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

描述（由申请人提供）：美国疾病控制和预防中心宣布，艾滋病是美国非裔美国人的“紧急状态”——年轻的非裔美国人在这种流行病中尤其脆弱。因此，制定适合这一人群的有效干预措施是国家的优先事项。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、自我指导的避孕套使用计划可以有效地促进人们对避孕套使用的接受，并提高避孕套保护的性行为的质量和一致性。这项试点研究将(1)开发和测试该项目（家庭作业干预策略，HIS）在城市性病诊所的非洲裔美国年轻人中的可行性，(2)确定可能调节该项目效果的变量。卫生系统有可能很容易转化为广泛的做法，而只需要很少的资源。与以前测试过的干预措施不同，卫生信息系统可以适用于所有使用避孕套的男性，无论其伴侣的性别或其艾滋病毒/性传播感染状况如何。为了发展健康卫生系统以满足这些高危男性的需要，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“指示”将被完善并为这一人群量身定制。从一家城市性病诊所招募的100名年轻非裔美国男性将被随机分为两组(HIS vs。“标准治疗”)，在为期6个月的随机两组试验中进行了5个评估期。评估将比较各组无保护性行为的频率、安全套使用经验的质量、安全套使用错误和问题的经验、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。

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.