Investigating change in HIV risk in a self-monitoring diary study

在自我监测日记研究中调查艾滋病毒风险的变化

基本信息

批准号：
8542374
负责人：
Michael E Newcomb
金额：
$ 15.45万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-04-01 至 2015-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8542374
关键词：
AIDS prevention AIDS/HIV problem Adolescent Affect Age Alcohol consumption Alcohol or Other Drugs use Alcohols Applications Grants Behavior Behavioral Clinical Cognitive Control Groups Data Data Collection Dose Drug usage Empirical Research Feedback Frequencies Goals Graph HIV HIV risk Health Health behavior change Illicit Drugs Individual Infection Intervention Lead Methodology Monitor Motivation Observational Study Online Systems Participant Pattern Pharmaceutical Preparations Population Preventive Intervention Process Randomized Recruitment Activity Reporting Research Research Support Risk Risk Behaviors Risk Factors Risk Reduction Self Efficacy Sex Behavior Survey Methodology Technology Testing Time United States Unsafe Sex Variant base behavior change binge drinking cohort condoms diaries emerging adult experience individualized feedback men who have sex with men programs research and development sex sex risk social success therapy development tool young adult

项目摘要

DESCRIPTION (provided by applicant): Young men who have sex with men (YMSM) are profoundly impacted by HIV/AIDS in the United States, but relatively little research has evaluated HIV risk in this population. Notably, binge drinking and illicit drug use have been found to consistently predict sexual risk behavior in YMSM, but few studies have focused on developing interventions for substance-using YMSM. Behavioral diaries are widely-used as a survey method for observing change in health-related behaviors, and behavioral self-monitoring strategies are also frequently used in clinical interventions to induce health-behavior change. Social cognitive processes such as motivation influence the success of self-monitoring, and our previous research found that MSM with greater HIV risk reduction motivation were more likely to reduce their reported unprotected sex over the course of a sexual diary study. However, it is unclear whether motivated MSM simply reduced their sexual risk behavior on their own, or whether they actually benefited from self-monitoring. Despite recent calls to examine the utility of self- monitoring and diary approaches to change sexual risk behavior in YMSM specifically, several important questions remain unanswered: 1) When do sexual diary studies become self-monitoring interventions?; and 2) For whom do self-monitoring diaries serve as interventions? The overarching goal of this study is to examine the conditions under which sexual diaries become self-monitoring interventions for binge-drinking and drug- using YMSM in order to maximize their value as a tool for observation and intervention. To achieve this goal, we will examine the following specific aims: Aim 1: Describe which YMSM, under which situational and contextual conditions, show change in reported sexual risk behavior using web-based behavioral diaries; Aim 2: Experimentally compare frequencies of behavioral diary administration on change in reported sexual risk behavior and participant attrition; and Aim 3: Test the effect of delivering individualized risk behavior feedback. The proposed study will recruit 360 binge-drinking and/or drug-using YMSM (ages 16-29) online into a 2-month web-based sexual diary study. In accordance with Aim 1, we will examine group differences in change in reported sexual risk behavior by age cohort (adolescents, emerging adults, young adults), as well as the influence of social cognitive variables (HIV risk reduction motivation, intentions, and self-efficacy) and substance use (alcohol and illicit drug use) on sexual risk behavior. To achieve Aim 2, we will evaluate differences in reported behavior change and participant attrition by frequency of behavioral diary administration (daily diaries, weekly diarie, or no diaries). For Aim 3, we will test the effect of providing individualized risk behavior feedbak by randomizing YMSM into feedback or no feedback groups. Risk behavior feedback will illustrate: frequency of sexual risk behavior, substance use, and the correlation between these variables. The data collected in this study will aid the PI in transitioning to intervention development research and support a larger grant application to develop a self-monitoring intervention for substance-using YMSM.

描述（由申请人提供）：在美国，男男性行为者 (YMSM) 深受艾滋病毒/艾滋病的影响，但评估该人群艾滋病毒风险的研究相对较少。值得注意的是，人们发现酗酒和非法药物的使用始终可以预测 YMSM 中的性危险行为，但很少有研究关注针对 YMSM 物质使用的干预措施。行为日记被广泛用作观察健康相关行为变化的调查方法，行为自我监测策略也经常用于临床干预中以诱导健康行为改变。动机等社会认知过程会影响自我监控的成功，我们之前的研究发现，具有更大降低艾滋病毒风险动机的 MSM 在性日记研究过程中更有可能减少他们报告的无保护性行为。然而，尚不清楚有动力的男同性恋者是否只是自己减少了性危险行为，或者他们是否真的从自我监控中受益。尽管最近有人呼吁检查自我监测和日记方法在改变 YMSM 中性危险行为的效用，但几个重要问题仍未得到解答：1）性日记研究何时成为自我监测干预措施？ 2) 自我监控日记可以作为干预措施针对谁？本研究的总体目标是探讨性日记在何种条件下成为酗酒和吸毒 YMSM 的自我监测干预措施，以最大限度地发挥其作为观察和干预工具的价值。为了实现这一目标，我们将研究以下具体目标：目标 1：使用基于网络的行为日记描述哪种 YMSM 在何种情境和背景条件下显示报告的性危险行为的变化；目标 2：通过实验比较行为日记管理频率对报告的性危险行为变化和参与者流失的影响；目标 3：测试提供个性化风险行为反馈的效果。拟议的研究将在线招募 360 名酗酒和/或吸毒的 YMSM（16-29 岁）进行为期 2 个月的基于网络的性日记研究。根据目标 1，我们将按年龄组（青少年、新兴成人、年轻人）检查报告的性风险行为变化的群体差异，以及社会认知变量（降低艾滋病毒风险的动机、意图和自我）的影响。 -功效）和物质使用（酒精和非法药物使用）对性危险行为的影响。为了实现目标 2，我们将通过行为日记管理频率（每日日记、每周日记或不写日记）来评估报告的行为变化和参与者流失的差异。对于目标 3，我们将通过将 YMSM 随机分为反馈组或无反馈组来测试提供个性化风险行为反馈的效果。危险行为反馈将说明：性危险行为的频率、物质使用以及这些变量之间的相关性。本研究收集的数据将帮助 PI 过渡到干预开发研究，并支持更大的拨款申请，为物质使用 YMSM 开发自我监控干预措施。