A Self-Guided Intervention to Promote Condom Use Among Young African American Mal

描述（由申请人提供）：疾病控制和预防中心宣布，艾滋病是一个“紧急状态”在美国的非洲裔美国人-年轻的非洲裔美国人男子特别容易受到这种流行病。因此，制定针对这一群体的有效干预措施是国家的优先事项。我们以前的初步研究表明，一个简短的，诊所发起的，以家庭为基础的，自我指导的安全套使用计划可以有效地促进安全套使用的接受和提高安全套保护性行为的质量和一致性。这项试点研究将（1）开发和测试该计划（家庭作业干预策略，HIS）的可行性，为年轻的非洲裔美国男子参加城市性病诊所和（2）确定变量，可能介导的程序的有效性。该系统有可能迅速转化为广泛的做法，同时只需要最少的资源。与以前测试过的干预措施不同，HIS可适用于所有使用避孕套的男子，无论其伴侣的性别或其艾滋病毒/性传播感染状况如何。为了开发HIS以满足这些高危男性的需求，拟议的研究将包括一个形成阶段，在此期间，将通过DVD提供的基本干预“指令”将被改进并针对这一人群进行调整。从城市STD诊所招募的100名年轻的非洲裔美国男性将在6个月的过程中在5个评估期的随机双臂试验中被随机分配到两组（HIS与“标准护理”）中的每一组。评估将比较各组的无保护性行为频率、安全套使用体验的质量、安全套使用错误和问题的体验、对安全套使用的态度、安全套使用的可接受性以及安全套使用的自我效能和信心。 公共卫生相关性：美国疾病控制和预防中心宣布，艾滋病在美国对非洲裔美国人来说是一种“紧急状态”--年轻的非洲裔美国人在这种流行病中特别脆弱。因此，制定针对这一群体的有效干预措施是国家的优先事项。这项试点研究将（1）开发和测试一个简短的，诊所发起的，以家庭为基础的，自我指导的安全套使用计划的可行性，为年轻的非洲裔美国男性和（2）确定变量，可能介导的程序的有效性。

DESCRIPTION (provided by applicant): The Centers for Disease Control and Prevention has declared that AIDS is a "state of emergency" in the US for African Americans - young African American men are especially vulnerable in this epidemic. Thus, the development of effective interventions tailored to this population is a national priority. Our previous preliminary studies suggest that a brief, clinic-initiated, home-based, self-guided condom use program may effectively promote the acceptance of condom use and increase the quality and consistency of condom-protected sexual behaviors. This pilot study will (1) develop and test the feasibility of this program (Homework Intervention Strategy, HIS) for young African American men attending an urban STD clinic and (2) identify variables that may mediate the efficacy of the program. The HIS has the potential to be readily translated into widespread practice, while requiring only minimal resources. Unlike previously tested interventions, the HIS can be applied to all men who use condoms, regardless of the sex of their partners or their HIV/STI status. To develop the HIS to meet the needs of these high-risk men, the proposed study will include a formative phase during which the basic intervention "instructions" which will be delivered by DVD will be refined and tailored for this population. One hundred young African American men recruited from an urban STD clinic will be randomized to each of two groups (HIS vs. "standard of care") in a randomized 2-arm trial with 5 assessment periods over the course of 6 months. Assessments will compare the groups on frequency of unprotected sex, quality of the condom use experience, experience of condom use errors and problems, attitudes regarding condom use, condom use acceptability, and condom use self-efficacy and confidence. PUBLIC HEALTH RELEVANCE: The Centers for Disease Control and Prevention has declared that AIDS is a "state of emergency" in the US for African Americans - young African American men are especially vulnerable in this epidemic. Thus, the development of effective interventions tailored to this population is a national priority. This pilot study will (1) develop and test the feasibility of a brief, clinic-initiated, home-based, self-guided condom use program for young African American men and (2) identify variables that may mediate the efficacy of the program.