Influences on risk behaviors among young men

对年轻男性危险行为的影响

基本信息

批准号：
9912192
负责人：
Kimberly M Nelson
金额：
$ 10.2万
依托单位：
BOSTON UNIVERSITY MEDICAL CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-10-28 至 2021-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9912192
关键词：
16 year old AIDS prevention Acquired Immunodeficiency Syndrome Address Adolescence Adolescent Adolescent HIV risk Adolescent Risk Behavior Adolescent sexual risk Adopted Adoption Adult Affect Age Area Behavior Behavioral Behavioral Medicine Behavioral Sciences Centers for Disease Control and Prevention (U.S.)Clinical Psychology Clinical Trials Collaborations Communications Media Complex Consent Coupled Data Development Doctor of Philosophy Education Educational workshop Environment Epidemiology Ethics Evaluation Evidence based intervention Expectancy Exposure to Feedback Focus Groups Foundations Funding Goals HIV HIV Infections HIV risk Health Health Benefit Health Communication Health behavior Hospitals Incidence Influentials International Internet Intervention Intervention Trial Leadership Learning Measures Mediation Mentored Patient-Oriented Research Career Development Award Mentors Methodology Methods Modeling Network Infrastructure Parents Pattern Population Pornography Prevention Prevention Research Preventive Intervention Preventive Medicine Privacy Psychosexual Development Public Health Randomized Randomized Controlled Trials Reporting Research Research Infrastructure Research Methodology Research Personnel Resources Risk Risk Behaviors Risk-Taking Role Same-sex Sampling Schools Science Scientist Sex Behavior Sexual Development Sexual Health Source Stigmatization Surveys Testing Theory of Change Time Training United States United States National Institutes of Health Universities Work Youth alcohol research base behavior change biopsychosocial career condomless anal sex design ethnic diversity ethnic minority population experience follow-up health knowledge high risk high risk sexual behavior innovation literacy male medical schools men who have sex with men peer post intervention primary outcome professor programs public health relevance racial and ethnic racial minority recruit retention rate secondary outcome sexual minority sexual risk behavior sexual risk taking skills therapy development tool young man young men who have sex with men

项目摘要

DESCRIPTION (provided by applicant): Candidate. I pursue this Mentored Patient-Oriented Research Career Development Award (K23) to facilitate my transition towards an independent research career in HIV prevention science. My long-term goal is to become a productive independent HIV prevention behavioral scientist. My goals include the development of HIV prevention interventions - using new and increasingly accessible and influential online media - to address disparities among sexual minority populations across key developmental periods. To date, my training has focused on core strengths and skills in clinical psychology (PhD) and epidemiology (MPH). I have acquired expertise in HIV prevention, behavior change theory, and research methods, with an emphasis on adults. This foundation has prepared me for the proposed next steps of my training, namely, developing expertise in adolescent risk behavior (the time when most risk behavior patterns are established) and the skills necessary for the development, implementation, and evaluation of online prevention interventions and research. Training plan. The proposed training plan will prepare me to work with adolescent sexual minority populations, a group at significant risk for HIV. Receipt of a K23 award will allow me protected time to acquire the necessary skills. Specifically, with the K23 training I will: (1) acquire the theoretical and methodological skills required for HIV prevention interventions targeting sexual minority populations during adolescence; (2) gain hands-on training in online media-based intervention development, including health communications and media literacy skills; and (3) build the necessary collaboration networks and research infrastructure to enable independence as an NIH-funded investigator. Importantly my training will also increase my sophistication regarding the (4) unique ethical challenges involved in (a) working with a young, often stigmatized population, and (b) delivering online interventions. Both domains are fraught with ethical complexities (e.g., privacy, consent, confidentiality) at a time of rapidly-evolving societal, cultural, health, and technological changes. My training will prepare me to take a leadership role in this emerging and complex research area. Training goals will be achieved through didactic courses, workshops, research experience, and mentoring. Environment. During the proposed K23, I will be a Research Scientist at The Miriam Hospital and an Assistant Professor at Brown University. At the Miriam, I will have access to the outstanding and highly supportive research environments provided by the Centers for Behavioral and Preventive Medicine and the Centers for AIDS Research. At Brown University, I will have access to the academic resources of the Schools of Medicine and Public Health, including the Alcohol Research Center on HIV. This environment will enhance my training and facilitate my research goals. Through the training, experience, and skills gained as a part of this K23 Award, I will be prepared to pursue funding to conduct a larger randomized controlled trial of an intervention to reduce HIV risk among adolescent sexual minority populations. Mentors. I will receive mentoring from an outstanding team of internationally recognized and accomplished investigators in HIV prevention and behavioral science, public health, communications, and media literacy. Proposed research. Young sexual minority males account for a disproportionate number of HIV infections in the United States. Racial and ethnic minority populations are particularly affected. Incidence rates reflect sexual risk behaviors during early sexual experiences. Research suggests that initial sexual risk-taking occurs during adolescence (ages 14-18) among sexual minority males. Therefore, it is important for HIV prevention interventions to target adolescent sexual minority males. Targeting sexual minority males during adolescence will help them learn and establish healthy sexual behaviors early in their psychosexual development, which will have both immediate and long-term health benefits. Online media use triggers and maintains sexual risk-taking among adolescent sexual minority males. Consequently, it is critical for HIV prevention interventions to address the influence of online media on this population. One way to address this influence is by developing an online sexual health media literacy intervention. To promote adolescent sexual minority males' critical examination of online media and to decrease their sexual risk-taking, I propose a two-stage program of research (i.e., formative research and an exploratory clinical trial) with three aims: (1) develop methods to recruit and retain a racially/ethnically diverse sample of adolescent sexual minority males online using feedback from five focus groups (N ~ 30); (2) develop a brief, online-administered, sexual health media literacy intervention to lower HIV risk behaviors among adolescent sexual minority males using information from a youth advisory board (N ~ 8) and a cross-sectional online survey (N = 200); and (3) conduct an exploratory clinical trial to pilot test the developed online sexual health media literacy intervention for feasibility and acceptability (N = 100). Overall, the proposed research has the potential to reach a wide audience of sexual minority males early in their sexual development, ultimately decreasing their sexual risk-taking and reducing the number of new HIV infections in this population. Further, the proposed research will expand my capacities as an HIV researcher and interventionist and place me at the forefront of online media-based HIV prevention research.

