HIV and Sober Intimate Behavior (HSIB)

HIV 和清醒亲密行为 (HSIB)

• 批准号: 7405055
• 负责人: Gerardine Wurzburg
• 金额: $ 54.42万
• 依托单位: STATE OF THE ART, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2010-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7405055
• 关键词: AIDS prevention; AIDS/HIV problem; Abstinence; Address; Alcohol or Other Drugs use; Alcohols; Area; Arts; Attitude; Behavior; Belief; Communication; Computer software; Computers; Control Groups; Decision Making; Depth; Development; Drug abuse; Educational process of instructing; Effectiveness; Ensure; Environment; Epidemic; Face; Fees; Film; Focus Groups; Gays; Goals; HIV; HIV Infections; Health behavior; Health behavior change; Health education; Human; Illicit Drugs; Individual; Injection of therapeutic agent; Internet; Intervention; Interview; Interviewer; Judgment; Knowledge; Learning; Licensing; Link; Maintenance; Measures; Mediation; Motivation; National Institute of Drug Abuse; Needle Sharing; Numbers; Pharmaceutical Preparations; Phase; Prevalence; Preventive; Process; Production; Public Health; Qualitative Research; Quantitative Evaluations; Questionnaires; Randomized; Randomized Controlled Trials; Recovery; Relapse; Research; Research Methodology; Resources; Risk; Risk-Taking; Sales; Score; Self Efficacy; Services; Sexual Transmission; Site; Soldier; Staging; Standards of Weights and Measures; Substance abuse problem; Technology; Testing; Text; Training; United States; Week; Work; Writing; base; commercial application; comparison group; condoms; cost; design; high risk behavior; innovation; intimate behavior; men; packaging material; prevent; programs; prototype; psychosocial; response; sex; simulation; skills; sobriety; social skills; substance abuser; suicidal risk; technological innovation; transmission process; virtual

DESCRIPTION (provided by applicant): Drug abuse-associated behavior continues to be a significant factor in the spread of HIV/AIDS in the United States - both directly and indirectly. The use of injection and non-injection illicit drugs, as well as alcohol, can increase HIV transmission risk through its impact on decision making and sexual risk taking. To address this issue, State of the Art, Inc. (SOTA) proposes the development of an interactive educational resource entitled "HIV and Sober Intimate Behavior" (HSIB) for gay men in substance abuse treatment that addresses the intersection of HIV risk and substance use within the context of the recovery process. At the center of the HSIB package is a computer-based, interactive simulation program that allows audiences to not only learn important skills, but to practice them within a virtual environment. HSIB strives to provide skill-building information for re-engaging in intimate behavior and relationships within a sober context, in order to help those in recovery reduce their HIV risk and avoid relapse in the face of psychosocial challenges. To accomplish this long-term objective, HSIB materials aim to 1) increase knowledge around healthy intimate behavior and reducing HIV risk, 2) teach skills around healthy intimate behavior that will help those in recovery to navigate obstacles, to maintain sobriety, and to reduce HIV risk, and 3) provide an opportunity for men in recovery to practice these skills and build self-efficacy around them. In Phase II, HSIB materials will be produced based on research and prototype materials developed in Phase I, and qualitative and quantitative evaluations will be conducted. In-depth interviews with gay men in recovery and a focus group with substance abuse professionals will take place during the materials developmental stage in order to help ensure that HSIB materials match the values and needs of these audiences. Interviews and focus groups will be conducted by trained interviewers/moderators using standard qualitative research methods (Krueger, 1998), and cross-group comparisons will be made between treatment groups. A content review of materials by project advisors will supplement research and highlight any additional areas in need of revision. After revisions and production of the final HSIB materials, a quantitative evaluation will measure their effectiveness in educating gay men in recovery about maintaining sobriety and reducing their risk of HIV infection/transmission, as well as building their motivation, self-efficacy, and intent to engage in preventive health behaviors. [Using a randomized control trial design, gay men in recovery will be randomized to a study group and post-intervention questionnaires will be administered one week and one-month after exposure. A comparison of intervention and control group scores on four-point scale measures will determine if responses significantly migrate toward opinions expressed in the materials.] PUBLIC HEALTH RELEVANCE The HIV/AIDS epidemic has had a dramatic effect on substance abuse treatment. HIV exposure has been directly linked to injection drugs through needle sharing, however non-injection drugs are also a factor as they impair judgment and elevate risk through unprotected sexual contact, a greater number of casual partners, partners of unknown serostatus, an exchange of sex for drugs, and other high-risk behaviors. As the importance of drug abuse treatment in reducing the spread of HIV is recognized, emphasis is being placed on getting substance abusers into treatment and preventing relapse into prior high-risk behaviors. HIV prevention efforts for those in recovery must address sexual transmission risks as well as risks associated with injection drugs. By promoting HIV prevention within the context of recovery, HSIB research and resources have the potential to help men initiate positive health behaviors that promote the maintenance of sobriety and the reduction of HIV risk; thereby reducing the prevalence of HIV transmission, relapse, and their associated costs.

