Mobile App Promoting Sexual Health for Young Black Men who Have Sex with Men

促进男男性接触者年轻黑人性健康的移动应用程序

• 批准号: 9559328
• 负责人: KARIN Kristina COYLE
• 金额: $ 72.47万
• 依托单位: DFUSION, INC.
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-10 至 2020-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9559328
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Affect; African American; Age; Anus; Attitude; Businesses; Clinic; Clinical; Communities; Data; Data Collection; Development; Diagnosis; Education; Educational Curriculum; Educational Intervention; Effectiveness; Effectiveness of Interventions; Epidemic; Ethnic group; Evaluation; Family; Friends; Goals; HIV; HIV Infections; HIV risk; HIV/STD; HIV/STI intervention; Health; Human immunodeficiency virus test; Individual; Infection; Internet; Intervention; Knowledge; Language; Learning; Monitor; Names; Oral; Participant; Pattern; Persons; Phase; Population; Pornography; Prevention; Prevention approach; Prevention education; Prevention program; Prevention strategy; Preventive Intervention; Public Health; Publishing; Race; Randomized; Randomized Controlled Trials; Reporting; Research; Research Project Grants; Risk; Risk Behaviors; Risk Reduction; Schools; Series; Sex Education; Sexual Health; Sexual Partners; Sexuality; Staff Development; System; Technology; Teenagers; Test Result; Testing; Text; Underserved Population; United States; Vagina; Youth; age group; aged; base; black men who have sex with men; commercialization; communication behavior; condoms; cost effective; design; experience; handheld mobile device; improved; innovation; interactive multimedia; interest; male; member; men; men who have sex with men; mobile application; older men; peer; pleasure; programs; prototype; response; risk perception; sex; sex risk; sexual health intervention; sexual relationship; skills; smartphone Application; theories; therapy design; uptake; usability; young men who have sex with men

ABSTRACT Mobile App Promoting Sexual Health for Young Black Men who Have Sex with Men Men who have sex with men, and particularly Black men who have sex with men (BMSM) have been disproportionately affected by HIV/AIDS since the beginning of the epidemic, but in recent years the impact of HIV among young Black men who have sex with men (YBMSM) has escalated rapidly. More new HIV infections occur among YBMSM (aged 13-24) than any other age and racial group of MSM, with an increase of with an increase of 87% from 2005-2014. The few interventions focused solely on YBMSM, target ages 18-29, leaving a dearth of interventions for teen BMSM. Further, research has found that sex education for YMSM is not readily available from friends, family, or schools, with many YMSM relying on older partners, the Internet, and pornography for education. This project will address these gaps and fill an important product niche for community-based organizations, health departments, clinics, and schools serving YBMSM by completing the development of a sex positive mobile app delivered HIV/STI intervention developed for use by YBMSM ages 14-17. The program employs a theory based approach to address essential knowledge, perceptions of risk, peer norms, attitudes and skill with two primary goals: (1) To reduce HIV/STI the program emphasizes partner reduction, avoidance of concurrent partners, condoms and HIV/STI tests; and (2) To improve sexual health and relationships, it helps participants to become clearer about what they do/don't want to do sexually, to communicate their choices, and to learn ways to enhance sexual experience while reducing HIV/STI risk. The project offers a number of innovations, including the creation of the first sex-positive multimedia interactive smartphone app-delivered HIV/STI prevention program specifically designed for YBMSM aged 14-17 that addresses risk reduction and sexual response, a group difficult to reach via in-person intervention; the inclusion of content designed to enhance sexual experience, an approach called for by the target audience; a review of the pros/cons of PREP and PEP; content tailoring based on user activity and inputs context sensitive delivery of booster content, such as monitoring SMS texts for keywords (i.e. hookup, HIV test)--if detected the app responds with context-appropriate content in the moment. Phase I of this project created a prototype app with activities focused on understanding sexual pleasure, communicating online, condom use including fit, and information about lube. A usability evaluation with 24 members of the target audience found the app to be usable and well-liked, and it improved knowledge and attitudes, demonstrating the utility of the app. This Phase II project will refine the prototype based on usability testing results, complete the prototype, adding more than 20 additional content-based activities, peer stories, instant games, and an optional user messaging/forum system. The completed app delivered program will be evaluated using a cluster randomized controlled trial to assess effectiveness in changing sexual risk behaviors and relationship and communication behaviors and attitudes.

移动的应用程序促进与男性发生性关系的年轻黑人男性的性健康 与男性发生性关系的男性，特别是与男性发生性关系的黑人男性（BMSM）， 自该流行病开始以来，受艾滋病毒/艾滋病影响最大的国家，但近年来， 与男性发生性关系的年轻黑人男子（YBMSM）中的艾滋病毒迅速上升。更多新的艾滋病毒感染 发生在YBMSM（13-24岁）中，比任何其他年龄和种族的MSM都要多， 2005-2014年增长87%。少数干预措施仅侧重于YBMSM，目标年龄为18-29岁， 缺乏对青少年BMSM的干预措施。此外，研究发现，对YMSM的性教育并不容易 从朋友、家人或学校获得，许多YMSM依赖于年长的伴侣、互联网， 色情教育该项目将填补这些空白，并填补一个重要的产品利基， 社区组织、卫生部门、诊所和学校为YBMSM服务， 开发性阳性移动的应用程序，提供YBMSM使用的艾滋病毒/性传播感染干预 14-17岁。该计划采用基于理论的方法来解决基本知识， 风险、同伴规范、态度和技能，有两个主要目标：（1）减少艾滋病毒/性传播感染，该方案强调 减少性伴、避免同时性伴、避孕套和艾滋病毒/性传播感染检测;（2）改善性行为 健康和关系，它可以帮助参与者更清楚地了解他们在性方面做什么/不想做什么， 交流他们的选择，并学习如何在减少艾滋病毒/性传播感染风险的同时增强性体验。的 该项目提供了一些创新，包括创建第一个性积极的多媒体互动 专为14-17岁YBMSM设计的智能手机应用程序提供的艾滋病毒/性病预防计划， 解决风险减少和性反应，一个很难通过亲自干预达到的群体; 目标受众所要求的旨在增强性体验的内容; PREP和PEP的优点/缺点;基于用户活动和输入的内容定制;上下文敏感的交付 助推器内容，如监测短信文本的关键字（即勾搭，艾滋病毒测试）-如果检测到应用程序 在那一刻用适合上下文的内容来回应。该项目的第一阶段创建了一个原型应用程序， 活动的重点是了解性快感、在线交流、安全套的使用，包括配合，以及 关于lube的信息对24名目标受众进行的可用性评估发现该应用程序可用 这款应用程序不仅能提高用户的知识和态度，而且深受用户喜爱，证明了它的实用性。 我将在可用性测试结果的基础上完善原型，完成原型，增加20多个额外的 基于内容的活动、同伴故事、即时游戏和可选的用户消息/论坛系统。的 完成的应用程序交付计划将使用群集随机对照试验进行评估，以评估 有效改变危险性行为和关系以及交流行为和态度。