Keep It Up: Peak Performance for Life HIV Intervention for African American Males

坚持下去：非洲裔美国男性艾滋病毒干预的终身最佳表现

• 批准号: 7229245
• 负责人: LYDIA N O'DONNELL
• 金额: $ 19.55万
• 依托单位: EDUCATION DEVELOPMENT CENTER, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7229245
• 关键词: AIDS education /prevention; African American; clinical research; cooperative study; health education; human subject; male

DESCRIPTION (provided by applicant): Education Development Center, Inc. and Medgar Evers College of the City University of New York will develop and pilot test the Keep It Up: Peak Performance for Life program targeted to African American and other Black young men in high-poverty communities where HIV, other sexually transmitted infections (STI), substance use and unintentional pregnancies are elevated. This integrated structural, community, and individual-level intervention embeds HIV behavioral prevention and testing within a comprehensive social marketing and health screening program. This ground-breaking intervention incorporates four core elements: (1) Culturally tailored and male-targeted social marketing campaign to raise awareness about sexual health and the Keep It Up: Peak Performance for Life program; (2) Sexual and general health screening that includes simple, relatively non-invasive biologic testing for HIV, as well hypertension, cholesterol, diabetes, lung function and other STI, which are related to longer-term chronic diseases and sexual dysfunction; (3) Brief, engaging computerized HIV behavioral risk reduction that uses video clips and interactive activities to trigger self-assessment of risk, increase motivation for safer behaviors and relationships, model condom use and negotiation skills, and provide normative support; and (4) Personalized health profile and HIV risk reduction plan. Keep It Up seeks to "normalize" HIV prevention and testing in the context of a convenient, relatively non-invasive health check-up for men, similar to routine reproductive health care provided to women. The specific aims are to: 1. Conduct formative research to refine the core elements and content of the Keep It Up: Peak Performance for Life health promotion program for African American and other Black young men; 2. Finalize the Keep It Up: Peak Performance for Life core elements and materials; 3. Collaborate with the CDC multi-site committee to develop evaluation materials that can be used across sites to provide preliminary evidence of whether the intervention leads to change in HIV risk behaviors; 4. Pilot the intervention and enroll a sample of about 100 African American and other Black young men in a repeated-measures pre-post test with a 3-month follow up to determine whether the approach is promising and merits further evaluation. Keep It Up is designed for young men to receive HIV behavioral prevention and HIV testing quickly and conveniently in a non-threatening and non-stigmatized community setting. In addition to HIV prevention, the goal is to market health promotion to a population of African American men who bear a disproportionate burden of not only HIV/AIDS but other chronic conditions that lead to ongoing health disparities.

描述（由申请人提供）：教育发展中心，公司。和纽约城市大学Medgar Evers学院将开发和试点测试“保持下去：生命巅峰表现”计划，目标是艾滋病毒、其他性传播感染（STI）、药物使用和意外怀孕增加的高度贫困社区的非洲裔美国人和其他黑人年轻男子。这种综合性的结构、社区和个人层面的干预措施将艾滋病毒行为预防和检测嵌入到一个全面的社会营销和健康筛查计划中。这一突破性的干预措施包括四个核心要素：（1）针对文化和男性的社会营销活动，以提高对性健康和“保持下去：终身最佳表现”方案的认识;（2）性健康和一般健康检查，包括对艾滋病毒以及高血压、胆固醇、糖尿病、肺功能和其他性传播感染进行简单、相对非侵入性的生物检测，（3）简要介绍，利用计算机化的艾滋病毒行为风险降低方法，使用视频剪辑和互动活动来触发风险自我评估，提高对更安全行为和关系的动机，示范避孕套的使用和谈判技巧，并提供规范性支持;及（4）个人化健康档案及减低爱滋病风险计划。“坚持下去”方案力求在方便、相对非侵入性的男子健康检查的背景下，使艾滋病毒预防和检测“正常化”，类似于向妇女提供的常规生殖保健。具体目标是：1.进行形成性研究，以完善核心要素和内容的保持下去：高峰表现的生活健康促进计划，为非洲裔美国人和其他黑人青年男子; 2。最后确定保持下去：生命的核心元素和材料的峰值性能; 3。与疾病预防控制中心多地点委员会合作，开发可跨地点使用的评估材料，以提供干预措施是否导致艾滋病毒风险行为改变的初步证据; 4.试点干预措施，并招募了大约100名非洲裔美国人和其他黑人青年男子的样本，进行重复测量的前后测试，并进行3个月的随访，以确定该方法是否有前途，是否值得进一步评估。Keep It Up旨在让年轻男性在无威胁和无污名化的社区环境中快速方便地接受艾滋病毒行为预防和艾滋病毒检测。除了预防艾滋病毒外，目标是向非洲裔美国男子宣传健康，他们不仅在艾滋病毒/艾滋病方面负担过重，而且在其他慢性病方面负担过重，导致健康状况持续不平等。