Diffusing persuasive HIV testing messages: engaging Black sexual and gender minority youth social media influencers

传播有说服力的艾滋病毒检测信息：吸引黑人性少数群体青年社交媒体影响者

• 批准号: 10327164
• 负责人: Manuel A Ocasio
• 金额: $ 12.28万
• 依托单位: TULANE UNIVERSITY OF LOUISIANA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10327164
• 关键词: AIDS prevention; Adoption; Age; Attention; Attitude; Caring; Centers for Disease Control and Prevention (U.S.); Color; Communities; Development; Diagnosis; Diffuse; Educational workshop; Enrollment; Epidemic; Evaluation; Facebook; Fright; Gender; Goals; HIV; HIV Infections; HIV diagnosis; Health Services Accessibility; Homophobia; Hot Spot; Human immunodeficiency virus test; Intervention; Knowledge; Latinx; Life Experience; Link; Maintenance; Marketing; Mentored Research Scientist Development Award; Mentors; Mentorship; Meta-Analysis; Methods; Modeling; Newly Diagnosed; Personality; Persons; Persuasive Communication; Population; Public Health; Reporting; Research; Research Personnel; Risk; Sexual and Gender Minority Youth; Site; Social Network; Social support; Stigmatization; Target Populations; Testing; Time; Training; Trust; age group; base; black men who have sex with men; cis-male; community based participatory research; cost effective; cost effective intervention; digital health; efficacy testing; experience; health communication; health disparity; improved; infection rate; innovation; men who have sex with men; multidisciplinary; nano; novel; pre-exposure prophylaxis; prevention service; public health intervention; racial and ethnic; recruit; skills; social; social media; social stigma; theories; therapy development; transgender; transgender women; trustworthiness; uptake; young adult

PROJECT SUMMARY The combined mentorship, training and research in this K01 award will support the candidate’s long term goal of formulating high impact, community-engaged HIV health disparities and social media-based research focused on sexual and gender minority youth (SGMY) of color in the South. HIV remains an insidious public health concern among Black SGMY in the South. Diagnose is one of the 4 Pillars of the Ending the HIV Epidemic (EHE) Initiative and routine testing is a clear priority for this population. Infrequent or never testing for HIV has been associated with high rates of infection in Black SGMY. Routine HIV testing could provide a central gateway for linkage to HIV prevention services for those at risk or early access to care for those unaware of their status; however, stigma-related barriers to testing persist (e.g, internalized homophobia, HIV-related stigma). Stigmatized Black SGMY may be more isolated and many turn to social media. Leveraging social networks, such as through Popular Opinion Leaders (POLs), via social media can increase social support and destigmatize and normalize routine HIV testing. Despite its popularity, Instagram has not been utilized in HIV-focused interventions, including among Black SGMY. Instagram influencers are authentic and credible social media users who are, in essence, POLs. This project proposes to enhance the EHE-recommended POL intervention promoting routine HIV testing in Black SGMY in New Orleans. The project will employ 8 Black SGMY Instagram influencers to implement a novel, theoretically-grounded approach to crafting persuasive HIV testing messages to their followers. To this end, the candidate will: 1) Explore HIV testing attitudes and experiences and the use of non-stigmatizing Instagram messaging to increase routine HIV testing for Black SGMY in New Orleans; 2) Identify, recruit and train Black SGMY Instagram influencers on HIV knowledge and social-media based messaging strategies using a novel framework for persuasive messaging; 3) Co-develop and deliver persuasive routine HIV testing Instagram messages with Black SGMY Instagram influencers. A team of experienced mentors with expertise in Black SGMY health disparities, HIV intervention development, persuasion theory, social media messaging and community-based participatory research (CBPR) will guide the candidate through the research. The diverse training plan will consist of multidisciplinary didactic coursework, individualized training workshops and mentoring sessions, which will allow the candidate to: 1) Understand how the intersection of multiple stigmatized identities (i.e., racial, gender and sexual) and related experiences contribute to HIV-related disparities among Black SGMY; 2) Develop proficiency in persuasive social media-based health communication strategies; 3) Gain skills in the development/ adaptation, implementation and evaluation of interventions utilizing CBPR. This K01 award will give the candidate the additional skills and experience needed to achieve research independence.

项目概要 K01 奖项中的指导、培训和研究相结合，将为候选人的长期发展提供支持 制定高影响力、社区参与的艾滋病毒健康差异和基于社交媒体的目标 研究重点是南方有色人种的性少数和性别少数青年（SGMY）。艾滋病毒仍然是 南方黑人 SGMY 中存在隐秘的公共卫生问题。诊断是诊断的四大支柱之一 结束艾滋病毒流行 (EHE) 倡议和常规检测显然是该人群的首要任务。 很少或从未进行 HIV 检测与黑人 SGMY 的高感染率有关。常规 艾滋病毒检测可以为高危人群或早期感染者提供与艾滋病毒预防服务联系的中央门户。 为那些不了解自己状况的人提供护理；然而，与耻辱相关的测试障碍仍然存在（例如， 内化的同性恋恐惧症、艾滋病相关的耻辱）。被污名化的黑人SGMY可能更加孤立，而且很多 转向社交媒体。利用社交网络，例如通过大众意见领袖 (POL) 社交媒体可以增加社会支持，消除常规艾滋病毒检测的污名并使其正常化。尽管其 尽管 Instagram 很受欢迎，但尚未用于针对艾滋病毒的干预措施，包括在黑人 SGMY 中。 Instagram influencers are authentic and credible social media users who are, in essence, POLs.这个项目 建议加强 EHE 建议的 POL 干预措施，促进黑人的常规 HIV 检测 SGMY 在新奥尔良。该项目将聘请 8 位黑人 SGMY Instagram 红人来创作一部小说， 以理论为基础的方法向其追随者制作有说服力的艾滋病毒检测信息。对此 最后，候选人将： 1) 探索艾滋病毒检测的态度和经验以及非污名化的使用 Instagram 消息将增加新奥尔良黑人 SGMY 的常规 HIV 检测； 2) 识别、招募 并对黑人 SGMY Instagram 影响者进行艾滋病知识和基于社交媒体的信息传递方面的培训 使用新颖的框架进行说服性消息传递的策略； 3) 共同开发并提供有说服力的例程 与 Black SGMY Instagram 影响者一起进行 HIV 测试 Instagram 消息。经验丰富的导师团队 拥有黑人 SGMY 健康差异、艾滋病毒干预发展、说服理论、社会 媒体信息和基于社区的参与性研究（CBPR）将指导候选人通过 研究。多样化的培训计划将包括多学科教学课程、个性化培训 培训研讨会和指导课程，这将使候选人能够： 1) 了解如何 多重污名化身份（即种族、性别和性）和相关经历的交叉 造成黑人 SGMY 之间与艾滋病毒相关的差异； 2）培养说服性社交能力 基于媒体的健康传播策略； 3）获得开发/适应技能， 利用 CBPR 实施和评估干预措施。该 K01 奖项将为候选人提供 实现研究独立性所需的额外技能和经验。