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

项目摘要/摘要 职业目标：我致力于成为一名独立的研究科学家，为设计做出贡献， 实施和评价改善青少年性健康的干预措施，减少 在健康结果方面的差异。职业发展：这个K99/R00奖项将提供额外的 指导培训，以支持我在K99阶段结束前过渡到独立调查员。我的 培训目标是：(1)掌握开展必要的形成性研究的方法学战略 健康干预、适应和量身定制；(2)熟练了解青春期性少数群体 男性(ASMM)健康和性自信培训需求；(3)确定核心原则和应用 实施科学，成功地进行有效性-实施混合的临床试验 设计；以及(4)培养技能和专业知识，以促进成功过渡到完全独立的研究 科学家，包括那些需要对行为干预进行随机对照试验的人。研究 项目：ASMM感染艾滋病毒/性传播疾病的风险高得不成比例，报告避孕套使用率较低 与他们的异性恋同龄人相比。自信的性行为交流与更高的 在青少年中使用避孕套；然而，ASMM没有得到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，最初 旨在为普通青少年提供有关性同意的信息，以包括重点 安全套谈判和专门为ASMM量身定做的内容。该项目有两个具体目标：(1)适应 性同意干预(PACT)作为基于技能的性自信和避孕套谈判 对ASMM的培训；以及(2)评估ASMM之间适应的PACT干预的有效性- 实施混合设计。指导：我已经组建了一个由专家组成的专门指导团队来 就我提议的研究和培训活动提供持续指导。这支队伍包括一名主要的 Mentor(印第安纳大学公共学院应用健康科学系Eric Walsh-Buhi博士 Health-Bloomington[IU SPH-B])，二级导师(Kathryn Macapagal博士，医务社会学部 科学，西北大学范伯格医学院)，以及一个科学顾问小组在 伊利诺伊州立大学SPH-B应用健康科学系(Kristen Jozkowski、Karla Galaviz和Debby博士 赫本尼克)。未来方向：从该计划中获得的技能和数据将支持未来的R01计划 对PACT进行进一步的试验。

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.