A Novel Online Intervention to Reduce Sexual Risk Among Men Who Meet Men Online

描述(由申请人提供)：男男性行为者(MSM)中艾滋病毒传播的增加令人严重关切。MSM中新的艾滋病毒感染被归因于一些因素，包括更安全的性生活疲劳、艾滋病毒治疗乐观、药物使用以及通过互联网联系网站容易接触到性伴侣。这一拟议项目的目的是评估利用数字视频片段开发和实施创新的在线随机艾滋病毒行为风险干预措施的可行性，该项目的标题是《减少男性在线相遇男性中性风险的新型在线干预措施》。这项拟议的在线干预的目标人群是在网上遇到男性性伴侣的男男性行为者(MSM)。与不在网上寻求性行为的男性相比，在网上寻求性行为的男性更有可能报告性传播感染(STI)，与艾滋病毒阳性伴侣发生性行为，并自我认同为白人和同性恋。我们最近进行了一项在线试点干预，并成功地招募并跟踪了在线MSM参与者的便利样本，采用单组、事前测试设计。在基线和3个月的随访期间，我们发现向新为性伴侣的艾滋病毒披露和艾滋病毒检测显著增加。根据我们试验数据的成功，我们要求提供资金，以测试开发和实施4个分支的随机对照设计的可行性，该设计包括在线实施的事后测试和30天跟踪调查，包括ABC组成部分。我们假设，使用数字视频进行简短的在线行为干预，旨在引发批判性思维以及态度和行为的改变，将降低性传播风险，并在不同程度上增加在线认识男性性伴侣的MSM的艾滋病毒检测和对性伴侣的艾滋病毒披露。如果成功，这种新型干预措施将是有效的、具有成本效益的、可在网上复制的，在克服地理界限方面特别有用，例如接触到农村地区的男子或其他难以接触到的人口。

DESCRIPTION (provided by applicant): Increasing HIV transmission among men who have sex with men (MSM) is cause for serious concern. New HIV infections in MSM have been attributed to factors including safer sex fatigue, HIV treatment optimism, drug use, and easy access to sex partners via Internet hook-up sites. The purpose of this proposed project entitled, A Novel Online Intervention to Reduce Sexual Risk among Men who Meet Men Online, is to assess the feasibility of developing and implementing an innovative online randomized HIV behavioral risk intervention using digital video vignettes. The target population of interest for this proposed online intervention is men who have sex with men (MSM) who meet male sex partners online. Men who seek sex online are more likely to report a sexually transmitted infection (STI), have sexual encounters with HIV-positive partners, and to self-identify as being white and homosexual, compared to men who do not seek sex online. We recently conducted an online pilot intervention and were successful at recruiting and following a convenience sample of MSM participants online, using a single-group, pre-post test design. Between baseline and 3-month follow-up, we found significant increases in HIV disclosure to new sex partners and HIV testing. Based on the success of our pilot data, we request funding to test the feasibility of developing and implementing a 4-branch, randomized control design, with a pre-post test and 30-day follow-up, to be implemented online, including the ABC components. We hypothesize that a brief online behavioral intervention using digital videos, which are meant to elicit critical thinking and attitude and behavior change, will yield a reduction in sexual transmission risk, and increase HIV testing and HIV disclosure to sexual partners to varying degrees among MSM who meet male sex partners online. If successful, this type of novel intervention will be efficient, cost-effective, feasible to replicate online, and especially useful in overcoming geographic boundaries, such as reaching men in rural areas or other hard-to-reach populations.