Reducing Urban Women's HIV Risk: Soap Opera Videos on Video Capable Cell Phones

降低城市女性感染艾滋病毒的风险：视频手机上的肥皂剧视频

基本信息

批准号：
8566276
负责人：
Rachel Jones
金额：
$ 36.33万
依托单位：
NORTHEASTERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-12-01 至 2014-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8566276
关键词：
AIDS diagnosis Accounting Acquired Immunodeficiency Syndrome Address African American Awareness Behavior Cellular Phone Centers for Disease Control and Prevention (U.S.)Charge Cities Clinic Communication Computer Assisted Computers Control Groups Data Decision Support Systems Development Devices Drama Eligibility Determination Focus Groups Freedom Frequencies Funding Gap Junctions Gender HIV Handheld Computers Health Health Promotion Health behavior High Risk Woman Incidence Internet Intervention Interview Latina Measures Methods Modality Multimedia Neighborhoods Online Systems Phase Prevention Privacy Process Public Health Randomized Controlled Trials Recruitment Activity Research Personnel Risk Risk Behaviors Risk Reduction Screening procedure Secure Series Sexual Partners Soaps Strategic Planning Stream Stress Target Populations Technology Testing Text Trust United States National Library of Medicine Unsafe Sex Voice Wireless Technology Woman age group aged arm base behavior change design expectation experience group intervention health disparity high risk high risk sexual behavior improved inclusion criteria male pressure programs response sex sex risk social theories web site young adult

项目摘要

DESCRIPTION (provided by applicant): Reducing Urban Women's HIV Risk: Soap Opera Videos on Video-Capable Cell Phones According to the CDC, the majority (80%) of women with HIV became infected by unprotected sex with an infected male partner. Black and Latina women accounted for 82% of AIDS diagnoses in women in 2005. The purpose of this proposal is to evaluate whether a series of 12-weekly data and theory-based urban soap operas will promote a reduction in HIV sex risk behavior in young urban African American and Latina women. Toni's Story is based on content analysis of focus group discussions with the target population. By grounding stories in urban women's own experiences, via a popular medium of the soap opera, women can identify with the heroines' emotionally charged process of change, transforming their behavior through a new awareness of their value as women, of their choices, and their potential. Messages about reducing HIV sexual risk are designed to fulfill familiar relationship needs. Because trust, sexual pressure and power form the nexus of sex scripts associated with HIV sexual risk, these themes are examined through the pursuits of the various characters as sub-plots. A randomized controlled trial (RCT) with 250 high-risk women aged 18 to 29, recruited in neighborhood settings in Newark and Jersey City, will be conducted to test the effect of the video-based intervention on HIV sexual risk behavior. A control group will receive text messages with audio that stress HIV health promotion messages. The series of 12 20-minute videos to the video intervention group (n=125) and 12- weekly HIV-risk reduction text/ audio messages to the control group (n=125) will be viewed over video-capable cell phones so that women may view the videos and text messages repeatedly and in privacy. It is expected that as a result of watching the video series, the video intervention group will demonstrate greater reductions in unprotected sex from baseline to 3 and 6 months than will the control group. Further, it is expected that they will demonstrate lower sexual pressure, indicating lower stereotypical expectations to engage in unprotected sex. Secondary analyses will determine whether there are differences in these results by partner type, whether there is a reduction in the number of high risk sex partners, and whether choosing to watch the videos more frequently will relate to further reduction in risk behavior. Interviews will be conducted by audio computer assisted self-interview (ACASI). The program will track when, how often, and for how long the videos are viewed. If the aims of this proposal are achieved, the use of the cell phone to view videos could change the paradigm of how health promotion is amplified between clinic sessions. Potentially hard to reach young urban women who may be at risk for HIV, will be able to access video-based interventions on their own cell phones. The popularity of the cell phone and use of the Internet for multimedia offer a new communication channel to address health disparities in young urban women. PUBLIC HEALTH RELEVANCE: Relevance to Public Health According to the CDC, the majority (80%) of women with HIV became infected by unprotected sex with an infected male partner. Black women and Latinas accounted for 82% of AIDS diagnoses in women in 2005. Toni's Story is a series of 12 urban soap opera videos that communicates messages about reducing HIV sexual risk. By grounding the stories in women's relationship experiences, via a popular medium of the soap opera, women can identify with the heroines' emotionally charged process of change. The videos will be streamed to video-capable cell phones so that they can be viewed repeatedly and in privacy. If the aims of this proposal are achieved, potentially hard to reach young urban women who may be at risk for HIV will be able to access health promotion videos on their own cell phones. The popularity of the cell phone and use of the Internet for multimedia provide a new communication channel to address health disparities.

