Evaluating an intervention to increase HIV testing through chat room promotion

评估通过聊天室推广增加艾滋病毒检测的干预措施

• 批准号: 8461182
• 负责人: Scott D Rhodes
• 金额: $ 34.4万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-08 至 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8461182
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Behavior; Catchment Area; Clinic; Communities; Community Participation; Data; Decision Making; Education; Effectiveness; Effectiveness of Interventions; Evaluation; Evaluation Research; Focus Groups; Goals; HIV; HIV risk; Health Policy; Human immunodeficiency virus test; Individual; Infection; Internet; Intervention; Intervention Studies; Interview; Knowledge; Learning; Methods; Modality; Outcome; Participant; Patient Self-Report; Peer Review; Phase; Prevention Research; Preventive Intervention; Process; Protocols documentation; Public Health; Public Health Practice; Publications; Randomized; Relative (related person); Reporting; Research; Research Personnel; Resources; Risk; Science; Services; Site; Testing; Universities; Woman; Work; abstracting; arm; base; behavior change; behavior test; community based participatory research; community organizations; comparison group; design; empowerment; follow-up; meetings; member; men; men who have sex with men; newspaper article; outreach; peer; post intervention; response; sex; social; social cognitive theory; theories; therapy design; web site

DESCRIPTION (provided by applicant): Men who have sex with men (MSM) and use the Internet for social and sexual networking have been identified as at increased risk for HIV. Although HIV prevention outreach and intervention delivery is being done online, evaluations of these interventions tend to emphasize process (not outcomes), focus on hypothesized predictors of change (versus behavior change), and are challenged by high attrition rates and/or short follow-up. In response to PA-08-074 "Community Participation in Research," which promotes "intervention research" that "communities and researchers jointly conduct," our community-based participatory research (CBPR) partnership proposes a 4-year study (R01) to refine, implement, and evaluate a culturally congruent chat room intervention designed to increase HIV testing among MSM. The intervention is entitled CyBER/testing; is based on social cognitive theory and theory of empowerment education; and increased HIV testing rates during a proof-of-concept study. A total of 4 chat rooms that represent 4 geographically distinct catchment areas in NC have been paired and matched based on catchment area sizes. From each matched pair, 1 chat room will be randomized to intervention and the other chat room to delayed intervention. Cross-sectional data will be collected and extant "profile" data will be abstracted from chat room MSM at (1) baseline, (2) immediate post intervention, and (3) 12-month follow-up. This is an intent-to-treat study, in which participant data will be analyzed based on randomization group. Our hypothesis is that those in the intervention, relative to peers in the delayed-intervention comparison group, will have a higher rate of self-reported HIV testing at immediate post-intervention. Qualitative data also will be collected using (1) focus groups with chat room MSM who report having seen the interventionists in the chat rooms, and (2) individual in-depth interviews with MSM who report having talked with an interventionist in the chat rooms and having been tested for HIV. We also will evaluate the CBPR process, using direct observation of partnership meetings and individual in-depth interviews with partners. This study will advance the field of HIV prevention research and fill existing gaps in knowledge in 3 important ways: (1) refining and making available a culturally congruent chat room intervention to increase HIV testing among MSM, ready for further implementation, adaptation to other online modalities and social media, and testing; (2) promoting a deeper understanding of HIV testing behavior among MSM who use Internet chat rooms; and (3) elucidating an HIV prevention research partnership process that includes lay community members, AIDS service organizations, community-based organizations, multiple universities, and an expanding broad spectrum of geographically dispersed partners.

描述（由申请人提供）：与男性发生性关系（MSM）并使用互联网进行社交和性网络的男性已被确定为感染艾滋病毒的风险增加。虽然艾滋病毒预防宣传和干预措施的提供是在线进行的，但对这些干预措施的评价往往强调过程（而不是结果），侧重于假设的变化预测因素（相对于行为变化），并受到高流失率和/或短期随访的挑战。为了响应PA-08-074“社区参与研究”，促进“社区和研究人员共同进行”的“干预研究”，我们的社区参与研究（CBPR）伙伴关系提出了一项为期4年的研究（R 01），以完善，实施和评估旨在增加MSM中艾滋病毒检测的文化一致性聊天室干预。这项干预措施的标题是网络信息和教育/检测;其依据是社会认知理论和赋权教育理论;在一项概念验证研究中提高了艾滋病毒检测率。 共4个聊天室，代表4个地理上不同的集水区在NC已配对和匹配的基础上集水区的大小。在每个匹配的配对中，1个聊天室将随机分配至干预组，另一个聊天室将随机分配至延迟干预组。将收集横断面数据，并在（1）基线、（2）干预后即刻和（3）12个月随访时从聊天室MSM中提取现存的“概况”数据。这是一项意向治疗研究，将根据随机分组对受试者数据进行分析。我们的假设是，那些在干预，相对于同龄人在延迟干预比较组，将有较高的自我报告的艾滋病毒检测率在干预后立即。 定性数据也将收集使用（1）焦点小组与聊天室男男性接触者谁报告说，看到了在聊天室干预，和（2）个人的深入采访男男性接触者谁报告说，在聊天室与干预和已被测试艾滋病毒。我们还将通过直接观察合作伙伴会议和与合作伙伴的个人深入访谈来评估CBPR流程。 这项研究将通过三种重要方式推进艾滋病毒预防研究领域并填补现有的知识空白：（1）完善并提供文化上一致的聊天室干预措施，以增加男男性行为者的艾滋病毒检测，为进一步实施、适应其他在线模式和社交媒体以及检测做好准备;（2）促进对使用互联网聊天室的男男性行为者的艾滋病毒检测行为的更深入了解;以及（3）阐明艾滋病预防研究伙伴关系进程，包括非专业社区成员、艾滋病服务组织、社区组织、多所大学和不断扩大的地理上分散的广泛合作伙伴。