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 黑人妇女被过度诊断为人类免疫缺陷病毒（HIV）和性行为 传播感染（STIS）。黑人妇女经常通过高风险的性行为和青少年感染艾滋病毒/性传播疾病 当这些行为更普遍时。此外，黑人青春期的女孩受艾滋病毒/性传播感染的影响更大 比其他青春期女孩的人口统计；但是，设计的几乎没有引人入胜且有效的干预措施 实际上，许多人没有意识到他们的伴侣HIV/STI身份，并且不始终如一地使用 保护自己的避孕套。因此，通过 为自己和他们的伴侣促进艾滋病毒/STI测试，并减少风险行为，例如非国家 使用非常需要。有令人信服的证据表明，同伴在保护中发挥了重要作用 通过提供交换知识，影响与会者的机会和与艾滋病毒/性传播感染相关的风险 发展新的行为技能。经常与他人一起进行的电子游戏干预措施可以是 根据文化量身定制，提供行为技能培训，并在影响健康方面表现出效率 与健康促进有关的行为。有了越来越多的证据表明电子游戏在改善方面的效率 健康结果，必须检查如何利用这些技术来修改黑色行为 青春期女孩。耶鲁大学的耶鲁试点计划的妇女健康研究资助 Play2Privent Lab开发和飞行员测试了一个基于理论的社交卡游戏干预，一个晚上 Stan，旨在增加伴侣的HIV/STI测试和避孕套的使用 24。对21名18-21岁的黑人妇女进行的试点研究的初步发现表明，玩 游戏可以提高自我效能感和使用避孕套的意图，并坚持认为他们的伴侣得到测试 为艾滋病毒跨越时间。就游戏满意度而言，100％的参与者报告说他们会玩 再次游戏，有95％的人喜欢游戏的外观，100％喜欢玩游戏，100％报告说 他们会告诉朋友玩。这项研究的结果表明，一个晚上Stan是可行的 干预方法，可能有效地帮助玩家发展认知和动力的模式 可以保护他们免受艾滋病毒的风险。一个团队结束了耶鲁中心的专家 健康与倾斜游戏将建立在这项形成性的工作和试点数据的基础上，以使Stan适应一个晚上 黑人青春期女孩的年轻目标受众的多人视频游戏。对于这个建议，我们将 评估一个晚上Stan的可行性和初步效率，以增加自我和伴侣HIV/STI 通过对80名14-18岁的黑人青春期女孩进行试验随机对照试验的测试。我们 还将探索干预效率，以增加玩家的艾滋病毒/性传播感染知识并增加 意图并围绕更安全的HIV/STI练习。作为多人视频游戏，干预是 对于不断互动并受同龄人影响的黑人青春期女孩的引人入胜的框架。