HIV Risk Prevention: A Computer Tutorial

描述(由申请人提供)：最近的证据表明，男男性行为者(MSM)中新的艾滋病毒和性传播疾病感染率正在上升，特别是在30岁以下的MSM中。有色人种社区似乎面临着特别大的风险。该项目的第一阶段开发了一项艾滋病毒预防干预计划，通过互动的多媒体计算机教程，包括信息、动机和行为部分。32名年轻男男性接触者，包括40%的少数民族男男性接触者，成功地演示了《安全性行为指南》的可用性。拟议的第二阶段安全性行为将继续增加灵活性，最初将在医生办公室和其他以MSM为导向的机构提供。扩大后的计划将包括多个级别的分支；它将根据MSM改变其更高风险活动的意图，为目前处于高风险和低至中等风险的MSM提供有针对性的动机干预。该计划将被设计为通过CD-Rom或通过互联网在面向MSM的网站和聊天室提供。第二阶段的主要研究涉及总共140名男男性接触者，他们将被随机分配到实验条件(由我们的专家从MSM机构选择的更安全的第二次性行为指导或传统的降低风险信息，将被设计为与指导相同的时间(45分钟至一小时)。将对两组人进行立即的后测，测量信息和态度。还将对两组患者进行3个月和6个月的计算机化评估，评估危险行为、降低风险的知识以及对改变危险行为的态度。艾滋病毒和艾滋病的治疗费用非常昂贵。以经验为基础的艾滋病毒预防方法能够以低成本接触到广泛的受众，对于那些有经济激励或公共卫生责任来解决艾滋病毒/性传播疾病问题的组织来说，是相当有吸引力的。

DESCRIPTION (provided by applicant): Recent evidence indicates that the rate of new HIV and STD infections among men who have sex with men (MSM) is rising, especially among MSM under age 30. Communities of color appear to be at particular risk. Phase I of this project developed an HIV preventative intervention program with informational, motivational and behavioral components via an interactive, multimedia computer tutorial. Usability of the Safer Sex Tutorial was successfully demonstrated with 32 young MSM, including 40% minority MSM. The proposed Phase II Safer Sex will continue with increased flexibility, will be available initially in physician's offices and other MSM oriented agencies. The expanded program will include multiple levels of branching; and it will provide targeted motivational interventions for MSM currently at high risk and low to moderate risk, based on their intention to change their more risky activities. The program will be designed to be delivered by CD-Rom or through the internet at MSM-oriented websites and chat rooms. The major study for Phase II involves a total of 140 MSM who will be randomly assigned to experimental condition (the Safer Sex II Tutorial or traditional risk reduction information chosen by our experts from MSM agencies, which will be designed to take the same amount of time as the Tutorial (45 minutes to an hour). There will be an immediate post-test for both groups, measuring information and attitudes. There will also be a 3 month and a 6 month computerized assessment follow up for both groups, assessing risky behaviors, knowledge about risk reduction, and attitudes toward changing risky behaviors. HIV and AIDS treatment is very costly. An empirically based HIV prevention method with the ability to reach a wide audience at low cost is quite attractive to organizations that have either a financial incentive or a public health responsibility to address the issue of HIV/STD.