Investigating change in HIV risk in a self-monitoring diary study

在自我监测日记研究中调查艾滋病毒风险的变化

• 批准号: 8625292
• 负责人: Michael E Newcomb
• 金额: $ 15.45万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8625292
• 关键词: AIDS prevention; AIDS/HIV problem; Adolescent; Affect; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Applications Grants; Behavior; Behavioral; Clinical; Cognitive; Control Groups; Data; Data Collection; Dose; Drug usage; Empirical Research; Feedback; Frequencies; Goals; Graph; HIV; HIV risk; Health; Health behavior change; Illicit Drugs; Individual; Infection; Intervention; Lead; Methodology; Monitor; Motivation; Observational Study; Online Systems; Participant; Pattern; Pharmaceutical Preparations; Population; Preventive Intervention; Process; Randomized; Recruitment Activity; Reporting; Research; Research Support; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Self Efficacy; Sex Behavior; Survey Methodology; Technology; Testing; Time; United States; Unsafe Sex; Variant; base; behavior change; binge drinking; cohort; condoms; diaries; emerging adult; experience; individualized feedback; men who have sex with men; programs; research and development; sex; sex risk; social; success; therapy development; tool; young adult

DESCRIPTION (provided by applicant): Young men who have sex with men (YMSM) are profoundly impacted by HIV/AIDS in the United States, but relatively little research has evaluated HIV risk in this population. Notably, binge drinking and illicit drug use have been found to consistently predict sexual risk behavior in YMSM, but few studies have focused on developing interventions for substance-using YMSM. Behavioral diaries are widely-used as a survey method for observing change in health-related behaviors, and behavioral self-monitoring strategies are also frequently used in clinical interventions to induce health-behavior change. Social cognitive processes such as motivation influence the success of self-monitoring, and our previous research found that MSM with greater HIV risk reduction motivation were more likely to reduce their reported unprotected sex over the course of a sexual diary study. However, it is unclear whether motivated MSM simply reduced their sexual risk behavior on their own, or whether they actually benefited from self-monitoring. Despite recent calls to examine the utility of self- monitoring and diary approaches to change sexual risk behavior in YMSM specifically, several important questions remain unanswered: 1) When do sexual diary studies become self-monitoring interventions?; and 2) For whom do self-monitoring diaries serve as interventions? The overarching goal of this study is to examine the conditions under which sexual diaries become self-monitoring interventions for binge-drinking and drug- using YMSM in order to maximize their value as a tool for observation and intervention. To achieve this goal, we will examine the following specific aims: Aim 1: Describe which YMSM, under which situational and contextual conditions, show change in reported sexual risk behavior using web-based behavioral diaries; Aim 2: Experimentally compare frequencies of behavioral diary administration on change in reported sexual risk behavior and participant attrition; and Aim 3: Test the effect of delivering individualized risk behavior feedback. The proposed study will recruit 360 binge-drinking and/or drug-using YMSM (ages 16-29) online into a 2-month web-based sexual diary study. In accordance with Aim 1, we will examine group differences in change in reported sexual risk behavior by age cohort (adolescents, emerging adults, young adults), as well as the influence of social cognitive variables (HIV risk reduction motivation, intentions, and self-efficacy) and substance use (alcohol and illicit drug use) on sexual risk behavior. To achieve Aim 2, we will evaluate differences in reported behavior change and participant attrition by frequency of behavioral diary administration (daily diaries, weekly diarie, or no diaries). For Aim 3, we will test the effect of providing individualized risk behavior feedbak by randomizing YMSM into feedback or no feedback groups. Risk behavior feedback will illustrate: frequency of sexual risk behavior, substance use, and the correlation between these variables. The data collected in this study will aid the PI in transitioning to intervention development research and support a larger grant application to develop a self-monitoring intervention for substance-using YMSM.

