Mobile App Promoting Sexual Health for Young Black Men who Have Sex with Men

促进男男性接触者年轻黑人性健康的移动应用程序

基本信息

批准号：
9559328
负责人：
KARIN Kristina COYLE
金额：
$ 72.47万
依托单位：
DFUSION, INC.
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-10 至 2020-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9559328
关键词：
AIDS prevention AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Affect African American Age Anus Attitude Businesses Clinic Clinical Communities Data Data Collection Development Diagnosis Education Educational Curriculum Educational Intervention Effectiveness Effectiveness of Interventions Epidemic Ethnic group Evaluation Family Friends Goals HIV HIV Infections HIV risk HIV/STD HIV/STI intervention Health Human immunodeficiency virus test Individual Infection Internet Intervention Knowledge Language Learning Monitor Names Oral Participant Pattern Persons Phase Population Pornography Prevention Prevention approach Prevention education Prevention program Prevention strategy Preventive Intervention Public Health Publishing Race Randomized Randomized Controlled Trials Reporting Research Research Project Grants Risk Risk Behaviors Risk Reduction Schools Series Sex Education Sexual Health Sexual Partners Sexuality Staff Development System Technology Teenagers Test Result Testing Text Underserved Population United States Vagina Youth age group aged base black men who have sex with men commercialization communication behavior condoms cost effective design experience handheld mobile device improved innovation interactive multimedia interest male member men men who have sex with men mobile application older men peer pleasure programs prototype response risk perception sex sex risk sexual health intervention sexual relationship skills smartphone Application theories therapy design uptake usability young men who have sex with men

项目摘要

ABSTRACT Mobile App Promoting Sexual Health for Young Black Men who Have Sex with Men 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 13-24) than any other age and racial group of MSM, with an increase of with an increase of 87% from 2005-2014. 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 completing the development of a sex positive mobile app delivered HIV/STI intervention developed for use by YBMSM ages 14-17. The program 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 the program emphasizes 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 14-17 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 context sensitive delivery of booster content, such as monitoring SMS texts for keywords (i.e. hookup, HIV test)--if detected the app responds with context-appropriate content in the moment. Phase I of this project created a prototype app with activities focused on understanding sexual pleasure, communicating online, condom use including fit, and information about lube. A usability evaluation with 24 members of the target audience found the app to be usable and well-liked, and it improved knowledge and attitudes, demonstrating the utility of the app. This Phase II project will refine the prototype based on usability testing results, complete the prototype, adding more than 20 additional content-based activities, peer stories, instant games, and an optional user messaging/forum system. The completed app delivered program will be evaluated using a cluster randomized controlled trial to assess effectiveness in changing sexual risk behaviors and relationship and communication behaviors and attitudes.

摘要移动应用程序促进男男性行为年轻黑人的性健康男男性行为者，特别是男男性行为黑人 (BMSM) 自艾滋病毒/艾滋病流行以来，该国受到的影响尤为严重，但近年来，与男性发生性关系的年轻黑人男性 (YBMSM) 中的艾滋病毒感染人数迅速上升更多新的艾滋病毒感染者。 YBMSM（13-24 岁）中发生率高于任何其他年龄和种族的 MSM 群体，并且增加 2005 年至 2014 年期间增加了 87%，少数干预措施仅关注 YBMSM，目标年龄为 18-29 岁。此外，研究发现，针对青少年 BMSM 的性教育并不容易。可以从朋友、家人或学校获得，许多 YMSM 依赖年长的伴侣、互联网和该项目将弥补这些差距并填补一个重要的产品利基市场。为 YBMSM 提供服务的社区组织、卫生部门、诊所和学校，完成开发性积极的移动应用程序，提供艾滋病毒/性传播感染干预措施，供 YBMSM 使用该计划采用基于理论的方法来解决 14-17 岁的基本知识和看法。风险、同伴规范、态度和技能，有两个主要目标：(1) 该计划强调减少艾滋病毒/性传播感染减少性伴侣、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) 改善性生活；健康和人际关系，它可以帮助参与者更清楚他们在性方面想做/不想做的事情，沟通他们的选择，并学习如何增强性体验，同时降低艾滋病毒/性传播感染风险。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智能手机应用程序提供的 HIV/STI 预防计划，专为 14-17 岁的 YBMSM 设计，解决风险降低和性反应问题，这是一个很难通过面对面干预接触到的群体；旨在增强性体验的内容，这是目标受众所要求的方法； PREP 和 PEP 的优缺点；  基于用户活动和输入的内容定制  上下文敏感的交付助推器内容，例如监控短信中的关键字（即转播、HIV 测试）——如果检测到该应用程序目前，该项目的第一阶段创建了一个原型应用程序，以适合上下文的内容进行响应。活动的重点是了解性快感、在线交流、安全套的使用（包括适合）以及有关润滑油的信息。对 24 名目标受众进行的可用性评估发现该应用程序可用。很受欢迎，它提高了知识和态度，展示了该应用程序的实用性。将根据可用性测试结果细化原型，完成原型，添加20多个附加项基于内容的活动、同行故事、即时游戏和可选的用户消息/论坛系统。已完成的应用程序交付程序将使用集群随机对照试验进行评估，以评估有效改变性危险行为和关系以及沟通行为和态度。