Social media HIV prevention intervention for rural women drug users

摘要 该R34应用的总体目标是适应和可行性测试艾滋病毒的循证干预 预防阿巴拉契亚地区农村妇女的高危群体。这项研究有可能对 通过增进关于使用社交媒体的知识来增加获得预防的机会，从而对科学作出贡献 一段时间内减少农村妇女高危物质使用和相关健康差距的干预措施 阿巴拉契亚地区正在出现的重大公共卫生风险。成功完成学习目标将会做出回应 使用社交媒体扩大预防干预的覆盖范围和范围的关键和未得到满足的需求，如 以及对这一未得到充分服务的群体的高危药物使用行为的提前了解。考虑到 需要在这一高危群体中进行预防干预，以及Facebook的受欢迎程度，目的是 R34提案是调整以证据为基础的艾滋病毒预防干预措施，以适应社交媒体的交付，并 通过随机对照试验对60名农村高危女性吸毒者进行可行性检验。以下目标 指导拟议的研究：(1)调整NIDA艾滋病毒预防标准，以通过Facebook提供；和(2) 通过随机对照试验，研究对农村高危妇女实施适应性干预的可行性。 在这项研究中建议使用Facebook是很有希望的，因为它是一种稳定、广泛使用、成本效益高的 可利用的平台，以增加获得急需的艾滋病毒预防教育的机会。本研究 提供了一个令人兴奋的机会来研究Facebook作为一种扩大证据覆盖范围的技术的使用- 为不太可能进行正式治疗的高危吸毒者提供基于预防的干预。 这项研究的结果将为更大的R01的开发提供参考，这将允许检查 这种艾滋病毒预防干预措施在研究不足的高危人群中的有效性和可持续性。

ABSTRACT The overall aim of this R34 application is to adapt and feasibility test an evidence-based intervention for HIV prevention for a high-risk group of rural women in Appalachia. This study has potential to make a significant contribution to science by advancing knowledge on the use of social media to increase access to prevention interventions to reduce high-risk substance use and related health disparities among rural women during a time of emerging and significant public health risk in Appalachia. Successfully accomplishing study aims will respond to a critical and unmet need to increase the reach and scope of prevention interventions using social media, as well as advance knowledge about the high-risk drug use behaviors of this underserved group. Considering the need for prevention interventions among this high-risk group and the popularity of Facebook, the purpose of this R34 proposal is to adapt an evidence-based HIV prevention intervention for social media delivery and to feasibility test through a randomized control trial with 60 high-risk rural women drug users. The following aims guide the proposed study: (1) Adapt the NIDA Standard for HIV prevention for delivery via Facebook; and (2) Examine the feasibility of the adapted intervention with high-risk rural women through a randomized control pilot. The proposed use of Facebook in this study is promising because it is a stable, widely used, cost-efficient platform that could be leveraged to increase access to critically needed HIV prevention education. This study presents an exciting opportunity to examine the use of Facebook as a technique to expand the reach of evidence- based preventions interventions for high-risk drug users who are not likely to engage in formal treatment. Findings from this study will inform development of the larger R01 which would allow examination of the effectiveness and sustainability of this HIV prevention intervention in understudied, high risk populations.