Influences on risk behaviors among young men

对年轻男性危险行为的影响

• 批准号: 10024659
• 负责人: Kimberly M Nelson
• 金额: $ 5.49万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-10-28 至 2021-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10024659
• 关键词: 16 year old; AIDS prevention; Acquired Immunodeficiency Syndrome; Address; Adolescence; Adolescent; Adolescent HIV risk; Adolescent Risk Behavior; Adolescent sexual risk; Adopted; Adoption; Adult; Affect; Age; Anus; Area; Behavior; Behavioral; Behavioral Medicine; Behavioral Sciences; Centers for Disease Control and Prevention (U.S.); Clinical Psychology; Clinical Trials; Collaborations; Communications Media; Complex; Consent; Coupled; Data; Development; Doctor of Philosophy; Education; Educational workshop; Environment; Epidemiology; Ethics; Evaluation; Expectancy; Exposure to; Feedback; Focus Groups; Foundations; Funding; Goals; HIV; HIV Infections; HIV risk; Health; Health Benefit; Health behavior; Hospitals; Incidence; Influentials; International; Internet; Intervention; Intervention Trial; Leadership; Learning; Measures; Mediation; Mentored Patient-Oriented Research Career Development Award; Mentors; Methodology; Methods; Modeling; Network Infrastructure; Parents; Pattern; Population; Pornography; Prevention; Prevention Research; Preventive Medicine; Privacy; Psychosexual Development; Public Health; Randomized; Randomized Controlled Trials; Reporting; Research; Research Infrastructure; Research Methodology; Research Personnel; Resources; Risk; Risk Behaviors; Risk-Taking; Role; Same-sex; Sampling; Science; Scientist; Sex Behavior; Sexual Development; Sexual Health; Source; Stigmatization; Surveys; Testing; Theory of Change; Time; Training; United States; United States National Institutes of Health; Universities; Work; Youth; alcohol research; base; behavior change; biopsychosocial; career; design; ethnic diversity; ethnic minority population; evidence base; experience; follow-up; health communication; health knowledge; high risk; high risk sexual behavior; innovation; literacy; male; medical schools; men who have sex with men; peer; post intervention; preventive intervention; primary outcome; professor; programs; public health relevance; racial and ethnic; racial minority; recruit; retention rate; secondary outcome; sexual minority; sexual risk behavior; sexual risk taking; skills; therapy development; tool; young man; young men who have sex with men

 DESCRIPTION (provided by applicant): Candidate. I pursue this Mentored Patient-Oriented Research Career Development Award (K23) to facilitate my transition towards an independent research career in HIV prevention science. My long-term goal is to become a productive independent HIV prevention behavioral scientist. My goals include the development of HIV prevention interventions - using new and increasingly accessible and influential online media - to address disparities among sexual minority populations across key developmental periods. To date, my training has focused on core strengths and skills in clinical psychology (PhD) and epidemiology (MPH). I have acquired expertise in HIV prevention, behavior change theory, and research methods, with an emphasis on adults. This foundation has prepared me for the proposed next steps of my training, namely, developing expertise in adolescent risk behavior (the time when most risk behavior patterns are established) and the skills necessary for the development, implementation, and evaluation of online prevention interventions and research. Training plan. The proposed training plan will prepare me to work with adolescent sexual minority populations, a group at significant risk for HIV. Receipt of a K23 award will allow me protected time to acquire the necessary skills. Specifically, with the K23 training I will: (1) acquire the theoretical and methodological skills required for HIV prevention interventions targeting sexual minority populations during adolescence; (2) gain hands-on training in online media-based intervention development, including health communications and media literacy skills; and (3) build the necessary collaboration networks and research infrastructure to enable independence as an NIH-funded investigator. Importantly my training will also increase my sophistication regarding the (4) unique ethical challenges involved in (a) working with a young, often stigmatized population, and (b) delivering online interventions. Both domains are fraught with ethical complexities (e.g., privacy, consent, confidentiality) at a time of rapidly-evolving societal, cultural, health, and technological changes. My training will prepare me to take a leadership role in this emerging and complex research area. Training goals will be achieved through didactic courses, workshops, research experience, and mentoring. Environment. During the proposed K23, I will be a Research Scientist at The Miriam Hospital and an Assistant Professor at Brown University. At the Miriam, I will have access to the outstanding and highly supportive research environments provided by the Centers for Behavioral and Preventive Medicine and the Centers for AIDS Research. At Brown University, I will have access to the academic resources of the Schools of Medicine and Public Health, including the Alcohol Research Center on HIV. This environment will enhance my training and facilitate my research goals. Through the training, experience, and skills gained as a part of this K23 Award, I will be prepared to pursue funding to conduct a larger randomized controlled trial of an intervention to reduce HIV risk among adolescent sexual minority populations. Mentors. I will receive mentoring from an outstanding team of internationally recognized and accomplished investigators in HIV prevention and behavioral science, public health, communications, and media literacy. Proposed research. Young sexual minority males account for a disproportionate number of HIV infections in the United States. Racial and ethnic minority populations are particularly affected. Incidence rates reflect sexual risk behaviors during early sexual experiences. Research suggests that initial sexual risk-taking occurs during adolescence (ages 14-18) among sexual minority males. Therefore, it is important for HIV prevention interventions to target adolescent sexual minority males. Targeting sexual minority males during adolescence will help them learn and establish healthy sexual behaviors early in their psychosexual development, which will have both immediate and long-term health benefits. Online media use triggers and maintains sexual risk-taking among adolescent sexual minority males. Consequently, it is critical for HIV prevention interventions to address the influence of online media on this population. One way to address this influence is by developing an online sexual health media literacy intervention. To promote adolescent sexual minority males' critical examination of online media and to decrease their sexual risk-taking, I propose a two-stage program of research (i.e., formative research and an exploratory clinical trial) with three aims: (1) develop methods to recruit and retain a racially/ethnically diverse sample of adolescent sexual minority males online using feedback from five focus groups (N ~ 30); (2) develop a brief, online-administered, sexual health media literacy intervention to lower HIV risk behaviors among adolescent sexual minority males using information from a youth advisory board (N ~ 8) and a cross-sectional online survey (N = 200); and (3) conduct an exploratory clinical trial to pilot test the developed online sexual health media literacy intervention for feasibility and acceptability (N = 100). Overall, the proposed research has the potential to reach a wide audience of sexual minority males early in their sexual development, ultimately decreasing their sexual risk-taking and reducing the number of new HIV infections in this population. Further, the proposed research will expand my capacities as an HIV researcher and interventionist and place me at the forefront of online media-based HIV prevention research.

