Critical Consciousness-Based HIV Prevention for Black Gay/Bi/MSM Male Adolescents

基于批判意识的黑人同性恋/双性恋/MSM 男性青少年的艾滋病毒预防

基本信息

批准号：
8469583
负责人：
GARY W HARPER
金额：
$ 23.3万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-08-01 至 2015-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8469583
关键词：
19 year old AIDS prevention AIDS/HIV problem Address Adolescent Adolescent Medicine Trials Network Affect Age Attention Behavioral Centers for Disease Control and Prevention (U.S.)Chicago Collaborations Communities Conscious Data Data Collection Development Developmental Process Diagnosis Ethnic group Focus Groups Future Gays HIV HIV Infections HIV Seroprevalence HIV diagnosis Health Health Promotion Infection Intervention Latino Male Adolescents Manuals Modeling National Institute of Mental Health Phase Population Populations at Risk Preparation Prevention Preventive Intervention Procedures Process Provider Public Health Randomized Controlled Trials Research Research Personnel Research Support Risk Risk Behaviors Services Sex Behavior Staging Testing Time United States National Institutes of Health Work Youth base community based participatory research community based service efficacy trial empowerment ethnic minority population follow up assessment male member men men who have sex with men novel pilot trial sex sex risk social cognitive theory theories therapy development young man

项目摘要

DESCRIPTION (provided by applicant): Black adolescent males who have sex with males (BA-MSM) are disproportionately affected by HIV/AIDS in the U.S., and are one of the groups with the largest increases in new infections. This study seeks to develop and test a culturally and developmentally appropriate critical consciousness-based HIV prevention intervention for BA-MSM. Although critical consciousness-based public health interventions have been utilized for an array of health conditions, they have not been widely used in HIV prevention. We propose to evaluate the feasibility and acceptability of a critical consciousness-based approach to modifying the HIV sexual risk behaviors of BA-MSM, and to obtain the preliminary data needed as a pre-requisite to a larger- scale efficacy trial. Community-based service providers and BA-MSM will be involved in intervention development/testing to bridge the gap between intervention development and community implementation. In Stage 1 we propose to analyze qualitative and quantitative data from three prior studies conducted within the Adolescent Trials Network for HIV/AIDS Interventions which were focused on young MSM, and to analyze new focus group data that will be collected from BA-MSM (n=20) and service providers (n=10) in Chicago. Empowerment Theory, Critical Consciousness Pedagogy, and Social Cognitive Theory will serve as theoretical frameworks guiding this first stage of data collection and synthesis. In Stage 2 we will utilize the empirically and theoretically-driven framework created in Stage 1 to develop a culturally and developmentally appropriate critical consciousness-based HIV prevention (CC-HIV) intervention for BA-MSM. Intervention development will be conducted in collaboration with both our Youth Advisory Board (YAB) and Community Providers Advisory Board (CPAB). We will also adapt an attention-control comparison health promotion intervention (HEALTH) that will match CC-HIV in time and attention. Initial testing for acceptability and feasibility will occur for both interventions. In Stage 3 we will conduct a pilot randomized controlled trial (RCT) of the CC-HIV compared to the HEALTH (with 2, 4, and 6 month follow up assessments) to assess the acceptability and feasibility of the intervention, and to gather preliminary data for a larger-scale efficacy trial (in a subsequent application). Our Specific Aims are: Aim 1: To develop a culturally and developmentally appropriate critical consciousness-based HIV prevention intervention (CC-HIV) for BA-MSM (ages 15-19); Aim 2: To adapt a health promotion comparison intervention (HEALTH) to be appropriate for BA-MSM; Aim 3: To deliver the CC- HIV (n=16) and HEALTH (N=16) interventions to a small group of BA-MSM in order to collect preliminary data on intervention feasibility, acceptability, and to further refine the intervention manual in preparation for a small pilot randomized controlled trial; and Aim 4: To conduct a small pilot randomized controlled trial (RCT) of the refined CC-HIV (N=40) as compared to HEALTH (N=40) in order to further assess feasibility and acceptability and to explore evidence of preliminary efficacy to reduce HIV sexual risk behaviors.

描述（由申请人提供）：在美国，与男性发生性行为的黑人青少年男性 (BA-MSM) 受艾滋病毒/艾滋病的影响尤为严重，并且是新增感染病例增幅最大的群体之一。本研究旨在开发和测试一种适合文化和发展的、基于批判意识的 BA-MSM 艾滋病毒预防干预措施。尽管基于关键意识的公共卫生干预措施已用于治疗一系列健康状况，但尚未广泛用于艾滋病毒预防。我们建议评估一种基于批判意识的方法来改变 BA-MSM 的 HIV 性危险行为的可行性和可接受性，并获得所需的初步数据，作为更大规模疗效试验的先决条件。基于社区的服务提供商和 BA-MSM 将参与干预措施的开发/测试，以弥合干预措施开发和社区实施之间的差距。在第一阶段，我们建议分析来自艾滋病毒/艾滋病干预青少年试验网络内进行的三项先前研究的定性和定量数据，这些研究重点关注年轻的男男性行为者，并分析将从 BA-MSM 收集的新的焦点小组数据（n =20) 和芝加哥的服务提供商 (n=10)。赋权理论、批判意识教育学和社会认知理论将作为指导第一阶段数据收集和综合的理论框架。在第二阶段，我们将利用第一阶段创建的经验和理论驱动框架，为 BA-MSM 制定文化和发展上适当的基于批判意识的艾滋病毒预防 (CC-HIV) 干预措施。干预措施的制定将与我们的青年咨询委员会 (YAB) 和社区提供者咨询委员会 (CPAB) 合作进行。我们还将采用注意力控制比较健康促进干预措施 (HEALTH)，在时间和注意力上与 CC-HIV 相匹配。这两种干预措施都将进行可接受性和可行性的初步测试。在第三阶段，我们将对 CC-HIV 与 HEALTH 进行比较（进行 2、4 和 6 个月的随访评估）进行试点随机对照试验 (RCT)，以评估干预措施的可接受性和可行性，并收集初步数据更大规模功效试验的数据（在后续应用中）。我们的具体目标是：目标 1：为 BA-MSM（15-19 岁）制定适合文化和发展的基于批判性意识的 HIV 预防干预措施 (CC-HIV)；目标 2：调整健康促进比较干预措施 (HEALTH) 以适合 BA-MSM；目标 3：向一小群 BA-MSM 提供 CC-HIV (n=16) 和 HEALTH (N=16) 干预措施，以收集有关干预可行性、可接受性的初步数据，并进一步完善干预手册准备小型试点随机对照试验；目标 4：对精制 CC-HIV (N=40) 与 HEALTH (N=40) 进行小型试点随机对照试验 (RCT) 进行比较，以进一步评估可行性和可接受性，并探索初步疗效的证据减少艾滋病毒性危险行为。