A Theoretically Driven Study of Substance Use and HIV Decision-Making

物质使用和艾滋病毒决策的理论驱动研究

基本信息

批准号：
8507201
负责人：
Brooke Elise Wells
金额：
$ 14.06万
依托单位：
HUNTER COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-07-15 至 2015-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8507201
关键词：
Address Affect Affective Age Alcohol consumption Alcohol or Other Drugs use Alcohols Anus Anxiety Attitude Automobile Driving Behavior Behavioral Belief Cognition Cognitive Conflict (Psychology)Contraceptive Agents Contraceptive Usage Contracts Data Data Analyses Decision Making Development Drug usage Emotional Feedback Feeling Fostering Fright Funding HIV HIV Infections HIV risk Individual Instruction Intervention Investigation Investments Lead Learning Light Link Measures Men&apos s Role Mental Depression Mental Health Modality Modeling National Institute of Drug Abuse New York City Outcome Phase Pilot Projects Pregnancy Preventive Intervention Process Protocols documentation Public Health Recruitment Activity Research Research Personnel Risk Risk Behaviors Risk-Taking Role Sampling Sex Behavior Sex Bias Sex Functioning Sexuality Testing Training Uncertainty United States National Institutes of Health Writing base condoms cost effective experience expressive writing follow-up men men who have sex with men model development multidisciplinary physical conditioning pressure sex risk successful intervention therapy design

项目摘要

DESCRIPTION (provided by applicant): The proposed investigation seeks to examine the role of sexual conflict about condom use in the association between substance use and HIV risk behavior among young men who have sex with men (YMSM) in New York City (NYC), as sexual conflict is thought to be a major mechanism of the association between substance use and HIV risk behavior. We will undertake quantitative and qualitative secondary data analyses and conduct a pilot project of the proposed expressive writing intervention, guided by the following three aims: (1) Test the proposed model and explore the extent to which the mechanisms of expressive writing's effects are relevant to sexual conflict and its association with HIV risk behavior among YMSM; (2) Utilize the evidence gathered in Specific Aim 1 to develop the writing instructions and protocol for the expressive writing pilot study (Aim 3); and (3) Conduct a feasibility and acceptability pilot of the writing instructions and project protocols among substance using YMSM. To achieve these aims, the first phase of the project involves secondary data analyses of data from three existing studies (two of which were NIDA-funded studies). These analyses will determine the role of the known mechanisms of expressive writing's effects in sexual conflict about condom use and the effects of conflict on HIV risk behavior and substance use. The second phase of the project involves utilizing the findings of these analyses to develop an expressive writing intervention. Finally, in the third phase of the project, we will conduct a feasibility and acceptability pilot project with 20 HIV-, substance usin, and sexually risky YMSM (18-29 years old). For the pilot project, we will utilize venue-based sampling to recruit a diverse sample of YMSM, who will complete a baseline assessment, three sessions of expressive writing, and a follow-up assessment one month after the writing sessions end. Assessments will include measures of sexual conflict, substance use, sexual risk, and feedback on the writing sessions as well as analyses of retention and intervention acceptability. Pilot data will be analyzed and results will inform the revision of the proposed model and the development of a larger-scale expressive writing intervention designed to intervene upon sexual conflict about condom use.

描述（由申请人提供）：拟议的调查旨在检查与避孕套使用有关避孕套的作用在纽约市与男性发生性关系（YMSM）（纽约市）的年轻人之间的关联中的性冲突的作用，因为性冲突被认为是物质使用与艾滋病毒风险行为之间关联的主要机制。我们将进行定量和定性的二级数据分析，并在以下三个目标的指导下进行拟议表达性写作干预措施的试点项目：（1）测试提议的模型并探索表达写作效应的机制与YMMSM之间的性冲突及其与HIV风险相关性的程度；（2）利用特定目标1收集的证据来开发富有表现力的试点研究的写作说明和协议（AIM 3）；（3）进行使用YMSM的物质之间的写作说明和项目协议的可行性和可接受性试验。为了实现这些目标，该项目的第一阶段涉及三项现有研究的数据分析（其中两项是NIDA资助的研究）。这些分析将确定表达写作的已知机制在性使用避孕套的性冲突中的作用以及冲突对艾滋病毒风险行为和毒品使用的影响。该项目的第二阶段涉及利用这些分析的发现来开发表现力的写作干预措施。最后，在该项目的第三阶段，我们将使用20个HIV，USIN物质和有性风险的YMSM（18-29岁）进行可行性和可接受性试点项目。对于试点项目，我们将利用基于场地的抽样来招募各种YMSM样本，后者将完成基线评估，三个表达写作的三节，以及在写作课程结束一个月后的后续评估。评估将包括性冲突的措施，使用物质使用，性风险以及有关写作课程的反馈以及保留和干预可接受性的分析。试点数据将进行分析，结果将为拟议模型的修订以及旨在干预有关避孕套使用的性冲突的大规模表达写作干预的开发。