描述（由申请人提供）：候选人。我追求以患者为导向的研究职业发展奖（K23），以促进我向艾滋病毒预防科学领域的独立研究生涯过渡。我的长期目标是成为一名富有成效的独立艾滋病毒预防行为科学家。我的目标包括制定艾滋病毒预防干预措施——利用新的、日益普及和有影响力的在线媒体——解决关键发展时期性少数群体之间的差异。迄今为止，我的培训重点是临床心理学（PhD）和流行病学（MPH）的核心优势和技能。我获得了艾滋病毒预防、行为改变理论和研究方法方面的专业知识，重点是成人。该基金会为我拟议的下一步培训做好了准备，即培养青少年风险行为（大多数风险行为模式建立的时间）方面的专业知识以及开发、实施和评估在线预防干预措施和评估所需的技能。研究。培训计划。拟议的培训计划将使我做好与青少年性少数人群（艾滋病毒高危人群）一起工作的准备。获得 K23 奖项将使我有时间获得必要的技能。具体来说，通过K23培训，我将：（1）获得针对青春期性少数人群的艾滋病预防干预所需的理论和方法技能； (2) 获得基于在线媒体的干预措施开发的实践培训，包括健康传播和媒体素养技能； (3) 建立必要的合作网络和研究基础设施，以实现作为 NIH 资助的研究者的独立性。重要的是，我的培训还将提高我对（4）独特道德挑战的复杂性，这些挑战涉及（a）与经常受到侮辱的年轻人一起工作，以及（b）提供在线干预措施。在社会、文化、健康和技术快速发展的时代，这两个领域都充满了道德复杂性（例如隐私、同意、保密）。我的培训将使我做好在这个新兴且复杂的研究领域发挥领导作用的准备。培训目标将通过教学课程、研讨会、研究经验和指导来实现。环境。在拟议的 K23 期间，我将担任米里亚姆医院的研究科学家和布朗大学的助理教授。在米里亚姆，我将能够享受行为和预防医学中心以及艾滋病研究中心提供的出色且高度支持的研究环境。在布朗大学，我将可以使用医学院和公共卫生学院的学术资源，包括艾滋病毒酒精研究中心。这种环境将增强我的训练并促进我的研究目标。通过作为 K23 奖的一部分获得的培训、经验和技能，我将准备寻求资金来进行更大规模的随机对照干预试验，以降低青少年性少数人群的艾滋病毒风险。导师。我将接受一支由国际公认的、在艾滋病毒预防和行为科学、公共卫生、传播和媒体素养方面颇有成就的研究人员组成的杰出团队的指导。提议的研究。在美国，年轻的性少数男性感染艾滋病毒的人数不成比例。少数种族和族裔人口受到的影响尤其严重。发生率反映了早期性经历期间的性危险行为。研究表明，性少数男性最初的性冒险发生在青春期（14-18 岁）。因此，针对青少年性少数男性的艾滋病毒预防干预措施非常重要。以青春期的性少数男性为目标，将帮助他们在性心理发展的早期学习和建立健康的性行为，这将带来直接和长期的健康益处。网络媒体的使用引发并维持了青少年性少数男性的性冒险行为。因此，艾滋病毒预防干预措施必须解决在线媒体对这一人群的影响。解决这种影响的一种方法是开发在线性健康媒体素养干预措施。为了促进青少年性少数男性对网络媒体的批判性审视并减少他们的性冒险行为，我提出了一个两阶段的研究计划（即形成性研究和探索性临床试验），其三个目标是：（1）开发方法利用五个焦点小组（N ~ 30）的反馈，在线招募和保留种族/民族多样化的青少年性少数男性样本； (2) 利用青年咨询委员会 (N ~ 8) 和横断面在线调查 (N = 200) 的信息，制定一项简短的、在线管理的性健康媒体素养干预措施，以降低青少年性少数男性的艾滋病毒风险行为; (3) 进行探索性临床试验，以试点测试所开发的在线性健康媒体素养干预措施的可行性和可接受性（N = 100）。总体而言，拟议的研究有可能在性发育早期接触到性少数男性的广泛受众，最终减少他们的性冒险行为并减少该人群中新发艾滋病毒感染的数量。此外，拟议的研究将扩展我作为艾滋病毒研究人员和干预专家的能力，并使我处于基于在线媒体的艾滋病毒预防研究的最前沿。