Examining community-based effectiveness of a substance use and HIV risk reduction intervention for young men of color

检查基于社区的针对有色人种年轻男性的药物滥用和艾滋病毒风险降低干预措施的有效性

基本信息

  • 批准号:
    9296114
  • 负责人:
  • 金额:
    $ 60.75万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2016
  • 资助国家:
    美国
  • 起止时间:
    2016-06-15 至 2020-04-30
  • 项目状态:
    已结题

项目摘要

 DESCRIPTION (provided by applicant): Ethnic and racial minority young men who have sex with men (MYMSM) remain a critical population at the nexus of substance use and HIV/AIDS: a 132% increase in new infections concentrated among African American and Hispanic YMSM has been observed since 2002. The Young Men's Health Project (YMHP), a 4- session intervention utilizing motivational interviewing designed for HIV-negative or untested YMSM ages 18- 29 was found to be efficacious in significantly reducing substance use and condomless anal sex (CAS). To date, this is the first and only RCT of any published trial or CDC DEBI with YMSM to show significant reductions in both substance use and sexual risk. The CDC recently rated YMHP as "Best Evidence" and placed it on the compendium of Evidence Based Interventions and Best Practices for HIV Prevention. YMHP was tested through an efficacy trial in a research center environment with numerous inclusion and exclusion criteria, and thus, a community-based replication is the crucial next step in studying the intervention's effectiveness in the real world when delivered by staff to their clients. We will conduct a comparative effectiveness trial (CET) with two intensities of treatment offered following field-based HIV counseling and testing (C&T) - the YMHP intervention and enhanced "treatment as usual" (eTAU) HIV prevention services - in two real-world community based organizations (CBOs) to test their relative effectiveness in reducing substance use and CAS among HIV-negative MYMSM. The Specific Aims are to: 1) adapt the YMHP intervention for delivery in CBOs by peer counselors; 2) test the effectiveness of the YMHP intervention when delivered by peer counselors at two CBOs situated in high HIV incidence neighborhoods in New York City; and 3) assess the cost-effectiveness of YMHP relative to TAU. The proposed study will be implemented over two phases. In Phase 1 we will conduct qualitative research with staff at our collaborating agencies to adapt the efficacious YMHP intervention to the unique needs of MYMSM and incorporate existing systems and approaches utilized by site collaborators to facilitate for delivery by peer counselors. In Phase 2 we will randomize 260 HIV-negative substance using MYMSM into the YMHP intervention or eTAU. Assessments will include behavioral self-report measures, urine testing for substance use, and HIV and STI testing for sexual health outcomes. Working together with our CBO collaborators will help to address practical problems at the frontline of service provision to pave the way for a comprehensive program to reduce substance use and HIV infection among MYMSM. If effective, our program has the potential to exert a sustained and powerful influence on the effectiveness of behavioral interventions for economically disadvantaged, substance using MYMSM who are most at risk for HIV infection.
 描述(由申请人提供):与男性发生性关系的少数民族和种族青年男性(MYMSM)仍然是药物使用和艾滋病毒/艾滋病关系的关键人群:自2002年以来,观察到非洲裔美国人和西班牙裔YMSM中的新感染增加了132%。青年男子健康项目(YMHP),一个4个会议的干预,利用动机访谈设计的艾滋病毒阴性或未经测试的YMSM年龄18- 29被认为是有效的,显着减少物质使用和无避孕套肛交(CAS)。到目前为止,这是第一个也是唯一一个RCT的任何已发表的试验或CDC DEBI与YMSM显示显着减少物质使用和性风险。疾病预防控制中心最近将YMHP评为“最佳证据”,并将其列入艾滋病毒预防的循证干预措施和最佳做法简编。YMHP是通过在一个研究中心环境中的疗效试验进行测试的,有许多纳入和排除标准,因此,基于社区的复制是研究干预措施在真实的世界中的有效性的关键下一步,当工作人员向他们的客户提供时。我们将在两个真实的社区组织(CBO)中进行一项比较有效性试验(CET),在基于现场的艾滋病毒咨询和检测(C&T)之后提供两种强度的治疗-YMHP干预和增强的“照常治疗”(eTAU)艾滋病毒预防服务,以测试它们在减少HIV阴性MYMSM中药物使用和CAS方面的相对有效性。具体目标是:1)调整YMHP干预措施,由同伴咨询师在社区组织中提供; 2)测试YMHP干预措施在纽约市两个艾滋病高发社区的社区组织中由同伴咨询师提供时的有效性; 3)评估YMHP相对于TAU的成本效益。拟议的研究将分两个阶段进行。在第1阶段,我们将与合作机构的工作人员进行定性研究,以使有效的YMHP干预措施适应MYMSM的独特需求,并结合研究中心合作者使用的现有系统和方法,以促进同伴辅导员的交付。在第2阶段,我们将使用MYMSM随机分配260例HIV阴性物质进入YMHP干预或eTAU。评估将包括行为自我报告措施,药物使用的尿液检测,以及性健康结果的艾滋病毒和性传播感染检测。与我们的CBO合作者一起工作将有助于解决服务提供前线的实际问题,为减少MYMSM中药物使用和艾滋病毒感染的综合计划铺平道路。如果有效,我们的计划有可能对经济上处于不利地位的行为干预措施的有效性产生持续和强大的影响,物质使用MYMSM是最有可能感染艾滋病毒的人。

