Web-Based Intervention for Black Bisexually-Active Men

针对活跃双性恋黑人男性的网络干预

• 批准号: 7866601
• 负责人: JEFFREY T PARSONS
• 金额: $ 21.55万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-10 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7866601
• 关键词: AIDS prevention; AIDS/HIV diagnosis; AIDS/HIV problem; Accounting; Address; Adopted; Affect; African American; Alcohol or Other Drugs use; American; Anus; Area; Attention; Behavior; Behavior Control; Behavioral; Bisexual; Caring; Clinical; Communities; Comprehension; Control Groups; Disclosure; Education; Enrollment; Evaluation; Feedback; Female; Frequencies; Goals; Grant; HIV; HIV Infections; Health; Human immunodeficiency virus test; Incidence; Individual; Infection prevention; Internet; Intervention; Knowledge; Literature; Measures; Modeling; Motivation; Online Systems; Oral; Outcome; Participant; Patient Self-Report; Pattern; Perception; Pharmaceutical Preparations; Population; Prevalence; Prevention; Prevention program; Preventive Intervention; Process; Provider; Randomized; Randomized Controlled Trials; Recording of previous events; Recruitment Activity; Relative (related person); Reporting; Research; Respondent; Risk; Risk Behaviors; Risk Reduction; Sampling; Self Efficacy; Services; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Testing; Theoretical model; Time; Treatment Efficacy; Unsafe Sex; Vagina; Woman; base; brief intervention; condoms; contextual factors; cost; efficacy testing; experience; high risk; innovation; intervention program; male; meetings; men; men who have sex with men; peer; prevent; sex risk; sexually active; skills; social cognitive theory; therapy design; transmission process

Description (provided by the applicant): African Americans are disproportionately affected by HIV/AIDS, and this disparity is further evident among bisexually-active African American men (BAAM).Yet, there is insufficient knowledge regarding sexual risk behaviors of BAAM and the context in which they occur. To date, no interventions in the literature with demonstrated efficacy in reducing HIV-related sexual risk behaviors have been developed and evaluated for BAAM who do not inject drugs. The proposed study will develop and test the efficacy and acceptability of an innovative individually-tailored and culturally-sensitive 6-session online-delivered video intervention that simultaneously targets multiple domains of socio-cultural, structural-level factors, and contextual factors related to HIV risk behavior among BAAM, relative to an attention control (education) condition. This intervention is theoretically informed both in content (using the Information-Motivation-Behavior Skills model) and delivery (using tenets of Social Cognitive theory) and will feature peer BAAM. Both behavioral and biologic outcomes will be measured. Using respondent-driven sampling, a total of 120 BAAM will be enrolled and randomly assigned to either treatment or education-control conditions. They will be longitudinally tracked for six months (assessed at Baseline, month 3, and month 6). In addition to determining the prevalence of lifetime and recent HIV-associated risk behavior among BAAM, this study seeks to evaluate the impact of a brief intervention across three domains over time: (1) intentions/motivations to reduce HIV-associated risk behavior, (2) self-reported HIV-associated risk behavior, and (3) health/prevention knowledge and self-efficacy skills. The long term goal of the proposed project is to develop an empirically validated HIV/STI prevention program that can be delivered online BAAM. Consistent with the R34 mechanism, the final product will be the basis for an R01 application to conduct a large-scale efficacy study in this population. Should this intervention demonstrate effective, it will be a cost feasible approach to preventing HIV transmissions among BAAM, delivered via the medium where many men who have sex with men (including BAAM) actively meet sex partners (i.e., the Internet). Finally, the model for this intervention can easily be adopted by HIV service providers and delivered outside of traditional clinical setting with a variety of populations.

描述（由申请人提供）：非洲裔美国人受艾滋病毒/艾滋病的影响尤为严重，这种差异在双性恋活跃的非洲裔美国男性 (BAAM) 中更为明显。然而，对于 BAAM 的性危险行为及其发生的背景还缺乏足够的了解。迄今为止，文献中尚未针对不注射吸毒的 BAAM 开发和评估可有效减少 HIV 相关性危险行为的干预措施。拟议的研究将开发和测试创新的个性化定制和文化敏感的 6 节在线视频干预的有效性和可接受性，该干预同时针对 BAAM 中与注意力控制（教育）条件相关的社会文化、结构层面因素和背景因素等多个领域。从理论上讲，这种干预在内容（使用信息-动机-行为技能模型）和交付（使用社会认知理论的原则）方面都有信息，并且将以同伴 BAAM 为特色。行为和生物学结果都将被测量。使用受访者驱动的抽样，总共 120 名 BAAM 将被登记并随机分配到治疗或教育控制条件。他们将被纵向跟踪六个月（在基线、第 3 个月和第 6 个月进行评估）。除了确定 BAAM 中终生和近期 HIV 相关危险行为的患病率之外， 本研究旨在评估随着时间的推移跨三个领域的简短干预的影响：(1) 减少艾滋病毒相关风险行为的意图/动机，(2) 自我报告的艾滋病毒相关风险行为，以及 (3) 健康/预防知识和自我效能技能。拟议项目的长期目标是开发一个经过经验验证的 HIV/STI 预防计划，该计划可以在线提供 BAAM。与R34机制一致，最终产品将成为基础 R01 应用程序在该人群中进行大规模功效研究。如果这种干预 如果证明有效，这将是一种预防 BAAM 之间艾滋病毒传播的成本可行的方法，通过许多男男性行为者（包括 BAAM）积极结识性伴侣的媒介（即互联网）提供。最后，这种干预措施的模型可以很容易地被艾滋病毒服务提供者采用，并在传统临床环境之外向各种人群提供。