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mHealth and HIV self-testing for high-risk men in China

中国高危男性的移动健康和艾滋病毒自我检测

基本信息

批准号：
9264029
负责人：
DON OPERARIO
金额：
$ 20.16万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-08-01 至 2019-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9264029
关键词：
AIDS prevention Address Affect Antibodies Behavior Behavioral Car Phone Caring Centers for Disease Control and Prevention (U.S.)Characteristics China Chinese People Clinic Clinical Clinical Trials Cognitive Communities Continuity of Patient Care Country Cues Diagnostic tests Disclosure Effectiveness Excision Female Frequencies Goals Grant Guidelines HIV HIV Infections HIV diagnosis HIV risk HIV-1 Health Services Home environment Human immunodeficiency virus test Individual International Intervention Interview Libraries Light Link Motivation Outcome Persons Phase Policies Population Preventive Intervention Privacy Privatization Public Health Qualitative Research Recommendation Reporting Research Research Proposals Risk Risk Behaviors Risk Reduction Sampling Science Self-Administered Services Stigmatization Subgroup Techniques Technology Test Result Testing Time Unsafe Sex Vendor base behavior change behavior test dosage evidence based guidelines high risk men high risk population implementation science improved innovation intervention program mHealth male men who have sex with men mobile application mobile computing motivated behavior prevention service public health relevance same sex behavior scale up sex risk social stigma transmission process uptake

项目摘要

DESCRIPTION (provided by applicant): In this R34 application (PAR-14-179: Clinical Trial Planning Grant for Interventions and Services to Improve Treatment and Prevention of HIV/AIDS), we propose to develop and pilot test an intervention to improve the science of HIV self-testing (HST) as a public health strategy to increase HIV testing among populations with low testing rates. HST offers a compelling strategy for achieving higher levels of HIV testing, due to the reduced barriers associated with seeking traditional forms of clinic-based HIV testing. However, HST scale-up alone is insufficient as a public health strategy: individuals who receive an HST negative result require motivation to engage in repeat testing and encouragement to reduce their risk behaviors. Thus, we propose a combination strategy that incorporates HST with mobile application- ("app"-) based HIV risk reduction and behavior change motivation messages. The proposal research will take place in China, where our prior research has demonstrated low rates of testing, high behavioral risk, and barriers to clinical HIV prevention services among men who have sex with men (MSM). The research will leverage the broad general access to mobile phone and app-based electronic messaging technology in the Chinese population to develop a test a combined HST plus mHealth app-based messaging strategy for MSM. We will use a three-phase research approach to address our specific aims. First, we will conduct formative qualitative research to understand the facilitators and barriers to HIV self-testing (HST) among MSM in China. Second, based on qualitative findings, we will develop a library of brief messages to motivate risk reduction and behavior change, and we will use cognitive interviewing techniques and an open pilot to refine and finalize the app-based messaging content and implementation strategy. Third, we will pilot test the combination of HST plus mobile app-based risk reduction messaging compared to HST alone in a sample of high-risk MSM, with respect to repeat HST and changes in sexual risk behaviors in the next 6 months. The proposed study is innovative because it is the first known attempt to develop a combination approach to HST that leverages advances in mobile technology as a platform for repeat testing and motivating behavior change. We will use findings to support a subsequent application to test the effectiveness of the combined HST plus app-based messaging intervention on sexual risk behavior and HIV retesting.