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。男男性行为者中新的艾滋病毒感染归因于安全性行为疲劳、艾滋病毒治疗乐观主义、吸毒以及通过互联网连接网站容易获得性伴侣等因素。这个拟议项目的目的是，一种新的在线干预措施，以减少在网上遇到男性的男性的性风险，是评估开发和实施一种创新的在线随机艾滋病毒行为风险干预的可行性，使用数字视频短片。这项拟议的在线干预措施的目标人群是在网上认识男性性伴侣的男男性行为者（MSM）。与不在线寻求性行为的男性相比，在线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，并自我认同为白色和同性恋。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一个方便的MSM参与者在线样本，使用单组，前后测试设计。在基线和3个月随访之间，我们发现向新性伴侣和艾滋病毒检测披露艾滋病毒的情况显著增加。基于我们的试点数据的成功，我们要求资助，以测试开发和实施一个4-分支，随机对照设计的可行性，前后测试和30天的随访，将在网上实施，包括ABC组件。我们假设，一个简短的在线行为干预，使用数字视频，这是为了引起批判性思维和态度和行为的改变，将产生减少性传播的风险，并增加艾滋病毒检测和艾滋病毒披露给性伴侣在不同程度上在男男性接触者满足男性性伴侣在线。如果成功，这种新型干预措施将是有效的、具有成本效益的，可以在网上复制，特别有助于克服地理界限，例如接触农村地区的男子或其他难以接触的人群。

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.