Evaluating a Structural and Behavioral HIV Risk Reduction Program for Black Men

评估针对黑人男性的结构和行为艾滋病毒风险降低计划

基本信息

批准号：
8263934
负责人：
Ingrid Alisa Bowleg
金额：
$ 66.21万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-06 至 2017-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8263934
关键词：
AIDS prevention AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Adherence Adopted Adult Affect African Alcohol or Other Drugs use Attention Behavioral Boston Case Management Case Manager Chlamydia Clinic Cognitive Collaborations Communities Community Developments Community Services Counseling Diet and Nutrition Education Effectiveness Employment Ensure Epidemic Evaluation Evaluation Research Exercise Female Funding Gender Gender Role Goals Gonorrhea HIV HIV Infections Heterosexuals Homelessness Housing Incidence Infection Intervention Intervention Studies Interview Low income Masculine Measures Mediating Mediator of activation protein Modeling National Childhood Cancer Foundation Outcome Participant Philadelphia Population Prevention Research Prevention program Preventive Intervention Primary Health Care Prisons Process Randomized Randomized Controlled Trials Recording of previous events Relative (related person)Reporting Research Research Methodology Research Personnel Risk Risk Behaviors Risk Factors Risk Reduction Risk-Taking Sexual Partners Stress Structure Surveys Syphilis Testing Training Unemployment United States United States National Institutes of Health Unsafe Sex Woman Work arm base behavior change behavioral/social science community based participatory research community based service community setting comparison group computerized condoms design diet and exercise efficacy testing follow-up health care service utilization health disparity high risk innovation intervention program male male health meetings men nutrition peer programs protective behavior quality assurance response risk perception skills social social science research theories

项目摘要

DESCRIPTION (provided by applicant): The purpose of this study is to evaluate the efficacy of the MEN Count intervention, an HIV intervention and prevention program for heterosexual Black men. The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period. MEN Count was developed and pilot tested using a CBPR approach via funding from an NIH R21, in Boston, MA. Similar CBPR methods accompanied by a more rigorous evaluation design (i.e., a randomized controlled trial- RCT) will be used to test MEN Count in an employment training community service agency for Black men in Philadelphia (NCCF). Study participants (N=504) will be Black men reporting heterosexual risk for HIV [unprotected sex with a woman in the past 30 days and 2+ female sex partners in the past 6 months] and either current unemployment or homeless in the past 6 months. To evaluate the effectiveness of MEN Count, a two-armed RCT will be conducted in which participants will be randomized to receive either MEN Count or an attention comparison program similar to MEN Count in structure but focused on general men's health- nutrition, exercise and primary health care utilization. We will assess program impact on reduction in number of unprotected sex episodes and incident cases of STI (Chlamydia, gonorrhea, syphilis) via survey and STI testing, respectively, at baseline and 6 and 12 month follow-ups. Additionally, quality assurance and process evaluation efforts will be conducted to ensure high quality program adherence and delivery, as well as to support program replication should the model prove effective. PUBLIC HEALTH RELEVANCE: The purpose of this study is to evaluate the efficacy of the MEN Count intervention, an HIV intervention and prevention program for heterosexual Black men. The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via three one-on-one sessions delivered by a peer case manager over 60-90 day period. A two armed randomized controlled trial will be used to evaluate the impact of MEN Count, relative to an attention comparison condition focused on diet and exercise, on reduction in unprotected sex and incident STI, as measured via computerized survey and STI tests at baseline and 6 and 12 month follow-ups.

描述（由申请人提供）：这项研究的目的是评估男性计数干预措施的功效，艾滋病毒干预和预防异性黑人男性的预防计划。男子计数模型将艾滋病毒风险降低和性别股权咨询与住房和就业案件管理通过在60-90天内进行的多个一对一会议。男子计数是通过来自马萨诸塞州波士顿的NIH R21的资金来开发并使用CBPR方法进行了测试的。类似的CBPR方法伴随着更严格的评估设计（即，随机对照试验）将用于在费城黑人男性（NCCF）的就业培训社区服务机构中测试男性。研究参与者（n = 504）将是黑人男性报告艾滋病毒异性恋风险[过去30天内与女性的无保护性行为，过去6个月中有2个以上的女性性伴侣]，在过去6个月中当前失业或无家可归。为了评估男性计数的有效性，将进行两臂RCT，其中将随机分配参与者，以接受男性计数或与男性相似的结构相似的关注比较计划，但专注于男性的健康，运动和初级卫生保健利用。我们将分别在基线和6个月的随访中，分别评估计划对减少未保护性别发作数量和STI（衣原体，淋病，梅毒）事件的影响（衣原体，淋病，梅毒）的影响。此外，将进行质量保证和过程评估工作，以确保高质量的计划依从性和交付，并在模型证明有效的情况下支持计划复制。公共卫生相关性：这项研究的目的是评估男性计算干预措施的功效，艾滋病毒干预和预防计划，针对异性恋黑人男性。男子计数模型将艾滋病毒风险降低和性别股权咨询与住房和就业案件管理通过60-90天的同伴案件经理进行。如通过计算机调查和6个月的随访中，两项武装随机对照试验将用于评估男性人数的影响，相对于关注饮食和运动的关注比较条件，对饮食和锻炼的关注比较条件减少了未保护性别和事件性STI的减少。