An innovative mobile-based game, named Sexually Active Adolescent Focused Educati

描述（由申请人提供）：在美国，超过一百万人感染了人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS），五分之一的人不知道自己的感染状况1。虽然新感染的总人数在过去4年中保持相对稳定，但13-29岁人群的艾滋病毒感染率增加了21%2。非裔美国人是受影响最严重的群体之一。尽管非洲裔美国人仅占美国人口的14%，但他们占2009年所有新艾滋病毒感染者的44%（21，200人）。在青年人中，少数民族和女童是受艾滋病毒/艾滋病打击特别严重的群体。她们占13至24奥尔兹艾滋病毒/艾滋病病例的61%。此外，只有19%的15至19岁的青少年报告说，他们曾经接受过艾滋病毒3检测。哥伦比亚特区（DC）的情况处于流行水平，居住在DC的非洲裔美国人中有4%感染了艾滋病毒/艾滋病4。在这项研究中，我们的研究小组建议开发一个年龄，性别和文化相关的，基于移动的原型的SAAFE纳入非裔美国青少年的输入。这项为期9个月的研究包括焦点小组、纸质模型、移动的应用程序设计、开发和在哥伦比亚特区的一个试点地点对SAAFE游戏进行试点测试。这项研究建立在我们团队之前在移动的开发、可用性设计和公共卫生方面的工作基础上。我们的团队包括发展心理学和发展科学，性健康，孕产妇和儿童健康，公共政策，基于社区的参与性研究，定量和定性方法，以及移动的发展的专业知识。长期产品目标是将SAAFE产品开发为用户友好、文化相关的跨平台应用程序，可在各种移动的设备上使用，用于城市少数民族青少年的艾滋病毒预防干预以及如何改善积极的性健康信念和实践。如果成功，这项研究将有显着的影响，告知卫生保健从业人员利用理论驱动的，以证据为基础的游戏方法，以改善艾滋病毒预防干预的健康结果。 公共卫生相关性：SAAFE是一个理论驱动的，以证据为基础的，与文化相关的移动的游戏，具有创新的游戏功能，提供了一个具有成本效益的方法，以促进青少年采用健康的性行为。其目的是：（1）改善青少年对性健康风险的认识;（2）提高青少年采取具体保护措施的积极性（即使用避孕套、禁欲、与性健康和生殖健康做法更积极的人结成伙伴、进行性传播感染和艾滋病毒检测）;（3）提高青少年采取具体保护性健康做法的积极性。

DESCRIPTION (provided by applicant): Over a million people in the United States are infected with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), with one out of five unaware of their infection status1. Although the overall number of new infections has remained relatively stable over the past 4 years, the HIV incidence in people aged 13-29 has increased by 21%2. African Americans are among the groups most affected. Even though African Americans represent only 14% of the population in the United States, they accounted for 44% (21,200) of all new HIV infections in 2009. Among youth, minorities and girls are groups that have been particularly hard hit by HIV/AIDS. They represented 61% of HIV/AIDS cases among 13- to 24-year olds. Additionally, only 19% of teens ages 15 to 19 reported that they have ever been tested for HIV3. The situation in the District of Columbia (DC) is at epidemic levels with four percent of African-Americans living in DC infected with HIV/AIDS4. In this study, our research team proposes to develop an age, gender, and culturally-relevant, mobile- based prototype of SAAFE incorporating input from African American adolescents. The 9-month study includes focus group, paper mockup, mobile application design, development and pilot testing of the SAAFE game at one pilot site in the District of Columbia. The research builds upon prior work in mobile development, usability design, and public health from our team. Our team includes expertise in developmental psychology and developmental science, sexual health, maternal and child health, public policy, community based participatory research, quantitative and qualitative methodology, and mobile development. The long-term product goal is to develop the SAAFE product to be user-friendly, culturally-relevant cross- platform application available on various mobile devices for HIV prevention interventions for urban minority adolescents and how to improve positive sexual health beliefs and practices. If successful, the study will have significant impact in informing health care practitioners on leveraging theory-driven, evidence-based gaming approach for improving health outcomes in HIV prevention intervention. PUBLIC HEALTH RELEVANCE: SAAFE is a theory-driven, evidence-based, and culturally-relevant mobile game with innovative game features offers a cost-effective approach to promoting adoption of healthy sexual behaviors in adolescents. It is designed to (1) improve adolescents' perceptions of sexual health risks; (2) increase adolescents' motivation to adopt specific protective factors (namely, use a condom, practice abstinence, partner with others who have more positive sexual and reproductive health practices, and get testing for STIs and HIV); and (3) increase adolescents' adoption of specific protective sexual health practices.