CBPR and the Internet: Increasing HIV Testing Through Chat Room-Based Promotion

CBPR 和互联网：通过聊天室推广增加 HIV 检测

• 批准号: 7419472
• 负责人: Scott D Rhodes
• 金额: $ 20.06万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-02-15 至 2010-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7419472
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Address; Behavior; Bisexual; Caring; Catchment Area; Classification; Commit; Communities; County; Data; Data Analyses; Decision Making; Depth; Development; Education; End Point; Evaluation; Evaluation Research; Evidence based intervention; Gays; Goals; HIV; Human immunodeficiency virus test; Infection; Internet; Intervention; Intervention Trial; Interview; Israel; Knowledge; Learning; Measures; Methods; National Institute of Mental Health; Outcome; Patient Self-Report; Peer Review; Personal Satisfaction; Phase; Policies; Positioning Attribute; Prevention Research; Prevention intervention; Process; Protocols documentation; Public Health Practice; Publications; Rate; Research; Research Design; Research Personnel; Risk; Role; Sampling; Science; Series; Services; Testing; Time; Training; Treatment Efficacy; Universities; Work; Writing; base; community based participatory research; community organizations; concept; design; implementation research; insight; member; men; men who have sex with men; newspaper article; outreach; peer; research study; response; social; social cognitive theory; theories; therapy design; transmission process

DESCRIPTION (provided by applicant): In response to PAR-07-004: "Community-Based Participatory Research at NIMH," we propose a 2-year proof- of-concept study (R21) to develop, implement, and evaluate a culturally relevant intervention to increase HIV testing among gay and bisexual men and men who have sex with men (MSM) who use Internet chat rooms for social and sexual networking. Building on our established community-university partnership and our preliminary research using chat rooms to deliver HIV prevention and outreach interventions, we will develop, implement, and evaluate Chat Room-Based Education and Referral/Testing (CyBER/Testing). This study has used and will continue to use a community-based participatory research (CBPR) approach throughout all phases of the research process. Our partnership will determine whether a chat room-based intervention can be successfully implemented and increase HIV testing among chat room MSM. The intervention will be based on social cognitive theory and the theory of empowerment education. We will evaluate the intervention by: (1) Comparing HIV testing rates among MSM in intervention counties before, during, and after intervention implementation; (2) Comparing HIV testing rates among MSM in intervention counties to HIV testing rates among MSM in comparison counties; and (3) Comparing self- reported HIV testing among MSM in the intervention chat room before and after the intervention. Our endpoints will be whether the intervention increases HIV testing among MSM using (1) longitudinal time series data to examine HIV testing data at the county level, and (2) repeated cross-sectional self-reported HIV testing data among chat room MSM. We also will evaluate the CBPR process throughout all phases of this study, using direct observation of partnership meetings, in-depth interviews with partnership members, and document review. This study will advance the field of HIV prevention research and fill existing gaps in knowledge in 3 important ways: (1) producing a culturally relevant chat room-based intervention to increase HIV testing among men at increased risk for exposure and transmission, which then can undergo further implementation and larger-scale testing; (2) promoting a deeper understanding of HIV testing behavior among MSM who use Internet chat rooms; and (3) elucidating a research partnership process that includes lay community members, AIDS service organizations (ASOs), community-based organizations (CBOs), 3 universities, and a broad spectrum of other partners. Chat room-based HIV prevention interventions are being implemented to reduce the risk of HIV exposure, infection, and re-infection among men who have sex with men (MSM); however, the use of these chat rooms to facilitate HIV testing among these at-risk MSM has not been tested. This study, which was designed by an existing community-university partnership committed to HIV prevention and care, will explore whether a chat room-based intervention can increase HIV testing rates among online MSM.

描述（由申请人提供）：为了回应 PAR-07-004：“NIMH 基于社区的参与式研究”，我们提出了一项为期 2 年的概念验证研究 (R21)，以开发、实施和评估文化研究相关干预措施，以增加对使用互联网聊天室进行社交和性网络的同性恋和双性恋男性以及男男性行为者 (MSM) 的艾滋病毒检测。基于我们已建立的社区-大学合作伙伴关系以及使用聊天室提供艾滋病毒预防和外展干预措施的初步研究，我们将开发、实施和评估基于聊天室的教育和推荐/测试（CyBER/测试）。本研究已经并将继续在研究过程的所有阶段使用基于社区的参与性研究（CBPR）方法。我们的合作伙伴关系将决定基于聊天室的干预是否能够成功实施，并增加聊天室 MSM 中的艾滋病毒检测。干预将基于社会认知理论和赋权教育理论。我们将通过以下方式评估干预措施： (1) 比较干预实施前、干预期间和实施后各县 MSM 的 HIV 检测率； (2) 干预县男男性行为者艾滋病毒检测率与对照县男男性行为者艾滋病毒检测率的比较； (3) 比较干预前后 MSM 在干预聊天室中自我报告的 HIV 检测情况。我们的终点将是干预措施是否会增加 MSM 中的 HIV 检测，使用（1）纵向时间序列数据来检查县级的 HIV 检测数据，以及（2）聊天室 MSM 中重复的横截面自我报告的 HIV 检测数据。我们还将通过对合作伙伴会议的直接观察、对合作伙伴成员的深入访谈以及文件审查来评估本研究所有阶段的 CBPR 流程。这项研究将推进艾滋病毒预防研究领域，并通过 3 个重要方式填补现有的知识空白：(1) 制定一种与文化相关的基于聊天室的干预措施，以增加对暴露和传播风险较高的男性进行艾滋病毒检测，从而可以进行进一步的实施和更大规模的测试； (2) 促进使用网络聊天室的 MSM 更深入地了解 HIV 检测行为； (3) 阐明研究伙伴关系流程，其中包括非专业社区成员、艾滋病服务组织 (ASO)、社区组织 (CBO)、3 所大学和广泛的其他合作伙伴。正在实施基于聊天室的艾滋病毒预防干预措施，以降低男男性行为者 (MSM) 暴露、感染和再次感染艾滋病毒的风险；然而，使用这些聊天室来促进这些高危男男性行为者的艾滋病毒检测尚未经过测试。这项研究是由致力于艾滋病毒预防和护理的现有社区-大学合作伙伴关系设计的，将探讨基于聊天室的干预措施是否可以提高在线 MSM 的艾滋病毒检测率。