究将反复调整和试点测试现有的面对面干预，通过社交网站（如Facebook）提供，以增加高风险YMSM的参与，他们很难参加传统的干预工作。这项试点研究需要分两个阶段进行。在第一阶段，15名前YMHP参与者（干预下降者和仅完成一次会议的参与者）将参加焦点小组，就通过Facebook的即时消息（IM）功能收到的艾滋病预防干预的可行性和实用规范向我们提供建议。这些焦点小组的成绩单将被检查，以隔离修改交付模式，结构和程序的关键建议。一旦干预措施被修改，焦点小组将重新召集额外的反馈，我们将进一步调整干预措施。在第二阶段，30名高风险的YMSM（18-29岁）将参加修改后的干预试点。干预将持续4周，包含8次每两周一次的30分钟MI聊天窗口会议，包括针对每位参与者改变其药物使用和高风险性行为的准备情况定制的干预方法的顺序进展。第二阶段的数据将包括干预前后的行为风险评估，以及与所有30名干预参与者的个别访谈，以定性评估干预过程、结构和内容的可行性和可接受性。拟议的设计提供了一个理想的论坛，可以开发、实施和迭代微调通过社交网络提供的开创性互动干预措施，这反过来又将为更大规模的功效试验奠定基础。 公共卫生关系：拟议研究的结果将为现有的艾滋病毒预防干预措施提供信息，用于与男性发生性关系的高危吸毒青年男子（YMSM），以使其更容易接受，文化上更合适，并为这一人群所用。这种通过社交网络提供的面对面干预的迭代修改将有助于更成功地招募难以参与的HIV阴性行为风险YMSM。这一模式对全国减少性风险和毒品使用的努力有切实的好处，因为它（1）为传统的面对面干预模式提供了一种务实的替代方案，（2）促进了与更广泛、更多样化的高风险YMSM群体的接触，包括得不到充分服务的农村人口，和（3）为公共卫生/服务机构提供了一个可行的和文化上可接受的方案，用于在高危YMSM中进行在线干预试验，使他们能够规避预算，时间和人员限制。