A Multicomponent Intervention to Increase HIV Risk Perceptions and PrEPInitiation among Black Men Who Have Sex With Men

提高男男性行为黑人的艾滋病毒风险认知和预防准备的多成分干预措施

• 批准号: 10689428
• 负责人: Derek Tramel Dangerfield II
• 金额: $ 18.41万
• 依托单位: GEORGE WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-24 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10689428
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Address; Age; Appointments and Schedules; Award; Baltimore; Behavior; Behavioral; California; Cessation of life; Cities; Clinical; Communities; Data; Data Collection; Development; Discrimination; Disease susceptibility; Doctor of Philosophy; Educational workshop; Elements; Evaluation; Exposure to; Focus Groups; Fostering; Future; Guidelines; HIV; HIV Infections; HIV Seronegativity; HIV risk; HIV/STD; Health; Health Personnel; Health Promotion; Healthcare; Incidence; Infection; Insurance; Insurance Coverage; Intervention; Judgment; Lead; Life; Life Cycle Stages; Maryland; Medical; Mentors; Mentorship; Methods; Modeling; Opioid; Patients; Perception; Phase; Population; Predisposition; Prevention education; Prevention strategy; Principal Investigator; Procedures; Provider; Public Health Schools; Recording of previous events; Reduce health disparities; Research; Research Methodology; Research Personnel; Research Training; Risk; Risk Behaviors; Role; Sampling; School Nursing; Scientist; Self Efficacy; Services; Sex Behavior; Statistical Data Interpretation; Techniques; Technology; Telemedicine; Testing; Time; TimeLine; Training; Universities; Work; acceptability and feasibility; base; behavioral/social science; black men who have sex with men; career; cohort; data standards; design; diaries; efficacy trial; experience; generation difference; health belief; high risk; implementation science; improved; innovation; interest; medical schools; men who have sex with men; motivational enhancement therapy; multi-component intervention; peer; peer support; pilot test; pre-exposure prophylaxis; preference; prevent; research and development; risk perception; sexual risk behavior; skills; smartphone Application; social stigma; theories; therapy design; training opportunity; transmission process; uptake; willingness

PROJECT SUMMARY/ABSTRACT Tragically, HIV infections among Black men who have sex with men (BMSM) in the U.S. persist. Despite the availability and interest in pre-exposure prophylaxis (PrEP), effective uptake among BMSM remains low. It is imperative to mitigate barriers to PrEP initiation among this group, which could require HIV interventions that incorporate behavioral, biomedical, and structural strategies. The proposed theory-guided, multi-component intervention is designed to enhance HIV risk perceptions and increase PrEP initiation among BMSM in Baltimore City, using an existing mobile smartphone application along with peer change agents to record and review sexual risk behaviors and encourage PrEP initiation. The proposed research and training plan in this Mentored Research Scientist Developmental Award (K01) proposal will provide the principal investigator, Derek T. Dangerfield II, PhD, with the skills needed in intervention design to develop into a productive, independent investigator. The research and training aims proposed address a critical gap in HIV prevention; it is well established that extant work has failed to substantially lower infections among BMSM throughout the U.S. To strategically advance these training aims, this K01 proposal is crafted to facilitate professional development and research capacities as a rising independent investigator. Targeted course work, didactic workshops, and in-depth mentorship from experts in the domains of clinical intervention design, life course theoretical approaches to health, and statistical analysis are incorporated to facilitate hands-on opportunities to apply newly developed skills. The combined use of technology, peers, and PrEP leverages existing relevant prevention strategies for a multi-component intervention. This research is innovative and timely as it responds to federal and academic calls for carefully considerate, interdisciplinary interventions to reduce HIV incidence among priority populations. The aims of this proposal incorporate qualitative and quantitative research methods to explore the preferences of the components of an intervention to increase PrEP initiation among the population. This research has implications for understanding whether the methods used in this intervention can be applied in clinical settings or can be applied in peer-based settings to circumvent the barriers of traditional healthcare engagement. Dr. Dangerfield will be primarily mentored by senior investigator Jason Farley, PhD, MPH, ANP-BC, FAAN at the Johns Hopkins School of Nursing, with additional mentoring from Drs. Chris Beyrer (Johns Hopkins Bloomberg School of Public Health), Ricky Bluthenthal (University of Southern California Keck School of Medicine), and Renata Arrington-Sanders (Johns Hopkins School of Medicine). Through research and didactic mentoring and training, Dr. Dangerfield will build upon his expertise in behavioral social science to develop a successful career in designing high-impact, multicomponent clinical interventions and reduce health disparities.

项目总结/文摘

项目成果

Conducting Virtual, Synchronous Focus Groups Among Black Sexual Minority Men: Qualitative Study.

• DOI: 10.2196/22980
• 发表时间: 2021-02-08
• 期刊: JMIR public health and surveillance
• 影响因子: 8.5
• 作者: Dangerfield Ii DT;Wylie C;Anderson JN
• 通讯作者: Anderson JN

Community engagement and linkage to care efforts by peer community-health workers to increase PrEP uptake among sexual minority men.

• DOI: 10.1111/phn.12887
• 发表时间: 2021-09
• 期刊: Public health nursing (Boston, Mass.)
• 作者: Farley JE;Dangerfield DT 2nd;LaRicci J;Sacamano P;Heidari O;Lowensen K;Jennings JM;Tobin KE
• 通讯作者: Tobin KE