Health Mpowerment.org: a novel Internet and mobile phone HIV intervention for you

Health Mpowerment.org：为您提供新颖的互联网和手机艾滋病毒干预措施

• 批准号: 8071849
• 负责人: Lisa B Hightow-Weidman
• 金额: $ 40.07万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-20 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8071849
• 关键词: Affect; Alcohols; Anus; Area; Attention; Behavioral; Body Weight decreased; Car Phone; Cellular Phone; Chlamydia; Clinical Services; Collaborations; Communication; Comprehension; Computers; Data; Development; Electronic Mail; Enrollment; Epidemic; Feedback; Gonorrhea; HIV; HIV Infections; HIV/STD; Health; Hour; Industry; Internet; Intervention; Knowledge; Link; Location; Minority; Modification; North Carolina; Outcome; Ownership; Participant; Patient Self-Report; Persons; Physical activity; Population; Prevention; Preventive Intervention; Process; Randomized; Randomized Controlled Trials; Recruitment Activity; Risk; Risk Assessment; Risk Reduction; Scientist; Sexual Partners; Site; Smoking; Specialist; Technology; Telephone; Testing; Text; Time; United States National Institutes of Health; Update; Vagina; Weight; aged; arm; base; cost effective; design; field study; flexibility; follow-up; group intervention; health application; high risk; improved; innovative technologies; interest; low socioeconomic status; meetings; men who have sex with men; novel; post intervention; programs; prototype; randomized trial; rectal; response; satisfaction; skills; theories; therapy development; usability; web site

DESCRIPTION (provided by applicant): In response to a previously unrecognized epidemic of HIV infection affecting young Black men who have sex with men (BMSM) in North Carolina (NC) who met sexual partners on the internet we sought to design a tailored, theory-based interactive HIV/STI prevention website for young BMSM. While previous studies have found that computer-based interventions are efficacious in reducing HIV related sexual risks, to date, no internet-based intervention has been developed specifically for young BMSM. Based on prior successful internet interventions to encourage weight loss, increase physical activity or promote smoking/alcohol cessation, we developed a theory-based website that provides tailored and personalized feedback. Formative data developing and pilot testing HealthMpowerment.org (HMP), our theory-based, tailored and tested website indicate that this intervention is acceptable and relevant to the prevention issues currently faced by young BMSM. Moreover, we have demonstrated that we can deliver this intervention over the internet and successfully recruit and retain a high percentage (90%) of BMSM for participation over a one-month follow-up period. Smart phone ownership is rapidly growing and provides internet access that is "always on" - allowing for the delivery of interventions to persons on the go, 24 hours a day, 7 days a week. The cell phone industry has documented high levels of use among Blacks creating an increased likelihood, using cell phones, of delivering highly engaging prevention messages to hard-to-reach populations, including those that may not typically access in-person or group interventions. An intervention combining traditional internet with mobile phone technology allows for location independence and increased flexibility, reach and impact. Both the internet and phone based interventions have been shown to improve knowledge and health outcomes among minorities and those with low socioeconomic status (SES) thus the potential for use among young BMSM is enormous. By further refining this intervention and including a mobile phone based platform, we believe we can create a comprehensive internet-based HIV risk reduction intervention for a population that is underserved by currently available prevention interventions. Specifically we plan to use data from feasibility and acceptability testing of our tested and theory-based internet intervention to refine, enhance and test the HMP intervention website, including novel features delivered via mobile phone technology. We then plan to conduct a two arm randomized controlled trial with young BMSM comparing the enhanced HMP intervention to a control condition consisting of links to currently available HIV/STI internet sites. PUBLIC HEALTH RELEVANCE: This unique study seeks to further refine a theory-based, internet intervention, HealthMpowerment.org, that has been developed for young Black MSM. By enhancing the current intervention and including a mobile phone based platform, we believe we can create a comprehensive internet-based HIV risk reduction intervention for a population that is underserved by currently available prevention interventions

描述（由申请人提供）：为了应对以前未被认识到的艾滋病毒感染的流行，影响着北卡罗来纳州（NC）在互联网上遇到性伴侣的年轻黑人男性（BMSM），我们试图为年轻的BMSM设计一个量身定制的、基于理论的交互式艾滋病毒/性传播感染预防网站。虽然以前的研究发现，基于计算机的干预措施在减少与艾滋病毒相关的性风险方面是有效的，但迄今为止，还没有专门针对年轻的男同性恋者开发的基于互联网的干预措施。基于先前成功的互联网干预措施，鼓励减肥、增加体育活动或促进戒烟/戒酒，我们开发了一个基于理论的网站，提供量身定制的个性化反馈。形成性数据开发和试点测试HealthMpowerment.org (HMP)，我们的理论为基础，量身定制和测试的网站表明，这种干预是可以接受的，并且与目前年轻BMSM面临的预防问题相关。此外，我们已经证明，我们可以通过互联网提供这种干预，并在一个月的随访期内成功地招募和留住了很高比例（90%）的BMSM参与。智能手机的拥有量正在迅速增长，并提供了“永远在线”的互联网接入——允许每周7天、每天24小时向忙碌的人提供干预。手机行业记录了黑人的高使用率，这增加了使用手机向难以接触到的人群（包括那些通常无法亲自或集体干预的人群）传递高度吸引人的预防信息的可能性。将传统互联网与移动电话技术相结合，可以实现位置独立性，增加灵活性，覆盖范围和影响。基于互联网和电话的干预措施已被证明可以改善少数民族和社会经济地位较低的人的知识和健康结果，因此在年轻的BMSM中使用的潜力是巨大的。通过进一步完善这一干预措施，并包括一个基于手机的平台，我们相信我们可以为目前可用的预防干预措施服务不足的人群创建一个全面的基于互联网的艾滋病毒风险降低干预措施。具体来说，我们计划使用可行性和可接受性测试的数据来完善、增强和测试HMP干预网站，包括通过移动电话技术提供的新功能。然后，我们计划在年轻的BMSM中进行一项两组随机对照试验，将增强的HMP干预与由当前可用的HIV/STI网站链接组成的对照条件进行比较。