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Development of a Couple-Based Mobile Health Intervention for Enhancing HIV Care Engagement Outcomes

开发基于夫妇的移动健康干预措施以增强艾滋病毒护理参与成果

基本信息

批准号：
9415081
负责人：
Judy You Rong Tan
金额：
$ 19.43万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
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：
2015-04-01 至 2020-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9415081
关键词：
AIDS prevention AIDS/HIV problem Abate Access to Information Acquired Immunodeficiency Syndrome Address Adherence Behavioral Medicine CD4 Lymphocyte Count Caring Communication Communities Continuity of Patient Care Couples Data Development Diagnosis Effectiveness Epidemic Ethnic group Foundations Funding Goals HIV HIV Seropositivity Health Health Benefit Health Personnel Improve Access Individual Intervention Intervention Studies Interview Mentors Methods Minority Groups Outcome Play Prevention Prevention approach Prevention strategy Preventive Intervention Public Health Research Research Activity Research Personnel Role Self Efficacy Structure Technology Testing Time Training United States National Institutes of Health Unsafe Sex Ursidae Family Viral Work base black men who have sex with men care outcomes career career development design effective intervention improved innovation innovative technologies intervention effect intimate behavior mHealth meetings member men men who have sex with men mobile computing new technology prototype public health relevance racial and ethnic racial and ethnic disparities research and development risk minimization same-sex partnership skills technological innovation theories therapy development tool transmission process

项目摘要

DESCRIPTION (provided by applicant): Compared to other racial/ethnic groups in the US, Black men who have sex with men (MSM), once diagnosed, are less likely to be optimally engaged in HIV care and treatment. This undermines the promise of recent prevention approaches for reducing the disproportionate effects of HIV/AIDS on Black communities, emphasizing the urgency for increased research focus and intervention development. Understanding HIV care engagement in the context of the dyad may be part of a comprehensive effort to addressing multilevel influences on HIV care engagement outcomes that are unique to HIV+ Black MSM towards achieving the maximum public health benefit of treatment-as-prevention. However, the scarcity of dyad-level research limits our understanding of couple dynamics involved in HIV care engagement to inform intervention development targeting the couple, underscoring the need for couple-based studies of relational dynamics important to the HIV care engagement of the HIV+ partner(s). Mobile technology-based strategies (mHealth) offer tremendous potential as an acceptable, feasible, and effective intervention platform for enhancing HIV care engagement among HIV+ Black MSM in couples by facilitating couple dynamics optimal to HIV care engagement. Further, mHealth offers potential in addressing limitations in previous intervention research with couples, one of which is the dissipation of intervention effects over time due to absence of booster sessions. Therefore, the aims of the study are to: elucidate the effects of couple dynamics on HIV care engagement among partnered synthesize the quantitative and qualitative (mixed methods) outcomes from Aim 1 to identify the issues the intervention will target, and to iteratively determine core components of a couple-based intervention for HIV+ Black MSM (Aim 2); and develop a novel, technology-based intervention prototype for enhancing HIV care engagement among HIV+ Black MSM in couples (Aim 3). HIV+ Black MSM (Aim 1); The overall objective of this application is to achieve a better understanding of the couple dynamics involved in HIV care engagement among HIV+ Black men in same-sex relationships. The end goal is the development of an mHealth tool that targets couple dynamics important to enhancing HIV care engagement. Through these aims, I will acquire additional training necessary for my career development in (a) theory and mixed methods for conducting couple-based research, (b) formative research in intervention development, and (c) prototype design. These research and career development activities will build the foundation to my becoming an independent, NIH-funded investigator with skills to conduct couple-based intervention research that is part of a comprehensive effort in HIV prevention integrating advances in technology and behavioral medicine to reduce racial/ethnic disparities in HIV.

描述(由申请人提供)：与美国其他种族/民族群体相比，与男性性行为(MSM)发生性行为的黑人男性一旦被诊断出来，就不太可能以最佳方式从事艾滋病毒护理和治疗。这破坏了最近的预防方法减少艾滋病毒/艾滋病对黑人社区不成比例影响的前景，强调了加强研究重点和制定干预措施的紧迫性。在DYAD的背景下理解艾滋病毒护理参与可能是全面努力的一部分，以解决对艾滋病毒+黑人男男性接触者独特的艾滋病毒护理参与结果的多层面影响，以实现治疗即预防的最大公共健康好处。然而，缺乏二元水平的研究限制了我们对参与艾滋病毒护理接触的夫妇动态的理解，从而为针对夫妇的干预发展提供信息，强调了基于夫妇的关系动力学研究对艾滋病毒+伙伴的艾滋病毒护理参与非常重要(S)。基于移动技术的策略(MHealth)提供了巨大的潜力，作为一种可接受的、可行的和有效的干预平台，通过促进夫妇中HIV+黑人MSM的最佳HIV护理参与的夫妇动态，提高HIV+黑人MSM的HIV护理参与。此外，mHealth在解决以前对夫妇进行的干预研究中的局限性方面提供了潜力，其中之一是由于缺乏强化治疗，干预效果随着时间的推移而消散。因此，这项研究的目的是：阐明夫妻动态对合作伙伴中艾滋病毒护理参与度的影响综合目标1的定量和定性(混合方法)结果，以确定干预将针对的问题，并迭代地确定针对艾滋病毒+黑人男男性行为者的夫妇干预(目标2)；以及开发一种新的、基于技术的干预原型，以加强夫妇中艾滋病毒+黑人男男性行为者的艾滋病毒护理参与(目标3)。艾滋病毒+黑人男男性接触者(目标1)；这一应用程序的总体目标是更好地了解艾滋病毒+黑人男性在同性关系中参与艾滋病毒护理的夫妇动态。最终目标是开发一种针对夫妇动态的mHealth工具，该工具对加强艾滋病毒护理参与至关重要。通过这些目标，我将获得我的职业发展所需的额外培训，包括(A)进行以夫妇为基础的研究的理论和混合方法，(B)干预开发的形成性研究，以及(C)原型设计。这些研究和职业发展活动将为我成为一名独立的、由NIH资助的调查员奠定基础，我有能力进行基于夫妇的干预研究，这是将技术进步和行为医学相结合以减少艾滋病毒中种族/民族差异的艾滋病毒预防综合努力的一部分。