描述（由申请人提供）：与男性发生性关系的年轻男性（YMSM）受到美国艾滋病毒/艾滋病的深远影响，但相对较少的研究评估了该人群中的艾滋病毒风险。值得注意的是，已经发现暴饮暴食和非法吸毒可以始终如一地预测YMSM的性风险行为，但是很少有研究重点是开发使用YMSM的干预措施。行为日记被广泛用作观察与健康相关行为变化的调查方法，而行为自我监控策略也经常用于临床干预措施中，以引起健康行为变化。社会认知过程（例如动机）会影响自我监控的成功，而我们先前的研究发现，在性日记研究过程中，具有更大艾滋病毒风险动机的MSM更有可能减少其未受保护的性行为。但是，目前尚不清楚动机MSM是否只是自行减少了他们的性风险行为，还是实际上从自我监控中受益。尽管最近呼吁研究自我监测和日记方法的实用性，以改变YMSM中的性风险行为，但仍未解决几个重要问题：1）何时性日记研究何时成为自我监控干预措施？ 2）自我监控日记作为干预措施？这项研究的总体目的是研究使用YMSM的性日记成为自我监控干预措施的自我监控干预措施，以最大程度地提高其价值作为观察和干预的工具。为了实现这一目标，我们将研究以下特定目标：目标1：描述哪种YMSM在哪些情况下和上下文条件下显示了使用基于Web的行为日记的性风险行为的变化； AIM 2：通过实验将行为日记给药的频率与报告的性风险行为和参与者流失的变化进行比较；目标3：测试提供个性化风险行为反馈的效果。 拟议的研究将在线招募360个暴饮暴食和/或吸毒的YMSM（16-29岁）中的360个基于2个月的基于Web的性日记研究。根据AIM 1，我们将研究按年龄队列（青少年，新兴的成年人，年轻人）报告的性风险行为变化的群体差异，以及社会认知变量（降低HIV风险的动机，意图和自我效能感）和药物使用（酒精药物使用）对性风险行为的影响。为了实现目标2，我们将根据行为日记的频率评估报告行为变化和参与者损耗的差异（每日日记，每周日记，或没有日记）。对于AIM 3，我们将通过将YMSM随机化为反馈或无反馈组来测试提供个性化风险行为的效果。风险行为反馈将说明：性风险行为的频率，物质使用以及这些变量之间的相关性。这项研究中收集的数据将有助于PI过渡到干预开发研究，并支持更大的赠款应用，以开发用于使用YMSM的物质的自我监控干预措施。

项目成果

Validation of the HIV Risk Assessment of Sexual Partnerships (H-RASP): Comparison to a 2-Month Prospective Diary Study.

性伴侣艾滋病毒风险评估 (H-RASP) 的验证：与 2 个月前瞻性日记研究的比较。

• DOI: 10.1007/s10508-017-1033-2
• 发表时间: 2018
• 期刊: Archives of sexual behavior
• 影响因子: 3.8
• 作者: Swann,Gregory;Newcomb,MichaelE;Mustanski,Brian
• 通讯作者: Mustanski,Brian

Do Diary Studies Cause Behavior Change? An Examination of Reactivity in Sexual Risk and Substance Use in Young Men Who Have Sex with Men.

• DOI: 10.1007/s10461-018-2027-3
• 发表时间: 2018-07
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Newcomb ME;Swann G;Mohr D;Mustanski B
• 通讯作者: Mustanski B

Event-Level Associations Among Drinking Motives, Alcohol Consumption, and Condomless Anal Sex in a Sample of Young Men Who Have Sex With Men.

• DOI: 10.1007/s10461-017-1734-5
• 发表时间: 2017-07
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Feinstein BA;Newcomb ME
• 通讯作者: Newcomb ME

The role of substance use motives in the associations between minority stressors and substance use problems among young men who have sex with men.

物质使用动机在少数族裔压力源与男男性行为年轻男性物质使用问题之间的关联中的作用。

• DOI: 10.1037/sgd0000185
• 发表时间: 2016
• 期刊: Psychology of sexual orientation and gender diversity
• 影响因子: 3.8
• 作者: Feinstein,BrianA;Newcomb,MichaelE
• 通讯作者: Newcomb,MichaelE

Patterns and Predictors of Compliance in a Prospective Diary Study of Substance Use and Sexual Behavior in a Sample of Young Men Who Have Sex With Men.

• DOI: 10.1177/1073191116667584
• 发表时间: 2018-06
• 期刊: Assessment
• 影响因子: 3.8
• 作者: Newcomb ME;Swann G;Estabrook R;Corden M;Begale M;Ashbeck A;Mohr D;Mustanski B
• 通讯作者: Mustanski B