Older Adults, AIDS, and the Internet

这项为期两年的可行性研究旨在审查50岁以上的人使用互联网的性风险，并制定和试点测试向老年人在线提供艾滋病毒预防方案所需的概念方法和方法。该项目有五个目标：（1）找出并分析现时网上可供长者获取爱滋病资讯及爱滋病预防援助的一般及特定年龄来源的特点;（2）找出并分析现有互联网网站及IRC聊天室的特点，这些网站及聊天室为长者提供网上恋爱/性关系的机会，而这些机会可能会转移至网下，从而产生潜在的爱滋病风险;（3）建立老年网站和聊天室用户的流行病学概况，包括他们的人口统计学特征、在线健康和艾滋病毒信息来源的使用、对艾滋病的知识和态度以及与在线和离线伙伴的艾滋病毒风险行为;（4）制定、实施、对在线提供“艾滋病与老龄问题聊天”节目进行试点测试，并最终确定评估其有效性所需的方法和措施;及（5）制订一份程序手册沿着申请表，以支持进行一项全面的第II期临床（随机）试验，以评估使用CAAA模式为长者提供网上爱滋病资讯及预防服务的成效。作为一种预防方法，CAAA模式可能对有兴趣为老年人服务的艾滋病提供者具有广泛的吸引力。因特网节目可以覆盖全球受众，通常只需要很少的工作人员来维护，在某些情况下可以由志愿者提供，通常只需要很少的办公空间或设备。

This two-year feasibility study is designed to examine sexual risk through Internet use among people over age 50 and to develop and pilot test the conceptual approach and methods needed to deliver HIV prevention programming to older adults on line. The project has five goals: (1) To identify and analyze the characteristics of general and age- specific sources currently available online that older adults can access to obtain AIDS information and HIV Prevention Assistance; (2) To identify and analyze the characteristics of existing Internet websites and IRC chatroom locations that offer older adults opportunities for online romantic/sexual relationships that may move offline to produce the potential for HIV risk; (3) To develop an epidemiological profile of older website and chatoom users in terms of their demographic characteristics, use of online health and HIV information sources, knowledge and attitudes about AIDS, and HIV-risk behavior with partners met both on and offline; (4) To develop, implement, and pilot test the online delivery of "Chatting About AIDS and Aging (CAAA)" programming as well as to finalize the methods acid measures needed to evaluate its effectiveness; and (5) To develop a Manual of Procedures along with an RO1 Application for support to conduct a full Phase II clinical (randomized) trial to evaluate the efficacy of providing online AIDS information and prevention services using the CAAA model for older adults. As a prevention approach, the CAAA model is likely to have wide appeal for AIDS providers interested in serving older adults. Internet programming can reach a global audience, typically needs few staff to maintain, in some instances can be delivered by volunteers, and usually requires little office space or equipment.