项目成果

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JEFFREY T PARSONS其他文献

JEFFREY T PARSONS的其他文献

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{{ truncateString('JEFFREY T PARSONS', 18)}}的其他基金

Examining Modifiable Psychosocial Predictors of HIV Seroconversion in a Large Nationwide Cohort of High Risk Men
检查全国范围内大量高危男性中 HIV 血清转化的可修改心理社会预测因素
  • 批准号:
    9393474
  • 财政年份:
    2017
  • 资助金额:
    $ 60.75万
  • 项目类别:
Examining community-based effectiveness of a substance use and HIV risk reduction intervention for young men of color
检查基于社区的针对有色人种年轻男性的药物滥用和艾滋病毒风险降低干预措施的有效性
  • 批准号:
    9065055
  • 财政年份:
    2016
  • 资助金额:
    $ 60.75万
  • 项目类别:
Improving HIV and Alcohol-Related Outcomes among HIV+ Persons in Clinic Settings
改善诊所环境中艾滋病毒感染者的艾滋病毒和酒精相关结果
  • 批准号:
    8723710
  • 财政年份:
    2013
  • 资助金额:
    $ 60.75万
  • 项目类别:
Improving HIV and Alcohol-Related Outcomes among HIV+ Persons in Clinic Settings
改善诊所环境中艾滋病毒感染者的艾滋病毒和酒精相关结果
  • 批准号:
    8842555
  • 财政年份:
    2013
  • 资助金额:
    $ 60.75万
  • 项目类别:
Improving HIV and Alcohol-Related Outcomes among HIV+ Persons in Clinic Settings
改善诊所环境中艾滋病毒感染者的艾滋病毒和酒精相关结果
  • 批准号:
    9059546
  • 财政年份:
    2013
  • 资助金额:
    $ 60.75万
  • 项目类别:
Improving HIV and Alcohol-Related Outcomes among HIV+ Persons in Clinic Settings
改善诊所环境中艾滋病毒感染者的艾滋病毒和酒精相关结果
  • 批准号:
    8544147
  • 财政年份:
    2013
  • 资助金额:
    $ 60.75万
  • 项目类别:
Multicomponent Intervention to Reduce Sexual Risk and Substance Use
减少性风险和药物使用的多成分干预
  • 批准号:
    8515387
  • 财政年份:
    2012
  • 资助金额:
    $ 60.75万
  • 项目类别:
Multicomponent Intervention to Reduce Sexual Risk and Substance Use
减少性风险和药物使用的多成分干预
  • 批准号:
    8421982
  • 财政年份:
    2012
  • 资助金额:
    $ 60.75万
  • 项目类别:
Multicomponent Intervention to Reduce Sexual Risk and Substance Use
减少性风险和药物使用的多成分干预
  • 批准号:
    8675352
  • 财政年份:
    2012
  • 资助金额:
    $ 60.75万
  • 项目类别:
Intervention Targeting Substance Using Older Adults with HIV
针对使用感染艾滋病毒的老年人的药物进行干预
  • 批准号:
    8207429
  • 财政年份:
    2010
  • 资助金额:
    $ 60.75万
  • 项目类别:
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