Development of an HIV Prevention Game for African American Rural Adolescents

为非裔美国农村青少年开发艾滋病毒预防游戏

• 批准号: 8711109
• 负责人: Comfort Chu Enah
• 金额: $ 9.14万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8711109
• 关键词: AIDS diagnosis; AIDS prevention; AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Address; Adolescent; Adult; African American; Age; Alabama; Area; Audiotape; Award; Behavioral; Case Study; Code; Computer software; Data; Data Analyses; Decision Making; Deep South; Demographic Analyses; Development; Development Plans; Effectiveness; Electronics; Elements; Feedback; Focus Groups; Funding; Future; Goals; HIV; HIV risk; Infection; Internet; Intervention; Learning; Life; Mentorship; Modification; Morbidity - disease rate; Multimedia; Parents; Pattern; Perception; Population; Prevention; Preventive Intervention; Principal Investigator; Privacy; Process; Protocols documentation; Qualitative Research; Research; Research Infrastructure; Research Methodology; Research Personnel; Risk; Risk Behaviors; Risk Reduction; Rural; Sampling; Sorting - Cell Movement; Target Populations; Telephone; Testing; Training; Transcript; Transportation; United States; United States National Institutes of Health; age group; base; career development; design; evidence base; experience; health disparity; high risk; high risk sexual behavior; improved; innovation; interest; meetings; member; mortality; peer; programs; prototype; rural area; sex risk; sexually active; theories; therapy development; unintended pregnancy

DESCRIPTION (provided by applicant): African Americans (AAs) in the rural Deep South continue to experience a disproportionate increase in new HIV/AIDS infection despite the availability of HIV prevention interventions with demonstrated effectiveness. In comparison to other areas of the nation, the South has the highest number of adults and adolescents living with and dying from AIDS and the highest percentage of new AIDS cases among people living in rural areas. The number of new cases of HIV/AIDS and other STIs among adolescents is rapidly increasing in the rural Deep South and Alabama. It is important for prevention interventions to target young adolescents prior to their becoming sexually active. However, few interventions are directed toward young adolescents. The search for new intervention strategies appropriate for young adolescents has recently led to the use of electronic games. Electronic gaming interventions hold promise of being developmentally appropriate for young adolescents. However, research involving the use of such strategies in HIV prevention is quite limited. The purpose of the proposed research is to develop a proof of concept prototype for an individually tailored, electronic HIV prevention adventure game for young African American rural adolescents (AARAs), age 12-14 years. We will conduct focus groups with AARAs (n = 80) to better understand the sociocontextual influences on the sexual risk. The gaming intervention will be designed to help AARAs improve decision-making and learn behavioral strategies that assist them with avoiding sexual risk behaviors. Focus groups will be conducted to better understand the sociocontextual influences on HIV/AIDS risk behaviors. Based on these findings, a draft of intervention components will be developed and programmed into a gaming prototype with the assistance of programming experts; the acceptability and relevance of the prototype will then be assessed with members of the target population (n=40). Verbatim transcripts of audiotapes of focus group discussions will be the primary data for analysis. Content analysis will be used in analysis and interpretation of the data. The qualitative research software, QSR N-Vivo(R), will be used in coding and sorting data. Descriptive statistical analyses of demographic data will be conducted using SPSS. The study is the first steps in a user-centric approach which involves identifying user needs and using a rapid iterative prototyping process. Findings from this research will serve as the basis for future application for NIH funding (e.g. R34 or R21) to furthe develop and test the electronic gaming intervention. The proposed career development plan is designed to provide additional training in qualitative data analyses, mixed methods research, HIV prevention intervention development, and electronic gaming development. In addition, this award will provide further hands-on research experience under the guidance of an interdisciplinary mentorship panel to meet training goals and enhance the applicant's development as a funded independent investigator and a recognized leader in the field of prevention of HIV and other STDs.

描述（由申请人提供）：尽管艾滋病毒预防干预措施有效，但南方农村地区的非洲裔美国人（AAS）仍会经历新的艾滋病毒/艾滋病感染的不成比例。与全国其他地区相比，南方的成年人和青少年数量最多，与艾滋病相处和死亡，而居住在农村地区的人们中，新的艾滋病案件中最高的成年人和青少年。在南部和阿拉巴马州农村地区，青少年中新的艾滋病毒/艾滋病和其他性传播疾病的新病例迅速增加。对于预防干预措施以对年轻的青少年进行性活跃，这一点很重要。但是，很少有干预措施针对年轻的青少年。寻找适合年轻青少年的新干预策略最近导致了电子游戏的使用。电子游戏干预措施有望在发展上适合年轻青少年。但是，涉及在艾滋病毒预防中使用此类策略的研究非常有限。拟议的研究的目的是为年轻的非裔美国农村青少年（AARAS）（12-14岁）为单独量身定制的电子艾滋病毒预防冒险游戏开发概念验证原型。我们将与AARAS（n = 80）进行焦点小组，以更好地了解社会上下文对性风险的影响。游戏干预措施将旨在帮助AARAS改善决策，并学习行为策略，以帮助他们避免性风险行为。将进行焦点小组，以更好地了解社会上下文对艾滋病毒/艾滋病风险行为的影响。基于这些发现，将在编程专家的协助下开发并编程为游戏原型的干预组件草案；然后将与目标人群的成员评估原型的可接受性和相关性（n = 40）。焦点小组讨论的录音带的逐字记录将是进行分析的主要数据。内容分析将用于数据分析和解释。定性研究软件QSR N-Vivo（R）将用于编码和分类数据。人口统计数据的描述性统计分析将使用SPSS进行。该研究是以用户为中心的方法的第一步，该方法涉及识别用户需求并使用快速迭代原型制作过程。这项研究的发现将成为NIH资金未来应用（例如R34或R21）的基础，以开发和测试电子游戏干预。拟议的职业发展计划旨在在定性数据分析，混合方法研究，HIV预防干预开发和电子游戏开发方面提供额外的培训。此外，该奖项将在跨学科指导小组的指导下提供进一步的动手研究经验，以实现培训目标，并增强申请人的发展，作为资助的独立研究者和公认的HIV和其他STD领域的公认领导者。