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

描述(由申请者提供)：美国疾病控制和预防中心宣布，艾滋病在美国对非裔美国人来说是“紧急状态”--年轻的非裔美国男性在这种流行病中尤其脆弱。因此，制定针对这一人群的有效干预措施是国家优先事项。我们之前的初步研究表明，一个简短的、由诊所发起的、以家庭为基础的、自我引导的避孕套使用计划可能有效地促进避孕套使用的接受，并提高避孕套保护性行为的质量和一致性。这项先导性研究将(1)为在城市性病诊所就诊的年轻非裔美国男性开发和测试这一计划(家庭作业干预策略，HIS)的可行性，以及(2)确定可能调节该计划有效性的变量。HIS有可能很容易地转化为广泛的实践，而只需要最少的资源。与之前测试的干预措施不同，HIS可以适用于所有使用避孕套的男性，无论他们的伴侣的性别或他们的艾滋病毒/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”将被完善和定制，以适应这一人群。100名从城市性病诊所招募的年轻非洲裔美国男子将被随机分成两组(他的治疗标准与“标准护理”)，在为期6个月的随机双臂试验中，有5个评估期。评估将在无保护措施的性行为频率、避孕套使用体验的质量、避孕套使用错误和问题的经历、对避孕套使用的态度、避孕套使用的可接受性以及避孕套使用的自我效能和信心方面进行比较。 与公共健康相关：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“紧急状态”--年轻的非洲裔美国男性在这一流行病中尤其脆弱。因此，制定针对这一人群的有效干预措施是国家优先事项。这项试点研究将(1)开发和测试针对年轻的非裔美国男性的一个简短的、由诊所发起的、以家庭为基础的、自我指导的避孕套使用计划的可行性，以及(2)确定可能调节该计划有效性的变量。

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.