Adapting the SiSTA/SiHLE/WiLLOW Prevention Trilogy for Black Men

描述（由申请人提供）：改编《SISTA/SiHLE/WiLLOW预防与男性发生性关系的黑人艾滋病毒三部曲》自艾滋病毒/艾滋病开始流行以来，与男性发生性关系的黑人受到艾滋病毒/艾滋病的不成比例的影响。然而，很少有科学证明针对黑人男同性恋者的有效艾滋病毒预防干预措施。SBIR二期项目将填补这一空白，并通过创建(1)模块化方案包和在线方案构建器，为服务于黑人男男性行为者的社区组织、卫生部门和诊所填补一个重要的产品细分市场，以支持向黑人男男性行为者提供流行的SISTA/SIHLE/WILLOW艾滋病预防套件；（二）经改编的节目的互动式计算机传送版本；(3)在线论坛，提供更新的资源，使从业者能够分享项目实施的关注点和经验。我们还将在三个州进行一项三组准实验结果研究，以评估这些项目在减少黑人男同性恋者艾滋病毒风险行为方面的有效性。该项目提供了许多创新，包括创建了第一个专门为黑人男同性恋者设计的基于证据的计算机艾滋病毒预防方案；开发模块化程序包和在线程序构建器，为黑人男男性行为者的不同亚群体量身定制程序内容；在明确的性健康/减少伤害框架内提出减少风险活动，这是近年来从业人员和公共卫生官员所呼吁的方法（Goldhanner & Mayer, 2011； Grossman等人，2011;Wolitski & Fenton, 2011）；暴露前预防（PREP）作为HIV预防策略的利弊讨论；在结果研究中纳入“血清适应性”减少风险做法（Wei等人，2011年），以评估黑人男同性恋者目前采取的广泛减少危害做法；还有一个在线从业者论坛。总而言之，该项目结合了模块化适应方案、在线方案构建器、计算机提供的干预措施和从业者论坛，提供了一个模式，以支持在实施过程中以经济有效的方式实施针对广泛公共卫生问题的循证方案。

DESCRIPTION (provided by applicant): Adapting the SISTA/SiHLE/WiLLOW HIV Prevention Trilogy for Black Men Who Have Sex with Men (MSM) Black men who have sex with men (MSM) have been disproportionately affected by HIV/AIDS since the beginning of the epidemic. Yet, there are very few scientifically demonstrated effective HIV prevention interventions targeting Black MSM. This SBIR Phase II project will address this gap and fill an important product niche for community-based organizations, health departments and clinics serving Black MSM by creating (1) a modular program package and online program builder to support the delivery of the popular SISTA/SIHLE/WILLOW HIV prevention suite with Black MSM; (2) an interactive, computer-delivered version of the adapted program; and (3) an online forum to provide updated resources and enable practitioners to share program implementation concerns and experiences. We will also conduct a 3-arm, quasi-experimental outcome study in three states to assess the effectiveness of these programs in reducing HIV risk behaviors among Black MSM. The project offers many innovations, including the creation of the first evidence-based computer-delivered HIV prevention program specifically designed for Black MSM; the development of a modular program package and online program builder to tailor program content for different sub-populations of Black MSM; the presentation of risk reduction activities within an explicit sexual health/harm reduction framework, an approach called for by practitioners and public health officials in recent years (Goldhanner & Mayer, 2011; Grossman et al., 2011; Wolitski & Fenton, 2011); a discussion of the pros and cons of pre- exposure prophylaxis (PREP) as an HIV prevention strategy; the inclusion of "seroadaptive" risk reduction practices (Wei et al., 2011) in the outcome study to assess the wide range of harm reduction practices currently practiced by Black MSM; and an online practitioner forum. In sum, the project's combination of a modular adaptation package, online program builder, computer-delivered intervention and practitioner forum provides a model to support the cost-effective implementation of evidence-based programs on a wide range of public health issues in diver implementation contexts.