描述（由申请人提供）：降低城市女性感染艾滋病毒的风险：可视频手机上的肥皂剧视频根据 CDC 的数据，大多数 (80%) 感染艾滋病毒的女性是通过与受感染的男性伴侣发生无保护性行为而感染的。 2005年，黑人和拉丁裔女性占女性艾滋病诊断的82%。该提案的目的是评估一系列每周12周的数据和基于理论的城市肥皂剧是否会促进减少年轻人艾滋病毒性风险行为城市非裔美国人和拉丁裔女性。托尼的故事基于与目标人群的焦点小组讨论的内容分析。通过肥皂剧这种流行媒介，故事以城市女性自身的经历为基础，女性可以认同女主人公充满情感的变化过程，通过对自己作为女性的价值、选择和她们的新认识来改变自己的行为。潜在的。有关降低艾滋病毒性风险的信息旨在满足熟悉的关系需求。由于信任、性压力和权力构成了与艾滋病毒性风险相关的性脚本的纽带，因此这些主题通过各个角色作为次要情节的追求来检验。将在纽瓦克和泽西市的社区招募 250 名 18 至 29 岁高危女性进行一项随机对照试验 (RCT)，以测试基于视频的干预措施对艾滋病毒性危险行为的效果。对照组将收到带有音频的短信，强调艾滋病毒健康促进信息。将通过具有视频功能的手机观看向视频干预组 (n=125) 发送的 12 个 20 分钟视频系列以及向对照组 (n=125) 发送的 12 周 HIV 风险降低文本/音频信息，以便女性可能会在私密的情况下反复观看视频和短信。预计观看视频系列后，视频干预组将比对照组显示出从基线到 3 个月和 6 个月的无保护性行为的更多减少。此外，预计他们将表现出较低的性压力，表明对无保护性行为的刻板期望较低。二次分析将确定这些结果是否因伴侣类型而存在差异，高风险性伴侣的数量是否减少，以及选择更频繁地观看视频是否会与风险行为的进一步减少有关。面试将通过音频计算机辅助自我面试（ACASI）进行。该程序将跟踪观看视频的时间、频率和时长。如果该提案的目标得以实现，那么使用手机观看视频可能会改变在诊所会议之间如何扩大健康促进的模式。可能难以接触到可能面临艾滋病毒风险的年轻城市女性将能够通过自己的手机获得基于视频的干预措施。手机的普及和互联网多媒体的使用为解决年轻城市女性的健康差异提供了新的沟通渠道。公共卫生相关性：与公共卫生的相关性根据 CDC 的数据，大多数 (80%) 感染艾滋病毒的女性因与受感染的男性伴侣发生无保护性行为而受到感染。 2005 年，黑人女性和拉丁裔女性占艾滋病诊断女性的 82%。托尼的故事是一系列 12 个城市肥皂剧视频，传达有关降低艾滋病毒性风险的信息。通过肥皂剧这种流行的媒介，故事以女性的关系经历为基础，女性可以认同女主角充满情感的变化过程。这些视频将被传输到具有视频功能的手机上，以便可以在私密的情况下重复观看。如果该提案的目标得以实现，可能难以接触到可能面临艾滋病毒风险的年轻城市女性将能够通过自己的手机观看健康宣传视频。手机的普及和互联网多媒体的使用为解决健康差异提供了新的沟通渠道。