HOPE Social Media Intervention for HIV Testing and Studying Social Networks

HOPE 社交媒体干预艾滋病毒检测和研究社交网络

• 批准号: 9415095
• 负责人: Sean Young
• 金额: $ 54.39万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-08 至 2020-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9415095
• 关键词: AIDS prevention; African American; Caring; Characteristics; Clinic; Communities; Community Networks; Control Groups; Data; Development; Diffusion; Economics; Education; Effectiveness; Effectiveness of Interventions; Friends; HIV; HIV risk; Health; Health Communication; Home environment; Human immunodeficiency virus test; Individual; Internet; Intervention; Latino; Los Angeles; Measures; Media Intervention; Methods; Modeling; Participant; Pathway Analysis; Persons; Pilot Projects; Population; Prevention approach; Prevention strategy; Preventive Intervention; Privatization; Randomized Controlled Trials; Reporting; Research; Resources; Rest; Risk; Risk Reduction Behavior; Sampling; Sexual Partners; Social Change; Social Network; Stigmatization; Surveys; Technology; Testing; Time; Training; United States; Use Effectiveness; Work; base; behavior change; cohesion; cost; density; evidence base; follow-up; group intervention; high risk; high risk population; improved; innovation; interest; intervention effect; men who have sex with men; online community; peer; post intervention; public health relevance; sex risk; social media; social networking website; social stigma; tool; AIDS prevention; African American; Caring; Characteristics; Clinic; Communities; Community Networks; Control Groups; Data; Development; Diffusion; Economics; Education; Effectiveness; Effectiveness of Interventions; Friends; HIV; HIV risk; Health; Health Communication; Home environment; Human immunodeficiency virus test; Individual; Internet; Intervention; Latino; Los Angeles; Measures; Media Intervention; Methods; Modeling; Participant; Pathway Analysis; Persons; Pilot Projects; Population; Prevention approach; Prevention strategy; Preventive Intervention; Privatization; Randomized Controlled Trials; Reporting; Research; Resources; Rest; Risk; Risk Reduction Behavior; Sampling; Sexual Partners; Social Change; Social Network; Stigmatization; Surveys; Technology; Testing; Time; Training; United States; Use Effectiveness; Work; base; behavior change; cohesion; cost; density; evidence base; follow-up; group intervention; high risk; high risk population; improved; innovation; interest; intervention effect; men who have sex with men; online community; peer; post intervention; public health relevance; sex risk; social media; social networking website; social stigma; tool

DESCRIPTION: In a randomized controlled trial, with 6-month and 1-year follow-up, this application aims to evaluate whether the Harnessing Online Peer Education (HOPE) social media intervention can be used to increase HIV self- testing among African American and Latino men who have sex with men (MSM), and to analyze the changing social network characteristics of participants in this intervention. Innovative approaches to HIV prevention and treatment are critical in the attempt to control the spread of HIV, especially among African American and Latino men who have sex with men (MSM), who are at the highest risk for HIV. Community-based HIV prevention strategies, such as peer leader diffusion models, have been successful in spreading HIV-risk behavior reductions, but require time and economic resources. With the recent increase in social media usage among African American and Latino MSM, social media and online social networks such as Facebook might be used to efficiently and cost-effectively deliver evidenced-based, peer-led HIV prevention interventions. Advances in testing technology, such as home-based HIV testing, can be integrated into an online HIV prevention intervention to allow participants to anonymously test for HIV without risking the stigmatization associated with in-person testing. Because social networking interventions provide rich data on social network characteristics (e.g., the number of friends participants make over time, content of health communication within online networks), this information can be recorded and used to improve intervention delivery. Results from our Los Angeles HOPE pilot study have already demonstrated a) the feasibility and acceptability of using social networking technologies to deliver peer-led HIV prevention among African American and Latino MSM, b) interest in home-based HIV testing among these populations, and c) the relationship between social network dynamics and HIV prevention behavior change. However, additional research is needed with a larger sample to determine the large-scale effectiveness of using social media to increase HIV testing and linkage to care among African American and Latino MSM. In this study, HIV negative African-American and Latino MSM will be invited to join an online (private) Facebook group related to HIV prevention and interact with peer leaders trained in HIV prevention over 12 weeks, with 6-month and 1-year follow-up. Compared to control group participants receiving 12 weeks of peer- delivered general health information over Facebook groups, we predict that participants receiving 12 weeks of peer-delivered HIV prevention information will be more likely to take a home-based HIV test. We will also measure participants' social network data to assess the relationship between changing social network dynamics (e.g., density, network size) and intervention effects.

描述：在一项为期6个月和1年的随访的随机对照试验中，该应用程序旨在评估是否可以利用在线同伴教育（HOPE）社交媒体干预来增加与男性发生性行为（MSM）的非裔美国人和拉丁裔男性（MSM）的艾滋病毒自我测试，并分析参与者在这种干预措施中不断变化的社交网络特征。对艾滋病毒预防和治疗的创新方法对于控制艾滋病毒的传播至关重要，尤其是在与男性发生性关系的非裔美国人和拉丁裔男性中，他们处于艾滋病毒风险最高的人（MSM）。基于社区的艾滋病毒预防策略，例如同伴领导者扩散模型，已经成功地传播了艾滋病毒风险行为的减少，但需要时间和经济资源。随着非裔美国人和拉丁美洲MSM社交媒体使用的最新使用，社交媒体和在线社交网络（例如Facebook）可能被用来有效，成本效益，以提供基于同伴领导的艾滋病毒预防干预措施。可以将测试技术的进步（例如家庭艾滋病毒测试）集成到在线艾滋病毒预防干预措施中，以允许参与者匿名测试艾滋病毒，而不会冒着与亲自测试相关的污名化的风险。由于社交网络干预提供了有关社交网络特征的丰富数据（例如，参与者随着时间的流逝，在线网络中的健康沟通内容），因此可以记录此信息并用于改善干预措施。我们洛杉矶希望试点研究的结果已经证明了a）使用社交网络技术在非洲裔美国人和拉丁裔MSM中提供同伴领导的HIV预防的可行性和可接受性，b）这些人群中对基于家庭的HIV测试的兴趣； c）社交网络动态和预防HIV的人之间的关系。但是，需要更大的样本需要进一步的研究来确定使用社交媒体增加艾滋病毒测试和与非裔美国人和拉丁裔MSM的护理联系的大规模有效性。在这项研究中，将邀请非裔美国人和拉丁裔MSM负面的艾滋病毒，与预防艾滋病毒有关的在线（私人）Facebook小组，并与在12周内接受艾滋病毒预防培训的同伴领导者进行互动，并进行了6个月和1年的随访。与接受Facebook小组的同伴交付的一般健康信息的对照组参与者相比，我们预测接受12周的同伴预防艾滋病毒预防信息的参与者更有可能接受基于家庭的HIV测试。我们还将衡量参与者的社交网络数据，以评估不断变化的社交网络动态（例如密度，网络规模）和干预效果之间的关系。