Intervention to encourage HIV Testing and Counseling among Adolescents

鼓励青少年进行艾滋病毒检测和咨询的干预措施

基本信息

批准号：
9146463
负责人：
Lynn Elizabeth Fiellin
金额：
$ 22.46万
依托单位：
SCHELL GAMES, LLC
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-05-01 至 2017-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9146463
关键词：
14 year old 16 year old AIDS prevention AIDS/HIV problem Address Adolescence Adolescent Affect Age Back Behavior Benefits and Risks Centers for Disease Control and Prevention (U.S.)Cities Clinic Counseling Data Decision Making Development Ensure Female Adolescents Focus Groups Foundations Future Goals HIV HIV Infections Health Health Promotion Health behavior High School Student Hour Human immunodeficiency virus test Incentives Incidence Individual Intention Intervention Knowledge Life Link Literature Male Adolescents Manuals Mediator of activation protein Methods Minority Modeling Motivation Nature Older Population Outcome Participant Patient Self-Report Phase Pilot Projects Planning Theory Play Population Prevention Prevention program Preventive Intervention Randomized Controlled Trials Reporting Research Personnel Rewards Risk Risk Reduction Role Self Efficacy Series Technology Teenagers Testing Theoretical model Translating Travel Treatment Efficacy Vulnerable Populations Work Youth age group aged base behavior change boys cost cost effectiveness design disorder prevention evidence base experience girls high risk high school improved junior high school meetings parent grant phase 1 study phase 2 study primary outcome programs public health relevance sex sexual initiation delay skills social cognitive theory social learning uptake videogame intervention virtual young adult

项目摘要

DESCRIPTION (provided by applicant): HIV disproportionately impacts minority adolescents, and most of them have neither undergone HIV testing and counseling (HTC) nor know their status. Adolescence is a "window of opportunity" to intervene with HIV behavior change interventions. Challenges to implementing and disseminating some effective HIV prevention programs in adolescents may limit their impact. To address these challenges, videogames can be used as interventions to improve health-related behaviors. They meet adolescents "where they are at," are engaging, provide more consistent fidelity to the intervention, and are easier to disseminate, leading to potentially greater reach at a lower cost. Therefore, the goal of this proposal is to adapt an existing iPad-based HIV prevention videogame with demonstrated efficacy, Play Forward: Elm City Stories (developed for teens aged 11-14 and focused on sexual risk reduction) to create a new videogame intervention focused on promoting access to and uptake of HTC in adolescents, aged 15-16. In the original Play Forward, players create a virtual character they use to travel through life, facing challenges and making decisions that bring different risks, benefits, and consequences. The players can see how their actions in the game influence their future. The game involves a series of realistic stories representing risky situatios faced by teens in middle or high school, and players successfully resolve each story by playing skill-based mini-games to acquire "senses" and "powers." For the proposed Phase 1 study, we will conduct formative work with focus groups, and our team of game developers and researchers will adapt the game for a focus on HTC in an older adolescent age group. We will evaluate the game in a subsequent pilot study with 30 adolescents, examining its feasibility and acceptability, as well as determining its preliminary efficacy for impacting adolescents' intention to seek HTC, actual obtaining of HTC, and knowledge about HIV/AIDS. They will play the game for 2 hours per week for 3 weeks, and standardized assessment data will be collected at baseline, 3, and 6 weeks. In a subsequent Phase 2 study, we will plan to integrate into the game opportunities and incentives that promote the adolescent connecting with a health clinic program that will help to directly link the participant with one of the clinics for HTC. After successful testing, the participant can enter key data back into the game and be rewarded additional game incentives for completing testing. Given the compelling evidence supporting the efficacy of videogames in health promotion and disease prevention, and their increased access, fidelity, and potential cost-effectiveness, this proposal holds the promise of an effective, engaging, and tailored prevention intervention with the potential for greater sustainable dissemination and considerable impact on this vulnerable population of adolescents.

描述（由申请人提供）：艾滋病毒对少数族裔青少年的影响尤为严重，他们中的大多数既没有接受艾滋病毒检测和咨询（HTC），也不知道自己的状况是进行艾滋病毒行为改变干预措施的“机会之窗”。在青少年中实施和传播一些有效的艾滋病毒预防计划可能会限制其影响。为了应对这些挑战，电子游戏可以作为改善健康相关行为的干预措施，它们可以满足青少年“所处的位置”，并提供更多帮助。对干预的一致忠诚度，并且更容易因此，本提案的目标是改编现有的基于 iPad 的艾滋病毒预防视频游戏，即 Play Forward：Elm City Stories（专为 11-14 岁青少年开发，重点关注）。性风险降低）创建了一种新的视频游戏干预措施，重点是促进 15-16 岁青少年接触和吸收 HTC。玩家可以看到他们在游戏中的行为如何影响他们的未来。游戏涉及一系列代表初中或高中青少年面临的危险情况的现实故事，玩家成功解决每个问题。通过玩基于技能的迷你游戏来获得“感官”和“力量”，我们将与焦点小组一起开展形成性工作，我们的游戏开发人员和研究人员团队将针对焦点调整游戏。年龄较大的青少年使用 HTC我们将在随后对 30 名青少年进行的试点研究中评估该游戏，检验其可行性和可接受性，并确定其对青少年寻求 HTC 的意愿、实际获得 HTC 以及艾滋病毒/艾滋病知识的影响的初步效果。他们将每周玩游戏 2 小时，持续 3 周，并将在基线、第 3 周和第 6 周收集标准化评估数据。在随后的第 2 阶段研究中，我们将计划将促进游戏的机会和激励措施融入其中。青少年与健康诊所计划将有助于将参与者与 HTC 的诊所之一直接联系起来。在成功测试后，参与者可以将关键数据重新输入到游戏中，并在完成测试后获得额外的游戏奖励。考虑到电子游戏在健康促进和疾病预防方面的作用，以及它们增加的可及性、保真度和潜在的成本效益，该提案有望提供一种有效、有吸引力和量身定制的预防干预措施，有可能实现更广泛的可持续传播，并对这一弱势群体产生巨大影响。青少年人口。