Using a discrete choice experiment to determine preferences for STI testing models for Black adolescent males

使用离散选择实验来确定黑人青少年男性对性传播感染测试模型的偏好

基本信息

批准号：
10528195
负责人：
Melissa Kottke
金额：
$ 26.18万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10528195
关键词：
19 year old Adolescent Adoption Area Behavior Behavioral Black Populations Black race COVID-19 Caring Characteristics Choice Behavior Clinic Clinical Communities Comprehension Contracts Data Development Ecosystem Ectopic Pregnancy Epidemic Exercise Experimental Designs Female Female infertility Focus Groups HIV HIV Infections Health Health Services Heterogeneity Human immunodeficiency virus test Infection Infertility Insurance Intervention Interview Lead Life Location Male Adolescents Male Infertility Methodology Methods Minority Groups Modeling National Institute of Child Health and Human Development Nature Outcome Participant Pelvic Inflammatory Disease Personal Satisfaction Population Predisposition Privatization Process Qualitative Methods Research Research Personnel Respondent Risk Sampling Self Administration Series Services Sexual Health Sexual Partners Sexually Transmitted Diseases Strategic Planning Structure Surveys Systems Theory Teenagers Testing Time Variant Vulnerable Populations Youth base behavioral economics black men cognitive testing cost cost effectiveness design empowered experience experimental study health disparity high risk home test infection rate infection risk innovation male men men who have sex with men metropolitan neglect neonatal outcome peer preference recruit sexually active testing services transmission process uptake young adult young man

项目摘要

PROJECT SUMMARY Of the 26 million new sexually transmitted infections (STI) in 2018, almost half were among adolescents (15-19 years old) and young adults (20-24 years old). Millions of cases remain undiagnosed and untreated, particularly among male teens. Less than 3% of sexually active male teens have had an STI test in the past 12 months versus 26% of their female peers. Male teens are more likely to forego testing than female teens due to greater confidentiality concerns, cost/insurance barriers, and lower self-perceived risk. COVID-19 has exacerbated barriers to STI care, as testing services have plummeted by 66% since March 2020. There is great urgency to develop innovative and effective methods to screen adolescent males for STIs: as males are largely asymptomatic, their untreated STIs can be transmitted unknowingly to other sexual partners. Untreated STIs can lead to male and female infertility and increase one’s susceptibility to contracting HIV. The objective of this R21 is to use an innovative, user-centered approach, a discrete choice experiment, to determine the preferences for STI testing models among Black adolescent males. In a discrete choice experiment (DCE), a methodology that has been widely used to inform the design/adoption of health services, respondents are presented with two services with different attributes and are asked to choose which one they prefer (e.g., Testing Model A or B). This series of choice-tasks elucidates the relative importance of certain attributes as well as acceptable trade- offs. Importantly, DCEs can be used to highlight shared but distinct preferences within different groups of Black adolescent males, which may justify the development of multiple, tailored STI testing models. The Early- Investigator-led team, with extensive expertise in recruiting Black youth, will accomplish this objective through two aims: Aim 1 will build the DCE collaboratively with a community-based Youth Advisory Board comprised of 15 Black male adolescents from Atlanta, GA. Qualitative methods such as interviews, focus groups, and pile- sort exercises will be used to define the testing attributes (e.g., test location, time till results) which are most important to youth; these attributes will be integrated into the experimental design of the DCE. Aim 2 will leverage multi-platform community-based and online strategies to recruit a heterogenous sample of 500 Black male adolescents to participate in a 15-minute online DCE. A latent class analysis will be used to elucidate preference heterogeneity for STI testing, explore groups or classes with distinct attribute preferences, and assess associated behaviors/characteristics. The research approach will be anchored in DCE best practices and in the Phenomenological Variant of Ecological Systems Theory, a framework that recognizes the unique contexts in which Black youth develop. This R21 innovatively explores a growing health disparity in a population often neglected in research. Aligning with the NICHD Strategic Plan, this study will engage Black adolescent males in STI services critical to support their own sexual health and their partners’. Future research will create and test the acceptability and cost-effectiveness of diverse STI testing models in increasing testing rates among youth.

项目摘要在2018年的2600万新性传播感染（STI）中，几乎一半是青少年（15-19 年龄）和年轻人（20-24岁）。在雄性青少年中。与女性的26％相比，男性的青少年比女性的青少年更多机密性问题，成本/确保障碍和降低自我感知的风险自2020年3月以来，STI护理的障碍，因为测试服务的灌木丛增加了66％。开发了创新有效的方法，用于屏幕播放板的Screenods的性传播频率：因为男性更大无症状的，他们未经治疗的性传播感染可以传播给其他性伴侣导致男性和女性不孕症对艾滋病毒的敏感性。是使用创新的，以用户为中心的方法，一种离散的选择实验，以确定 STI测试模型中的黑人青春期男性。已被广泛用于告知卫生服务的设计/采用，响应与两个具有不同属性的服务，并被要求选择他们喜欢哪种属性（例如，测试模型A或B）。这一系列选择任务阐明了某些属性的相对重要性以及可访问的交易 - 折扣。青春期的男性，这可能证明开发多个量身定制的性传播感染模型。由调查员领导的团队，在招募黑人青年方面拥有广泛的专业知识，将实现这一目标两个目的：AIM 1将与一个基于共同的青年顾问委员会建立合作者佐治亚州亚特兰大的15名黑人男性青少年。访谈，焦点小组和堆等定性方法排序练习将用于定义testributes（例如，测试位置，到达结果的时间），这是最多的对年轻人的重要性；这些属性将整合到DCE的实验设计中。基于多平台的基于多平台的在线策略，以招募500个黑人男性的异质样本青少年参加15分钟的在线DCE。 STI测试的异质性，探索具有独特属性偏好的群体或类相关的行为/特征。生态系统理论的现象学变体，该框架旨在认识到独特的环境黑人青年经常探索人口的健康差异在研究中忽略了与NICHD战略计划的一致 STI服务至关重要各种性传播感染测试模型的可接受性和成本效益在年轻人中的增加。