Interactive CD-ROM for HIV Risk Negotiation

描述(由申请人提供)：项目摘要本项目的目的是进一步开发和评估一个交互式多媒体项目，旨在为年轻女性提供谈判性互动的培训和实践。该产品以漫画形式向用户呈现模拟的性行为场景，并允许用户做出选择以确定场景的结果。在第一阶段，我们对18岁至24岁的年轻女性进行了定性访谈(n=18)，以探索这些女性所经历的常见的性行为。然后，我们开发了功能齐全的程序并构建了一个场景。这一情景的内容是基于应用于艾滋病毒预防的认知理论以及定性访谈的结构而制定的。我们在一个小型试验(n=53)中评估了原型的可用性和可行性。对该计划的反应非常积极，我们满足了所有可用性和可行性标准。这一第二阶段项目的具体目标如下：1)在第一阶段结果的基础上扩大和进一步开发SafeSexGirl原型；2)与一组艾滋病毒预防专家在设计和内容上进行合作；3)开发完整的计划：“SafeSexGirl：18-24岁女性版”，其中将包括四个场景和四个主要用户角色以及附加功能；4)对该计划进行迭代程序测试和调试；5)招募300名18-24岁的女性进行随机对照试验，比较治疗组和对照组的结果；相关性--年轻妇女感染艾滋病毒的风险越来越大，原因是她们的生理结构以及她们缺乏关于发起和谈判更安全的性行为的知识和技能。该产品将为年轻妇女提供知识和技能，以安全和有效地谈判她们的性行为，以减少艾滋病毒/性传播疾病传播和意外怀孕的风险。

DESCRIPTION (provided by applicant): Project Summary The purpose of this project is to further develop and evaluate an interactive multimedia program designed to provide young women with training and practice in negotiating sexual interactions. This product presents users with simulated scenarios of sexual interactions in a comic strip format and allows the user to make choices to determine the outcomes of the scenarios. For Phase I, we conducted qualitative interviews (n = 18) with young women between the ages of 18 and 24 to explore the common sexual situations experienced by these women. We then developed the fully functional program and built one scenario. The content for this scenario was developed based on constructs from cognitive theories applied to HIV prevention as well as the qualitative interviews. We assessed the usability and feasibility of the prototype in a small trial (n = 53). The response to the program was very positive and we met all usability and feasibility criteria. Specific aims for this Phase II project are as follows: 1) Expand and further develop the SafeSexGirl prototype based on Phase I results; 2) Collaborate on design and content with a group of HIV prevention experts; 3) Develop the full program: "SafeSexGirl: Version for Women ages 18-24" which will include four scenarios and four main user-characters as well as additional features; 4) Perform iterative program testing and debugging of the program; 5) Recruit 300 women ages 18-24 to conduct a randomized control trial to compare outcomes between a treatment group and a comparison group; Relevance- Young women are at increasing risk of contracting the HIV virus due to their physiological makeup as well as their lack of knowledge and skills regarding initiating and negotiating safer sex practices. This product will be designed to provide the knowledge and skills for young women to safely and effectively negotiate their sexual interactions to reduce their risk of HIV/STD transmission as well as unintended pregnancies.