 描述(申请人提供)：候选人。我追求这个以患者为导向的研究职业发展奖(K23)，以促进我向艾滋病毒预防科学领域的独立研究职业生涯的过渡。我的长期目标是成为一名多产的独立艾滋病毒预防行为科学家。我的目标包括制定艾滋病毒预防干预措施--使用新的、越来越容易获得和有影响力的在线媒体--以解决关键发展时期性少数群体之间的差异。到目前为止，我的培训主要集中在临床心理学(PhD)和流行病学(MPH)的核心优势和技能上。我在艾滋病毒预防、行为改变理论和研究方法方面获得了专业知识，重点是成年人。这一基础为我提出的下一步培训做好了准备，即发展青少年风险行为方面的专业知识(建立大多数风险行为模式的时间)以及开发、实施和评估在线预防干预和研究所需的技能。训练计划。拟议的培训计划将使我做好准备，与青春期的性少数群体合作，这是一个感染艾滋病毒的重大风险群体。获得K23奖项将让我有足够的时间获得必要的技能。具体地说，通过K23培训，我将：(1)获得针对青春期性少数群体的艾滋病毒预防干预措施所需的理论和方法技能；(2)获得基于在线媒体干预发展的实践培训，包括健康沟通和媒体素养技能；以及(3)建立必要的合作网络和研究基础设施，使其能够独立成为一名由国家卫生研究院资助的调查员。重要的是，我的培训还将提高我在以下方面的老练：(4)涉及(A)与经常被污名化的年轻人群合作的独特道德挑战，以及(B)提供在线干预。在快速发展的社会、文化、卫生和技术变革时期，这两个领域都充满了伦理复杂性(例如，隐私、同意、保密)。我的培训将为我在这个新兴而复杂的研究领域担任领导角色做好准备。培训目标将通过授课课程、研讨会、研究经验和指导来实现。环境在拟议的K23期间，我将在米里亚姆医院担任研究科学家，并在布朗大学担任助理教授。在Miriam，我将有机会接触到由行为和预防医学中心和艾滋病研究中心提供的出色和高度支持的研究环境。在布朗大学，我将有机会使用医学院和公共卫生学院的学术资源，包括关于艾滋病毒的酒精研究中心。这种环境将加强我的培训，促进我的研究目标。通过作为K23奖的一部分获得的培训、经验和技能，我将准备争取资金，进行一项更大规模的干预随机对照试验，以降低青春期性少数群体中的艾滋病毒风险。导师。我将接受一支由国际公认的、在艾滋病毒预防和行为科学、公共卫生、传播和媒体素养方面有成就的研究人员组成的杰出团队的指导。拟开展的研究。在美国，年轻的性少数族裔男性在艾滋病毒感染中所占比例不成比例。少数族裔人口受到的影响尤其严重。发病率反映了早期性经历中的性危险行为。研究表明，在性少数男性中，初级性风险发生在青春期(14-18岁)。因此，以青春期性少数民族男性为目标的艾滋病预防干预措施具有重要意义。在青春期将目标对准性少数群体男性，将有助于他们在性心理发展早期学习和建立健康的性行为，这将对健康产生直接和长期的好处。在线媒体的使用引发并维持了青春期性少数男性的性冒险行为。因此，艾滋病毒预防干预措施至关重要，以解决在线媒体对这一人群的影响。解决这种影响的一种方法是开发在线性健康媒体素养干预。为了促进青少年性少数族裔男性对网络媒体的批判性审查，减少他们的性风险，我提出了一个分两个阶段的研究计划(即形成性研究和探索性临床试验)，目的有三：(1)开发方法，利用五个焦点小组(N~30)的反馈，在网上招募和保留种族/民族多样性的青少年性少数族裔男性样本；(2)利用青年咨询委员会(N~8)的信息和一项横断面在线调查(N=200)，制定一项简短的、在线管理的性健康媒体素养干预措施，以降低青春期少数性少数男性的艾滋病毒危险行为；以及(3)进行探索性临床试验，以初步测试所开发的在线性健康媒体素养干预措施的可行性和可接受性(N=100)。总体而言，拟议的研究有可能在性少数男性的性发育早期接触到广泛的受众，最终减少他们的性冒险行为，并减少这一人群中新感染艾滋病毒的人数。此外，拟议的研究将扩大我作为艾滋病毒研究员和干预者的能力，并将我置于基于在线媒体的艾滋病毒预防研究的前沿。