Reducing Urban Women's HIV Risk: Soap Opera Videos on Video Capable Cell Phones

降低城市女性感染艾滋病毒的风险：视频手机上的肥皂剧视频

基本信息

批准号：
8566276
负责人：
Rachel Jones
金额：
$ 36.33万
依托单位：
NORTHEASTERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-12-01 至 2014-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8566276
关键词：
AIDS diagnosis Accounting Acquired Immunodeficiency Syndrome Address African American Awareness Behavior Cellular Phone Centers for Disease Control and Prevention (U.S.)Charge Cities Clinic Communication Computer Assisted Computers Control Groups Data Decision Support Systems Development Devices Drama Eligibility Determination Focus Groups Freedom Frequencies Funding Gap Junctions Gender HIV Handheld Computers Health Health Promotion Health behavior High Risk Woman Incidence Internet Intervention Interview Latina Measures Methods Modality Multimedia Neighborhoods Online Systems Phase Prevention Privacy Process Public Health Randomized Controlled Trials Recruitment Activity Research Personnel Risk Risk Behaviors Risk Reduction Screening procedure Secure Series Sexual Partners Soaps Strategic Planning Stream Stress Target Populations Technology Testing Text Trust United States National Library of Medicine Unsafe Sex Voice Wireless Technology Woman age group aged arm base behavior change design expectation experience group intervention health disparity high risk high risk sexual behavior improved inclusion criteria male pressure programs response sex sex risk social theories web site young adult

项目摘要

DESCRIPTION (provided by applicant): Reducing Urban Women's HIV Risk: Soap Opera Videos on Video-Capable Cell Phones According to the CDC, the majority (80%) of women with HIV became infected by unprotected sex with an infected male partner. Black and Latina women accounted for 82% of AIDS diagnoses in women in 2005. The purpose of this proposal is to evaluate whether a series of 12-weekly data and theory-based urban soap operas will promote a reduction in HIV sex risk behavior in young urban African American and Latina women. Toni's Story is based on content analysis of focus group discussions with the target population. By grounding stories in urban women's own experiences, via a popular medium of the soap opera, women can identify with the heroines' emotionally charged process of change, transforming their behavior through a new awareness of their value as women, of their choices, and their potential. Messages about reducing HIV sexual risk are designed to fulfill familiar relationship needs. Because trust, sexual pressure and power form the nexus of sex scripts associated with HIV sexual risk, these themes are examined through the pursuits of the various characters as sub-plots. A randomized controlled trial (RCT) with 250 high-risk women aged 18 to 29, recruited in neighborhood settings in Newark and Jersey City, will be conducted to test the effect of the video-based intervention on HIV sexual risk behavior. A control group will receive text messages with audio that stress HIV health promotion messages. The series of 12 20-minute videos to the video intervention group (n=125) and 12- weekly HIV-risk reduction text/ audio messages to the control group (n=125) will be viewed over video-capable cell phones so that women may view the videos and text messages repeatedly and in privacy. It is expected that as a result of watching the video series, the video intervention group will demonstrate greater reductions in unprotected sex from baseline to 3 and 6 months than will the control group. Further, it is expected that they will demonstrate lower sexual pressure, indicating lower stereotypical expectations to engage in unprotected sex. Secondary analyses will determine whether there are differences in these results by partner type, whether there is a reduction in the number of high risk sex partners, and whether choosing to watch the videos more frequently will relate to further reduction in risk behavior. Interviews will be conducted by audio computer assisted self-interview (ACASI). The program will track when, how often, and for how long the videos are viewed. If the aims of this proposal are achieved, the use of the cell phone to view videos could change the paradigm of how health promotion is amplified between clinic sessions. Potentially hard to reach young urban women who may be at risk for HIV, will be able to access video-based interventions on their own cell phones. The popularity of the cell phone and use of the Internet for multimedia offer a new communication channel to address health disparities in young urban women. PUBLIC HEALTH RELEVANCE: Relevance to Public Health According to the CDC, the majority (80%) of women with HIV became infected by unprotected sex with an infected male partner. Black women and Latinas accounted for 82% of AIDS diagnoses in women in 2005. Toni's Story is a series of 12 urban soap opera videos that communicates messages about reducing HIV sexual risk. By grounding the stories in women's relationship experiences, via a popular medium of the soap opera, women can identify with the heroines' emotionally charged process of change. The videos will be streamed to video-capable cell phones so that they can be viewed repeatedly and in privacy. If the aims of this proposal are achieved, potentially hard to reach young urban women who may be at risk for HIV will be able to access health promotion videos on their own cell phones. The popularity of the cell phone and use of the Internet for multimedia provide a new communication channel to address health disparities.

