HIV PREVENTION FOR SMIA AND THEIR NETWORKS

SMIA 及其网络的艾滋病毒预防

• 批准号: 6392942
• 负责人: ANTON M SOMLAI
• 金额: $ 57.25万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6392942
• 关键词: AIDS education /prevention; behavioral /social science research tag; clinical research; cognitive behavior therapy; condoms; group therapy; human subject; human therapy evaluation; longitudinal human study; mental disorders; peer group; safe sex /sex abstinence; social support network

(Applicant's Abstract): Even though some SMIA have changed their behavior in response to AIDs and HIV prevention programs, improved interventions are needed to promote safer sex among SMIA in the community. A long history of research has shown that persons who are engaged to voluntarily advocate a position often change their attitudes and behavior to become congruent with their advocacy position. Another body of research has shown that sexual risk practices of SMIA are influenced by their perceptions of condom use and social or peer group norms. Taken together, these findings--and results of community-level HIV prevention research--suggest that an intervention that trains SMIA to function as HIV prevention advocates or endorsers to their peers may both help the advocate better maintain safer behavior and also influence the risk characteristics of the advocate's social network members. Following formative studies undertaken to delineate HIV risk issues facing SMIA, the investigator will initiate a study to test the hypothesis that HIV prevention outcomes for intervention participants and members of their social networks will be most successful among SMIA who are taught to advocate behavior change recommendations and norms to their network members favoring risk avoidance. The study will recruit 348 SMIA (174 men and 174 women) who have engaged in high-risk sexual transmission acts in the past 90 days. The two closest personal network members of SMIA participant will also be recruited. Following baseline assessment of sexual practices in the past 30 days and other risk-related characteristics, participants will be randomly assigned within gender and in equal numbers to a comparison cognitive-behavioral risk reduction intervention in which participants attend seven 90-minute group sessions that focus on making behavior changes to reduce risk for AIDS; or a 7-session group intervention that teaches risk reduction behavior changes but also teaches and engages participants to effectively communicate AIDS prevention messages to their friends and acquaintances ("advocacy training"). Follow-up risk assessments will be conducted with participants and their network members 3, 6, and 12-months postintervention. The investigator hypothesizes that participants in the advocacy training intervention will show greatest change in HIV risk-related characteristics; will show greatest reduction in unprotected sexual acts; and will most influence others in their immediate networks to also lower their HIV risk practices. If successful, this research will suggest new methods for community HIV prevention approaches for SMIA and their social network members.

（申请人摘要）：尽管一些 SMIA 已经改变了他们的 应对艾滋病和艾滋病毒预防计划的行为得到改善 需要采取干预措施来促进社区 SMIA 中的安全性行为。一个 长期的研究表明，自愿参与的人 倡导一种立场经常改变他们的态度和行为 与他们的主张立场一致。另一项研究表明 SMIA 的性风险行为受到他们对安全套使用看法的影响 以及社会或同侪群体的规范。总而言之，这些发现以及结果 社区层面的艾滋病毒预防研究——建议采取以下干预措施 培训 SMIA 作为艾滋病毒预防倡导者或同行的支持者 既可以帮助倡导者更好地保持更安全的行为，也可以影响 倡导者的社交网络成员的风险特征。下列的 为描述 SMIA 面临的艾滋病毒风险问题而进行的形成性研究 研究人员将启动一项研究来检验艾滋病毒预防的假设 干预参与者及其社交网络成员的结果 在被教导倡导行为改变的 SMIA 中将是最成功的 向网络成员提供有利于规避风险的建议和规范。这 研究将招募 348 名 SMIA（174 名男性和 174 名女性），他们曾从事过 过去90天内有高危性传播行为。最接近的两个 SMIA参与者的个人网络成员也将被招募。下列的 过去 30 天内性行为的基线评估和其他 风险相关特征，参与者将被随机分配 性别和同等数量的认知行为风险降低比较 参与者参加七场 90 分钟的小组会议， 重点关注行为改变以降低艾滋病风险；或 7 次小组 干预不仅教导降低风险的行为改变，还教导和 让参与者有效地将艾滋病预防信息传达给 他们的朋友和熟人（“宣传培训”）。后续风险 将与参与者及其网络成员进行评估 3、6、 以及干预后 12 个月。研究者假设参与者 在宣传培训干预中将显示艾滋病毒的最大变化 风险相关特征；将最大程度地减少未受保护的 性行为；并将最能影响他们直接网络中的其他人 降低他们的艾滋病毒风险行为。如果成功的话，这项研究将提出新的建议 SMIA 及其社会社区艾滋病毒预防方法 网络成员。