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引起了严重关注。男男性接触者中新的艾滋病毒感染归因于以下因素：安全性疲劳、对艾滋病毒治疗持乐观态度、吸毒以及通过网络交友网站容易获得性伴侣。本项目名为“一种新颖的在线干预措施，以降低在线交友男性的性风险”，旨在评估利用数字视频短片开发和实施一种创新的在线随机艾滋病毒行为风险干预措施的可行性。这项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）。与没有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接触，并自我认定为白人和同性恋。我们最近进行了一项在线试点干预，并成功地招募和跟踪了在线MSM参与者的方便样本，使用了单组，前后测试设计。在基线和3个月的随访期间，我们发现向新的性伴侣披露艾滋病毒和进行艾滋病毒检测的人数显著增加。基于我们的试点数据的成功，我们请求资金来测试开发和实施一个4个分支的随机对照设计的可行性，其中包括一个前后测试和30天的随访，将在网上实施，包括ABC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，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遇到男性性伴侣的男同性恋者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高效的、具有成本效益的、可在网上复制的，并且在克服地理界限方面特别有用，例如覆盖农村地区的男性或其他难以接触到的人群。

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.