A Digital Intervention for HIV Prevention in Black Adolescent Girls

黑人少女艾滋病毒预防的数字干预

• 批准号: 10005408
• 负责人: Kimberly D Hieftje
• 金额: $ 25.13万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10005408
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Adolescence; Adolescent; Advocate; Affect; Age; Alcohol consumption; Area; Attitude; Awareness; Behavior; Behavioral; Birth; Childhood; Cognition; Communication; Contracts; Counseling; Data; Diagnosis; Disease; Drug usage; Early Intervention; Economic Factors; Environment; Environmental Risk Factor; Female Adolescents; Focus Groups; Friends; Funding; Gender; Goals; HIV; HIV Infections; HIV diagnosis; Health; Health Promotion; Health behavior; Human immunodeficiency virus test; Incidence; Individual; Individual Adjustment; Infection; Intervention; Knowledge; Lead; Life; Literature; Mediation; Motivation; National Institute of Child Health and Human Development; Outcome; Participant; Pattern; Pilot Projects; Play; Population; Primary Health Care; Process; Public Health; Randomized Controlled Trials; Reporting; Research; Research Priority; Risk; Risk Behaviors; Risk Reduction Behavior; Role; Self Efficacy; Sexual Partners; Sexually Transmitted Diseases; Strategic Planning; Technology; Testing; Thinness; Time; Translating; Treatment Efficacy; United States National Institutes of Health; Unsafe Sex; Video Games; Woman; Women' s Health; Work; aged; attentional control; base; behavioral health; condoms; demographics; design; digital; effective intervention; empowered; experience; girls; health disparity; high risk; high risk behavior; high school; improved; innovation; peer; prevention service; programs; psychosocial adjustment; racial and ethnic; risk perception; satisfaction; sexual HIV transmission; sexual risk behavior; sexual risk taking; skills; skills training; social; social factors; social norm; theories; therapy design; trial comparing; videogame intervention

PROJECT SUMMARY Black women are disproportionately diagnosed with human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). Black women often contract HIV/STIs through high-risk sex and adolescence is when these behaviors are more common. Furthermore, Black adolescent girls are more affected by HIV/STIs than other demographics of adolescent girls; yet, there are few engaging and effective interventions designed exclusively for them. In fact, many are unaware of their partner HIV/STI status and do not consistently use condoms to protect themselves. Therefore, interventions that counter individual-level risk perception by promoting HIV/STI testing for themselves and their partners and reduce risk behaviors, such as non-condom use, are greatly needed. There is compelling evidence that peers play a significant role in the protection from risk associated with HIV/STIs by providing opportunities to exchange knowledge, influence attitudes, and to develop new behavioral skills. Videogame interventions, which are frequently played with others, can be culturally tailored, provide behavioral skills training, and have demonstrated efficacy in affecting health behaviors related to health promotion. With the growing evidence for the efficacy of videogames in improving health outcomes, it is essential to examine how to harness these technologies to modify behaviors in Black adolescent girls. With funding from the Women’s Health Research at Yale Pilot Program, the Yale’s play2PREVENT Lab developed and pilot tested a theory-based social card game intervention, One Night Stan, which was aimed at increasing partner HIV/STI testing and condom use in young black women aged 18- 24. Preliminary findings of a pilot study conducted with 21 black women aged 18-21 suggest that playing the game can lead to increased self-efficacy and intentions to use condoms and insist that their partners get tested for HIV across time. In terms of gameplay satisfaction, 100% of participants reported that that they would play the game again, 95% liked the way the game looked, 100% enjoyed playing the game, and 100% reported that they would tell their friends to play. Results from this study suggest that One Night Stan is a feasible intervention approach and may be efficacious in helping players develop a pattern of cognitions and motivation that can protect them against the risk of HIV. Together, a team comprised of experts from the Yale Center for Health & Leaning Games will build upon this formative work and pilot data to adapt One Night Stan to a multiplayer videogame for younger target audience of Black adolescent girls. For this proposal, we will evaluate the feasibility and preliminary efficacy of One Night Stan at increasing self and partner HIV/STI testing by conducting a pilot randomized controlled trial with 80 young Black adolescent girls ages 14-18. We will also explore the efficacy of the intervention for increasing players’ HIV/STI knowledge and for increasing intentions and attitudes around safer HIV/STI practices. As a multiplayer videogame, the intervention is a compelling framework for Black adolescent girls who constantly interact and are influenced by their peers.

项目摘要 黑人妇女被诊断患有人类免疫缺陷病毒（艾滋病毒）， 传播感染（STI）。黑人妇女经常通过高风险性行为感染艾滋病毒/性传播感染， 当这些行为更普遍的时候。此外，黑人少女更容易感染艾滋病毒/性传播感染。 与其他青春期女孩的人口统计数据相比， 专为他们而设。事实上，许多人不知道其伴侣的艾滋病毒/性传播感染状况， 避孕套来保护自己因此，通过以下方式对抗个人风险认知的干预措施 促进对自己和伴侣进行艾滋病毒/性传播感染检测，减少不使用避孕套等危险行为 使用，非常需要。有令人信服的证据表明，同龄人在保护儿童免受 通过提供机会交流知识，影响态度， 发展新的行为技能。经常与他人一起玩的视频游戏干预可以是 文化定制，提供行为技能培训，并在影响健康方面表现出功效 与健康促进有关的行为。随着越来越多的证据表明电子游戏在改善 健康结果，研究如何利用这些技术来改变黑人的行为至关重要 青春期女孩在耶鲁大学妇女健康研究试点项目的资助下， play 2 prevent实验室开发并试点测试了基于理论的社交纸牌游戏干预，一夜 Stan旨在增加18岁以下年轻黑人女性的伴侣艾滋病毒/性传播感染检测和安全套使用， 24.对21名18-21岁的黑人女性进行的一项试点研究的初步结果表明， 游戏可以提高自我效能，增加使用避孕套的意愿，并坚持让伴侣接受检测 艾滋病病毒在不同时间的传播在游戏满意度方面，100%的参与者表示他们会玩 95%的人喜欢游戏的外观，100%的人喜欢玩游戏，100%的人报告说， 他们会告诉他们的朋友去玩。这项研究的结果表明，一个晚上斯坦是一个可行的 干预的方法，并可能有效地帮助球员发展的认知和动机模式 可以保护他们免受艾滋病毒感染的风险。由耶鲁大学中心的专家组成的团队共同努力， 健康和学习游戏将建立在这一形成性的工作和试点数据，以适应一个晚上斯坦， 多人视频游戏的年轻目标观众的黑人少女。对于这一建议，我们将 评估一夜情在增加自我和伴侣艾滋病毒/性传播感染方面的可行性和初步疗效 通过对80名14-18岁的年轻黑人少女进行试点随机对照试验进行测试。我们 还将探讨干预措施在增加参与者艾滋病毒/性传播感染知识和增加 关于更安全的艾滋病毒/性传播感染做法的意图和态度。作为一个多人视频游戏，干预是一个 令人信服的框架，黑人少女谁不断互动，并受到同龄人的影响。