描述(由申请人提供)：与药物滥用有关的行为仍然是艾滋病毒/艾滋病在美国传播的一个重要因素--无论是直接还是间接的。使用注射和非注射非法药物，以及酒精，可能会增加艾滋病毒的传播风险，因为它会影响决策和性风险承担。为了解决这一问题，最新技术公司(SOTA)提议为正在接受药物滥用治疗的男同性恋者开发一种名为“艾滋病毒与清醒的亲密行为”(HSIB)的互动教育资源，在康复过程中解决艾滋病毒风险与药物使用之间的交叉问题。HSIB包的核心是一个基于计算机的交互式模拟程序，它不仅允许观众学习重要技能，还允许他们在虚拟环境中练习这些技能。HSIB致力于提供技能建设信息，以便在清醒的情况下重新参与亲密行为和关系，以帮助那些正在康复的人降低他们的艾滋病毒风险，并在面临心理社会挑战时避免复发。为了实现这一长期目标，HSIB材料旨在1)增加关于健康亲密行为和降低艾滋病毒风险的知识，2)传授有关健康亲密行为的技能，帮助康复者克服障碍，保持清醒，降低艾滋病毒风险，以及3)为康复中的男性提供练习这些技能和建立自我效能的机会。在第二阶段，将在第一阶段开发的研究和原型材料的基础上生产HSIB材料，并进行定性和定量评估。在材料开发阶段，将对正在康复的男同性恋者进行深入访谈，并与药物滥用专业人员组成焦点小组，以帮助确保HSIB材料符合这些受众的价值观和需求。访谈和焦点小组将由训练有素的面试者/主持人使用标准的定性研究方法(Krueger，1998)进行，并将在处理组之间进行跨组比较。项目顾问对材料的内容审查将补充研究，并强调任何需要修改的额外领域。在修订和制作最终的HSIB材料后，量化评估将衡量它们在教育康复中的男同性恋者保持清醒和降低他们感染/传播艾滋病毒的风险，以及建立他们的动机、自我效能和从事预防性健康行为的意图方面的有效性。[采用随机对照试验设计，恢复期的男同性恋者将被随机分配到研究组，并在暴露后一周和一个月后进行干预后问卷调查。比较干预组和对照组在四分量表上的得分，将确定反应是否显著倾向于材料中表达的观点。] 公共卫生相关性艾滋病毒/艾滋病的流行对药物滥用治疗产生了重大影响。艾滋病毒的暴露通过共用针头与注射毒品直接相关，但非注射毒品也是一个因素，因为它们通过无保护的性接触、更多的临时伴侣、血清状态未知的伴侣、性交换毒品和其他高危行为而损害判断并增加风险。随着药物滥用治疗在减少艾滋病毒传播方面的重要性被认识到，重点是让吸毒者接受治疗，防止复发到以前的高危行为中。对康复者的艾滋病毒预防工作必须解决性传播风险以及与注射毒品有关的风险。通过在康复过程中促进艾滋病毒预防，HSIB的研究和资源有可能帮助男性发起积极的健康行为，促进保持清醒和降低艾滋病毒风险；从而降低艾滋病毒传播、复发及其相关成本的流行率。