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

描述（由申请人提供）：适应SISTA/SiHLE/杨柳艾滋病毒预防三部曲的黑人男性与男性发生性关系（MSM）的黑人男性与男性发生性关系（MSM）已不成比例地受到艾滋病毒/艾滋病的影响，因为流行病的开始。然而，很少有科学证明的针对黑人男男性行为者的有效艾滋病毒预防干预措施。这个SBIR第二阶段项目将解决这一差距，并填补了一个重要的产品利基为社区为基础的组织，卫生部门和诊所服务的黑人男男性行为者，创造（1）一个模块化的程序包和在线程序建设者，以支持提供流行的SISTA/SIHLE/杨柳艾滋病毒预防套件与黑人男男性行为者;（2）一个互动的，计算机交付的版本的改编程序;以及（3）提供最新资源的网上论坛，使从业人员能够分享计划实施的关注点和经验。我们还将在三个州进行一项三臂、准实验性结果研究，以评估这些项目在减少黑人男男性行为者艾滋病毒风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男男性行为者设计的基于证据的计算机提供的艾滋病毒预防方案;开发模块化方案包和在线方案构建器，为黑人男男性行为者的不同亚群量身定制方案内容;在明确的性健康/减少伤害框架内介绍减少风险活动，近年来从业者和公共卫生官员呼吁的一种方法（Goldhanner和Mayer，2011; Grossman等人，二〇一一年; Wolitski &芬顿，2011年）;暴露前预防（PREP）作为艾滋病毒预防策略的利弊讨论;纳入“血清适应性”风险降低实践（Wei等人，2011年）的结果研究，以评估广泛的减少伤害的做法，目前实行的黑人男男性接触者;和一个在线从业者论坛。总之，该项目的组合模块化的适应包，在线程序建设者，计算机提供的干预和从业者论坛提供了一个模型，以支持成本效益的实施基于证据的方案，在潜水员实施环境中的广泛的公共卫生问题。

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.