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Evaluating a Structural and Behavioral HIV Risk Reduction Program for Black Men

评估针对黑人男性的结构和行为艾滋病毒风险降低计划

基本信息

批准号：
8523980
负责人：
Ingrid Alisa Bowleg
金额：
$ 58.49万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-06 至 2017-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8523980
关键词：
AIDS prevention AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Adherence Adopted Adult Affect African Alcohol or Other Drugs use Attention Behavioral Boston Case Management Case Manager Chlamydia Clinic Cognitive Collaborations Communities Community Developments Community Services Counseling Diet and Nutrition Education Effectiveness Employment Ensure Epidemic Evaluation Evaluation Research Exercise Female Funding Gender Gender Role Goals Gonorrhea HIV HIV Infections HIV risk Heterosexuals Homelessness Housing Incidence Infection Intervention Intervention Studies Interview Low income Masculine Measures Mediating Mediator of activation protein Modeling National Childhood Cancer Foundation Outcome Participant Philadelphia Population Prevention Research Prevention program Preventive Intervention Primary Health Care Prisons Process Randomized Randomized Controlled Trials Recording of previous events Relative (related person)Reporting Research Research Methodology Research Personnel Risk Risk Behaviors Risk Factors Risk Reduction Risk-Taking Sexual Partners Stress Structure Surveys Syphilis Testing Training Unemployment United States United States National Institutes of Health Unsafe Sex Woman Work arm base behavior change behavioral/social science community based participatory research community based service community setting comparison group computerized condoms design diet and exercise efficacy testing follow-up health care service utilization health disparity high risk innovation intervention program male male health meetings men nutrition peer programs protective behavior quality assurance response risk perception skills social social science research theories

项目摘要

DESCRIPTION (provided by applicant): The purpose of this study is to evaluate the efficacy of the MEN Count intervention, an HIV intervention and prevention program for heterosexual Black men. The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period. MEN Count was developed and pilot tested using a CBPR approach via funding from an NIH R21, in Boston, MA. Similar CBPR methods accompanied by a more rigorous evaluation design (i.e., a randomized controlled trial- RCT) will be used to test MEN Count in an employment training community service agency for Black men in Philadelphia (NCCF). Study participants (N=504) will be Black men reporting heterosexual risk for HIV [unprotected sex with a woman in the past 30 days and 2+ female sex partners in the past 6 months] and either current unemployment or homeless in the past 6 months. To evaluate the effectiveness of MEN Count, a two-armed RCT will be conducted in which participants will be randomized to receive either MEN Count or an attention comparison program similar to MEN Count in structure but focused on general men's health- nutrition, exercise and primary health care utilization. We will assess program impact on reduction in number of unprotected sex episodes and incident cases of STI (Chlamydia, gonorrhea, syphilis) via survey and STI testing, respectively, at baseline and 6 and 12 month follow-ups. Additionally, quality assurance and process evaluation efforts will be conducted to ensure high quality program adherence and delivery, as well as to support program replication should the model prove effective.

描述（由申请人提供）：本研究的目的是评估MEN计数干预的有效性，这是一项针对异性恋黑人男性的艾滋病毒干预和预防计划。MEN Count模式将减少艾滋病毒风险和两性平等咨询与住房和就业个案管理相结合，由一名同侪个案管理员在60-90天内提供多次一对一的会议。MEN Count是通过马萨诸塞州波士顿的NIH R21资助，使用CBPR方法开发和进行试点测试的。类似的CBPR方法伴随着更严格的评估设计（即，一项随机对照试验（RCT）将被用来测试费城黑人就业培训社区服务机构（NCCF）的MEN计数。研究参与者（N=504）将是报告HIV异性恋风险的黑人男性[在过去30天内与一名女性发生无保护措施的性行为，在过去6个月内与2名以上女性性伴侣发生无保护措施的性行为]，并且在过去6个月内失业或无家可归。为了评估MEN Count的有效性，将进行一项双臂RCT，其中参与者将随机接受MEN Count或结构类似于MEN Count但侧重于一般男性健康的关注比较计划-营养，运动和初级卫生保健利用。我们将分别在基线和6个月及12个月随访时通过调查和STI检测评估项目对减少无保护性行为次数和STI（衣原体、淋病、梅毒）事件的影响。此外，将开展质量保证和流程评价工作，以确保高质量的方案遵守和交付，并在该模式证明有效时支持方案复制。