Keep It Up: Peak Performance for Life HIV Intervention for African American Males

描述（由申请人提供）：教育发展中心公司和纽约城市大学梅德加·埃弗斯学院将开发和试点测试“保持向上：生命的巅峰表现”项目，目标是非洲裔美国人和其他黑人青年，他们生活在艾滋病毒、其他性传播感染（STI）、药物使用和意外怀孕率较高的高度贫困社区。这种综合结构、社区和个人层面的干预将艾滋病毒行为预防和检测嵌入到一个全面的社会营销和健康筛查计划中。这一突破性的干预措施包括四个核心要素：(1)根据文化特点量身定制和针对男性的社会营销活动，以提高对性健康的认识，并开展“保持健康：终身最佳表现”方案；(2)性和一般健康筛查，包括对艾滋病毒、高血压、胆固醇、糖尿病、肺功能和其他性传播感染进行简单、相对无创的生物检测，这些检测与长期慢性疾病和性功能障碍有关；(3)简短、有吸引力的计算机化艾滋病毒行为风险降低，使用视频片段和互动活动来触发风险自我评估，增加安全行为和关系的动机，示范避孕套使用和谈判技巧，并提供规范性支持；(4)个性化健康概况和艾滋病毒风险降低计划。Keep It Up旨在使艾滋病毒预防和检测“正常化”，为男子提供方便、相对非侵入性的健康检查，类似于向妇女提供的常规生殖保健。具体目标是：1。对非裔美国人和其他黑人青年进行形成性研究，以完善“保持向上：生命的最佳表现”健康促进计划的核心要素和内容；2. 完成“Keep It Up: Peak Performance for Life”核心元素和材料；3. 与疾病预防控制中心多站点委员会合作，开发可跨站点使用的评估材料，以提供干预措施是否导致艾滋病毒风险行为改变的初步证据；4. 试验干预并招募约100名非裔美国人和其他黑人年轻男性样本，进行重复测量的前后测试，并进行3个月的随访，以确定该方法是否有希望并值得进一步评估。Keep It Up旨在让年轻男性在无威胁、无污名化的社区环境中快速、方便地接受艾滋病毒行为预防和艾滋病毒检测。除了预防艾滋病毒外，目标是向非洲裔美国人推广健康，他们不仅承受着艾滋病毒/艾滋病的不成比例负担，而且还承受着导致持续健康差距的其他慢性疾病的负担。

DESCRIPTION (provided by applicant): Education Development Center, Inc. and Medgar Evers College of the City University of New York will develop and pilot test the Keep It Up: Peak Performance for Life program targeted to African American and other Black young men in high-poverty communities where HIV, other sexually transmitted infections (STI), substance use and unintentional pregnancies are elevated. This integrated structural, community, and individual-level intervention embeds HIV behavioral prevention and testing within a comprehensive social marketing and health screening program. This ground-breaking intervention incorporates four core elements: (1) Culturally tailored and male-targeted social marketing campaign to raise awareness about sexual health and the Keep It Up: Peak Performance for Life program; (2) Sexual and general health screening that includes simple, relatively non-invasive biologic testing for HIV, as well hypertension, cholesterol, diabetes, lung function and other STI, which are related to longer-term chronic diseases and sexual dysfunction; (3) Brief, engaging computerized HIV behavioral risk reduction that uses video clips and interactive activities to trigger self-assessment of risk, increase motivation for safer behaviors and relationships, model condom use and negotiation skills, and provide normative support; and (4) Personalized health profile and HIV risk reduction plan. Keep It Up seeks to "normalize" HIV prevention and testing in the context of a convenient, relatively non-invasive health check-up for men, similar to routine reproductive health care provided to women. The specific aims are to: 1. Conduct formative research to refine the core elements and content of the Keep It Up: Peak Performance for Life health promotion program for African American and other Black young men; 2. Finalize the Keep It Up: Peak Performance for Life core elements and materials; 3. Collaborate with the CDC multi-site committee to develop evaluation materials that can be used across sites to provide preliminary evidence of whether the intervention leads to change in HIV risk behaviors; 4. Pilot the intervention and enroll a sample of about 100 African American and other Black young men in a repeated-measures pre-post test with a 3-month follow up to determine whether the approach is promising and merits further evaluation. Keep It Up is designed for young men to receive HIV behavioral prevention and HIV testing quickly and conveniently in a non-threatening and non-stigmatized community setting. In addition to HIV prevention, the goal is to market health promotion to a population of African American men who bear a disproportionate burden of not only HIV/AIDS but other chronic conditions that lead to ongoing health disparities.