Adapting the SiSTA/SiHLE/WiLLOW Prevention Trilogy for Black Men

描述(由申请人提供)：将SISTA/Sihle/Willow艾滋病毒预防三部曲改编成适合与男性发生性行为(MSM)的黑人男性行为者(MSM)自疫情开始以来一直受到艾滋病毒/艾滋病的不成比例的影响。然而，很少有科学证明的针对黑人MSM的有效艾滋病毒预防干预措施。这个SBIR第二阶段项目将填补这一空白，并通过以下方式填补为黑人MSM服务的社区组织、卫生部门和诊所的重要产品细分市场：(1)支持黑人MSM提供广受欢迎的SISTA/Sihle/Willow艾滋病毒预防套装的模块化计划包和在线计划构建器；(2)调整后的计划的交互式、计算机交付版本；以及(3)提供最新资源并使从业者能够分享计划实施问题和经验的在线论坛。我们还将在三个州进行一项三臂准实验结果研究，以评估这些计划在减少黑人MSM中艾滋病毒危险行为方面的有效性。该项目提供了许多创新，包括创建第一个专门为黑人MSM设计的循证计算机提供的艾滋病毒预防计划；开发模块化程序包和在线程序创建器，为不同的黑人MSM群体量身定做计划内容；在显式的性健康/减少危害框架内展示减少风险活动，这是近年来从业者和公共卫生官员呼吁的一种方法(Goldhanner&Mayer，2011；Grossman等人，2011；Wolitski&Fenton，2011)；讨论暴露前预防措施(PREP)作为艾滋病毒预防策略的利弊；将“血清适应性”减少风险做法(魏等人，2011年)纳入结果研究，以评估黑人男男性接触者目前采取的各种减少危害做法；以及一个在线从业者论坛。总而言之，该项目结合了模块化适应包、在线程序构建器、计算机提供的干预和从业者论坛，为在潜水员实施环境中支持以成本效益为基础的广泛公共卫生问题的循证计划的实施提供了一个模式。

DESCRIPTION (provided by applicant): Adapting the SISTA/SiHLE/WiLLOW HIV Prevention Trilogy for Black Men Who Have Sex with Men (MSM) Black men who have sex with men (MSM) have been disproportionately affected by HIV/AIDS since the beginning of the epidemic. Yet, there are very few scientifically demonstrated effective HIV prevention interventions targeting Black MSM. This SBIR Phase II project will address this gap and fill an important product niche for community-based organizations, health departments and clinics serving Black MSM by creating (1) a modular program package and online program builder to support the delivery of the popular SISTA/SIHLE/WILLOW HIV prevention suite with Black MSM; (2) an interactive, computer-delivered version of the adapted program; and (3) an online forum to provide updated resources and enable practitioners to share program implementation concerns and experiences. We will also conduct a 3-arm, quasi-experimental outcome study in three states to assess the effectiveness of these programs in reducing HIV risk behaviors among Black MSM. The project offers many innovations, including the creation of the first evidence-based computer-delivered HIV prevention program specifically designed for Black MSM; the development of a modular program package and online program builder to tailor program content for different sub-populations of Black MSM; the presentation of risk reduction activities within an explicit sexual health/harm reduction framework, an approach called for by practitioners and public health officials in recent years (Goldhanner & Mayer, 2011; Grossman et al., 2011; Wolitski & Fenton, 2011); a discussion of the pros and cons of pre- exposure prophylaxis (PREP) as an HIV prevention strategy; the inclusion of "seroadaptive" risk reduction practices (Wei et al., 2011) in the outcome study to assess the wide range of harm reduction practices currently practiced by Black MSM; and an online practitioner forum. In sum, the project's combination of a modular adaptation package, online program builder, computer-delivered intervention and practitioner forum provides a model to support the cost-effective implementation of evidence-based programs on a wide range of public health issues in diver implementation contexts.