Formative Research for Mobile App Promoting Sexual Health for Young Black Men who Have Sex with Men (psh4ybmsm)

促进男男性行为的年轻黑人性健康的移动应用程序的形成性研究 (psh4ybmsm)

• 批准号: 8999759
• 负责人: KARIN Kristina COYLE
• 金额: $ 22.48万
• 依托单位: DFUSION, INC.
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-10 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8999759
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Address; Adolescence; Affect; African American; Age; Age Reporting; Anal Sex; Anus; Attitude; Cellular Phone; Clinic; Clinical; Communities; Data; Development; Diagnosis; Education; Educational Curriculum; Educational Intervention; Effectiveness; Elements; Epidemic; Ethnic group; Evaluation; Family; Feeds; Frequencies; Friends; Gender Identity; Goals; HIV; HIV Infections; HIV risk; HIV/STD; Human immunodeficiency virus test; Individual; Infection; Internet; Intervention; Knowledge; Learning; Left; Lesbian Gay Bisexual Transgender; Life; Monitor; Oral; Participant; Pattern; Persons; Phase; Population; Pornography; Prevention; Prevention approach; Prevention education; Prevention program; Prevention strategy; Preventive Intervention; Publishing; Race; Randomized Controlled Trials; Reporting; Research; Research Project Grants; Risk; Risk Reduction; Schools; Series; Sex Behavior; Sex Education; Sexual Health; Sexual Partners; Sexuality; Site; Small Business Innovation Research Grant; System; Technology; Teenagers; Testing; Text; Training; Underserved Population; United States; Work; Youth; age group; aged; base; black men who have sex with men; condoms; cost effective; design; experience; handheld mobile device; health organization; improved; innovation; interactive multimedia; interest; male; meetings; men; men who have sex with men; mobile application; peer; programs; prototype; public health relevance; response; risk perception; sex; sex risk; sexual health intervention; sexual relationship; skills; theories; therapy design; uptake; usability; young adult; young men who have sex with men

 DESCRIPTION (provided by applicant): Mobile App Promoting Sexual Health for Young Black Men who Have Sex with Men (psh4ybmsm) Men who have sex with men, and particularly Black men who have sex with men (BMSM) have been disproportionately affected by HIV/AIDS since the beginning of the epidemic, but in recent years the impact of HIV among young Black men who have sex with men (YBMSM) has escalated rapidly. More new HIV infections occur among YBMSM (aged 13-29) than any other age and racial group of MSM, with an increase of 48% from 2006-2009. Young MSM account for 45% of all new HIV infections among African American MSM84. The few interventions focused solely on YBMSM, target ages 18-29, leaving a dearth of interventions for teen BMSM; further, research has found that sex education for YMSM is not readily available from friends, family, or schools, with many YMSM relying on older partners, the Internet, and pornography for education. This project will address these gaps and fill an important product niche for community-based organizations, health departments, clinics, and schools serving YBMSM by testing the feasibility of creating a sex positive smartphone app based HIV/STI intervention developed for use by YBMSM ages 14-18. The concept for the intervention was guided by formative work in which an in-person version of the activities, Promoting Sexual Health, was developed and pilot tested, confirming the utility of the approach. psh4ybmsm employs a theory based approach to address essential knowledge, perceptions of risk, peer norms, attitudes and skill with two primary goals: (1) To reduce HIV/STI, psh4ybmsm emphasizes not having sex, partner reduction, avoidance of concurrent partners, condoms and HIV/STI tests; and (2) To improve sexual health and relationships, it helps participants to become clearer about what they do/don't want to do sexually, to communicate their choices, and to learn ways to enhance sexual experience while reducing HIV/STI risk. The project offers a number of innovations, including the creation of the first sex-positive multimedia interactive smartphone app-delivered HIV/STI prevention program specifically designed for YBMSM aged 14-18 that addresses risk reduction and sexual response, a group difficult to reach via in-person intervention; the inclusion of content designed to enhance sexual experience, an approach called for by the target audience; a review of the pros/cons of PREP and PEP; content tailoring based on user activity and inputs--for example, based on gender identity, reported number of partners and frequency of sexual activity, the user is guided toward content specifically tailored for their needs; and context sensitive delivery of booster content, such as monitoring SMS texts, Instagram, and Twitter feeds for keywords (i.e. hookup, HIV test)--if detected the app responds with context-appropriate content in the moment. Phase I will test feasibility by finalizing intervention content, designing the app using formative research, and developing and usability testing two intervention activities and one context sensitive function. Phase II will complete development and conduct a multi-site randomized controlled trial to assess effectiveness.

 描述（由申请人提供）：促进男男性行为的年轻黑人男性性健康的移动应用程序 (psh4ybmsm) 男男性行为者，特别是男男性行为黑人 (BMSM) 受到艾滋病毒/艾滋病毒/艾滋病毒/艾滋病的影响尤为严重。艾滋病自开始流行以来，但近年来，艾滋病毒对年轻男男性行为者 (YBMSM) 的影响迅速升级，更多新的艾滋病毒感染发生在 YBMSM（老年男性）中。 13-29）比任何其他年龄和种族的 MSM 群体都要多，从 2006 年到 2009 年，年轻 MSM 占所有新发艾滋病毒感染者的 45%。 18-29 岁，导致青少年 BMSM 缺乏干预措施；此外，研究发现朋友、家人或学校不容易为 YMSM 提供性教育，许多人YMSM 依靠年长伴侣、互联网和色情内容进行教育，该项目将通过测试创建性积极的可行性，填补这些空白，并为服务 YBMSM 的社区组织、卫生部门、诊所和学校填补重要的产品利基市场。基于智能手机应用程序的 HIV/STI 干预措施，供 14-18 岁的 YBMSM 使用。干预的概念以形成性工作为指导，其中开发了现场版本的活动“促进性健康”，并进行了试点测试，证实了这一点。的效用psh4ybmsm 采用基于理论的方法来解决基本知识、风险认知、同伴规范、态度和技能，其主要目标有两个：(1) 为了减少 HIV/STI，psh4ybmsm 强调不发生性行为、减少性伴侣、避免同时性伴侣。 、安全套和艾滋病毒/性传播感染检测；以及 (2) 为了改善性健康和性关系，它可以帮助参与者更清楚地了解他们在性行为方面想做/不想做的事情，交流他们的选择，并学习如何增强性健康。该项目提供了许多创新，包括创建第一个性积极的多媒体互动特别智能手机应用程序提供的艾滋病毒/性传播感染预防计划，专为 14-18 岁的 YBMSM 设计，旨在减少风险和性反应，这是一个难以通过面对面干预来接触的群体；用户活动和输入——例如，根据性别认同、报告的性伙伴数量和性活动频率，引导用户选择专门针对其需求定制的内容，并提供上下文敏感的辅助内容，例如监控短信、 Instagram 和 Twitter 上的关键词（即转播、HIV 测试）——如果检测到应用程序会立即以适合上下文的内容进行响应，第一阶段将通过最终确定干预内容、使用形成性研究来设计应用程序以及开发和开发来测试可行性。可用性测试两项干预活动和一项情境敏感功能，第二阶段将完成开发并进行多地点随机对照试验以评估有效性。