描述（由申请人提供）：降低城市女性艾滋病毒风险：根据疾病预防控制中心（CDC）的肥皂剧视频：大多数艾滋病毒（80％）的艾滋病毒妇女与受感染的男性伴侣无保护的性别感染。 Black and Latina妇女在2005年占妇女的艾滋病诊断的82％。该提议的目的是评估一系列12周的数据和基于理论的城市肥皂剧是否会促进年轻的非裔美国人和拉丁裔妇女的HIV性风险行为的降低。托尼的故事基于与目标人群进行焦点小组讨论的内容分析。通过通过肥皂剧的流行媒介来扎根城市妇女自己的经历中的故事，妇女可以认同女主角在情感上充满改变的变化过程，通过对自己作为女性，选择和潜力的价值的新认识来改变其行为。有关减少艾滋病毒性风险的信息旨在满足熟悉的关系需求。因为信任，性压力和力量形成了与艾滋病毒性风险相关的性脚本的联系，因此通过各种角色作为子图的追求来检查这些主题。将进行一项随机对照试验（RCT），其中250名18至29岁的高风险妇女将在纽瓦克和泽西城的邻里环境中招募，以测试基于视频干预对HIV HIV性风险行为的影响。对照组将接收带有音频的短信，这些音频强调HIV健康促进消息。视频干预组（n = 125）的12个20分钟视频和12个每周的HIV风险降低文本/音频消息（n = 125）将通过可供视频的手机观看，以便女性可以反复观看视频和短信。可以预期，观看视频系列的结果，视频干预组将表现出比对照组的未保护性别从基线到3和6个月的降低。此外，预计他们将表现出较低的性压力，表明从事无保护性别的刻板印象期望较低。次级分析将确定这些结果在伴侣类型中是否存在差异，是否减少了高风险性伴侣的数量以及选择更频繁地观看视频的次数是否与风险行为的进一步降低有关。访谈将由Audio Computer Assisted SelfterView（ACASI）进行。该程序将跟踪视频的观看时间，何时，多久和时间。如果实现了该提案的目的，则使用手机来观看视频可能会改变诊所会议之间如何放大健康促进的范例。可能很难接触可能有艾滋病毒危险的年轻城市妇女，将能够在自己的手机上获得基于视频的干预措施。手机的受欢迎程度和互联网用于多媒体提供了一个新的通信渠道，以解决年轻城市妇女的健康差异。公共卫生相关性：与疾病预防控制中心的公共卫生相关，大多数艾滋病毒妇女（80％）与受感染的男性伴侣无保护的性别感染。黑人妇女和拉丁裔占2005年妇女艾滋病诊断的82％。托尼的故事是一系列12个城市肥皂剧视频，传达了有关减少艾滋病毒性风险的信息。通过通过肥皂剧的流行媒介来扎根女性关系经历中的故事，妇女可以认同女主人公的情感变革过程。这些视频将流到具有视频功能的手机，以便可以反复观看并在隐私中查看。如果实现了这一提议的目的，那么可能很难接触到可能有艾滋病毒风险的年轻城市妇女，将能够在自己的手机上访问健康促进视频。手机的受欢迎程度和用于多媒体的互联网使用提供了一个新的通信渠道来解决健康差异。