A digital health intervention to increase condom use among adolescent sexual minority males

数字健康干预措施可增加青少年性少数男性的安全套使用率

• 批准号: 10785368
• 负责人: Hannah Javidi
• 金额: $ 9.65万
• 依托单位: TRUSTEES OF INDIANA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-23 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10785368
• 关键词: Address; Adolescent; Advocate; Affect; Age; Area; Assertiveness; Attitude; Award; Behavior; Behavior Therapy; Clinical Trials; Code; Coitus; Collaborations; Communication; Communities; Consent; Cost efficiency; Data; Dedications; Development; Elements; Evaluation; Feedback; Focus Groups; Future; Gender; General Population; Goals; HIV; Health; Health Sciences; Health behavior change; Heterosexuals; Hour; Indiana; Intervention; Knowledge; Language; Lead; Learning; Lesbian Gay Bisexual Transgender Queer; Link; Mediation; Medical; Mentors; Mentorship; Methodology; Methods; Minority Groups; National Institute on Minority Health and Health Disparities; Needs Assessment; Outcome; Parents; Participant; Persuasive Communication; Phase; Planning Theory; Population; Privacy; Program Effectiveness; Program Evaluation; Public Health; Public Health Schools; Qualitative Research; Randomized, Controlled Trials; Recording of previous events; Reduce health disparities; Reporting; Research; Research Activity; Research Methodology; Research Personnel; Research Project Grants; Risk; Risk Reduction; STI prevention; Sampling; School-Age Population; Schools; Scientist; Self Efficacy; Sex Behavior; Sex Education; Sexual Health; Sexually Transmitted Diseases; Social Sciences; Surveys; Teenagers; Testing; Training; Training Activity; Universities; Update; Work; Writing; Youth; behavior change; behavioral health intervention; behavioral outcome; career; career development; condom use rate; condoms; design; digital health; digital intervention; disparity reduction; effectiveness/implementation design; experience; follow-up; health disparity; high risk; high school; implementation determinants; implementation evaluation; implementation facilitators; implementation science; implementation/effectiveness; improved; male; male health; medical schools; non-heterosexual; peer; programs; recruit; response; responsible research conduct; sexual encounter; sexual minority male; sexual minority youth; sexually active adolescent; skill acquisition; skills; theories; therapy design; transmission process; usability; viral transmission

PROJECT SUMMARY/ABSTRACT Career Goal: I am committed to a career as an independent research scientist contributing to the design, implementation, and evaluation of interventions to improve sexual health among adolescents, and reduce disparities in health outcomes. Career Development: This K99/R00 Award will provide an additional period of mentored training to support my transition to an independent investigator by the end of the K99 phase. My training objectives are to: (1) master methodological strategies for conducting formative research necessary for health intervention adaptation and tailoring; (2) gain a proficient understanding of adolescent sexual minority male (ASMM) health and sexual assertiveness training needs; (3) identify core principles and applications of implementation science to successfully conduct a clinical trial with an effectiveness-implementation hybrid design; and (4) develop skills and expertise to facilitate a successful transition into a fully independent research scientist, including those needed to conduct randomized controlled trials of behavioral interventions. Research Project: ASMM are at disproportionately high risk for acquiring HIV/STIs and report lower rates of condom use compared to their heterosexual peers. Assertive sexual communication is associated with higher rates of condom use among adolescents; however, ASMM do not receive adequate information or skills about sexual assertiveness. The purpose of this research is to adapt an existing digital health intervention, originally designed to provide a general population of teens with information about sexual consent, to include a focus on condom negotiation and tailor content specifically for ASMM. The project has two Specific Aims: (1) adapt the sexual consent intervention (PACT) to serve as skills-based sexual assertiveness and condom negotiation training for ASMM; and (2) evaluate the adapted PACT intervention among ASMM in an effectiveness- implementation hybrid design. Mentorship: I have assembled a dedicated mentoring team of experts to provide ongoing guidance on my proposed research and training activities. This team includes a primary mentor (Dr. Eric Walsh-Buhi, Department of Applied Health Science, Indiana University School of Public Health-Bloomington [IU SPH-B]), a secondary mentor (Dr. Kathryn Macapagal, Department of Medical Social Sciences, Northwestern University’s Feinberg School of Medicine), and a panel of scientific advisors in the Department of Applied Health Science at IU SPH-B (Drs. Kristen Jozkowski, Karla Galaviz, and Debby Herbenick). Future Directions: Skills and data acquired from this proposal will support a future R01 proposal to conduct further trials of PACT.

项目总结/摘要 职业目标：我致力于作为一名独立的研究科学家为设计做出贡献， 实施和评价干预措施，以改善青少年的性健康， 健康结果的差异。职业发展：此K99/R 00奖励将提供额外的时间， 指导培训，以支持我在K99阶段结束时过渡到独立调查员。我 培训目标是：（1）掌握进行必要的形成性研究的方法策略， 健康干预的适应和剪裁;（2）获得对青少年性少数的熟练理解 男性（ASMM）健康和性自信培训需求;（3）确定核心原则和应用程序， 实施科学成功地进行了一个有效性和实施混合的临床试验 设计;（4）发展技能和专业知识，以促进成功过渡到完全独立的研究 科学家，包括那些需要进行随机对照试验的行为干预。研究 项目：ASMM感染艾滋病毒/性传播感染的风险高得不成比例，报告的避孕套使用率较低 与异性恋同龄人相比。自信的性交流与更高的 在青少年中使用避孕套;然而，ASMM没有获得关于性行为的充分信息或技能， 自信。这项研究的目的是适应现有的数字健康干预， 旨在为一般青少年提供有关性同意的信息，重点包括 安全套谈判和专门为ASMM定制内容。该项目有两个具体目标：（1）调整 性同意干预（PACT）作为基于技能的性自信和安全套协商 培训ASMM;（2）评估ASMM中的适应PACT干预措施的有效性- 实现混合设计。指导：我组建了一个专门的专家指导团队， 为我提议的研究和培训活动提供持续的指导。该团队包括一个主要的 导师（Eric Walsh-Buhi博士，印第安纳州大学公共学院应用健康科学系 健康-布卢明顿[IU SPH-B]），二级导师（医学社会学系Kathryn Macapagal博士 科学，西北大学的范伯格医学院），和一个小组的科学顾问在 IU SPH-B应用健康科学系（Kristen Jozkowski、Karla Galaviz和Debby博士 Herbenick）。未来方向：从本提案中获得的技能和数据将支持未来的R 01提案 进行进一步的PACT试验。