Amplifying Our Voice: Understanding HIV PrEP Promotional Messaging to CreateAuthentic PrEP Content by Men Who Have Sex with Men in the Deep South

放大我们的声音：了解 HIV PrEP 宣传信息，以创建南方腹地男男性行为者真实的 PrEP 内容

• 批准号: 10560642
• 负责人: Ronnie M Gravett
• 金额: $ 19.1万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-01 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10560642
• 关键词: AIDS prevention; Address; Adherence; Affect; Authorization documentation; Award; Awareness; Back; Behavioral Model; Characteristics; Communities; Data; Dedications; Deep South; Development; Development Plans; Disparity; Empathy; Enabling Factors; Epidemic; Ethnic Origin; Evaluation; Failure; Future; Goals; HIV; HIV diagnosis; Health; Health Services; Health behavior; Homophobia; Human immunodeficiency virus test; Image; Institutional Racism; Interview; K-Series Research Career Programs; Medical; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methodology; Minority Groups; Newly Diagnosed; Outcome; Patient-Focused Outcomes; Phase; Physicians; Population; Populations at Risk; Predisposing Factor; Prevention strategy; Prophylactic treatment; Provider; Race; Research Personnel; Role; Sampling; Services; Sexual Health; Structure; Surveys; Tablets; Tenofovir; Testing; Text; Training; United States; United States National Institutes of Health; Voice; Work; age stratification; authority; barrier to care; black men who have sex with men; collaborative environment; community engagement; community involvement; crowdsourcing; design; digital; digital intervention; empowerment; emtricitabine; experimental study; health care service utilization; health disparity; homonegativity; human centered design; improved; innovation; male health; member; men; men who have sex with men; model design; multidisciplinary; multilevel analysis; novel strategies; pre-exposure prophylaxis; preference; prevent; prevention service; recruit; sex; sexual minority; skills; social media; social stigma; systemic barrier; therapy design; uptake

1 PROJECT SUMMARY/ABSTRACT: 2 This K23 award will allow Ronnie M. Gravett, MD, to train under multidisciplinary, expert mentorship to become 3 an independent patient-oriented outcomes researcher dedicated to improving the HIV outcomes affecting sexual 4 minority persons in the Deep South. HIV disproportionately affects men who have sex with men (MSM) in the 5 Deep South, a region in the United States with the highest burden of new HIV diagnoses. Pre-exposure 6 prophylaxis (PrEP) effectively prevents HIV acquisition among MSM, but there is a significant lag in PrEP uptake 7 and persistence in the Deep South when compared to other regions of the US. Barriers, such as systemic racism, 8 stigma, and homonegativity, prevent MSM from adequately accessing and using this effective strategy. The high 9 burden of HIV and inadequate PrEP uptake are NIH priorities that need novel strategies to address, such as 10 empowering and effective PrEP promotional strategies to increase PrEP uptake. Yet, there is a critical gap in 11 understanding HIV prevention messaging that is informed by the greater context of the intersecting identities and 12 known barriers to PrEP uptake among MSM in the Deep South. To address this gap, this project will examine 13 preferences for PrEP promotional messaging in order to create authentic and informative PrEP messages 14 through crowdsourcing, an innovative strategy wherein a group solves a common problem and the solution is 15 given back to the group. Integrating constructs of Andersen’s Behavioral Model of healthcare utilization and 16 community engagement into a human-centered design model will serve as the framework for this project. This 17 project will address the gap through the following specific aims: 1) explore preferences for PrEP messaging 18 content among MSM in the Deep South through qualitative interviews, 2) using a discrete choice experiment 19 (DCE), define the preferred attributes for PrEP messaging content to inform the format for the crowdsourcing 20 open call, and 3) compare MSM preferences for crowdsourced services to standard services to inform a digital 21 intervention designed to increase PrEP uptake among MSM in the Deep South. Crowdsourced content created 22 during this project will be compared to health authority content to show that community-derived content is 23 preferred by MSM. The training plan will combine formal coursework, intensive seminars, and expert mentorship 24 focused on the following topics: 1) quantitative, qualitative, and mixed methodologies, 2) design and conduct of 25 discrete choice experiments, and 3) crowdsourcing to create authentic PrEP promotional messaging. This K23 26 award will support the development of affirming, effective content to improve HIV prevention strategies among 27 MSM while also providing mentorship from renowned content and methodological experts, structured, 28 multidisciplinary training in a collaborative environment, and the avenue for Dr. Gravett to develop into an 29 independent physician investigator and leading expert in HIV prevention among sexual minorities in the Deep 30 South.

1个项目摘要/摘要： 2该K23奖Willow Ronnie M. Gravett，医学博士，在多学科，专家指导下培训vecome 3独立面向患者的结果Carcher致力于改善影响性的艾滋病毒结果 南部的4个少数族裔。 5南方，美国的一个新艾滋病毒诊断负担最高 6个预防（PREP）有效地阻止了MSM中的HIV获取 7与美国其他地区相比，南方的持久性。 8污名和统一，防止MSM充分地使用这种有效的助手。 9艾滋病毒的负担和不足的准备吸收是NIH的优先事项，需要新颖的策略来解决，例如 10授权和有效的促销策略，以增加预备力的吸收。 11了解艾滋病毒预防消息传递，这是由相交身份的更大背景所告知的 2012 13促销消息的偏好，以创建真实和信息准备消息 14通过众包，一个创新的策略，其中一个团体解决了一个共同的问题，解决方案是 15回到了该小组。 16社区参与以人为本的设计模型将作为该项目的框架 17项目将通过以下特定AMS解决差距：1）探索Pro的偏好 18虽然定性采访，但在南方深处的MSM中的内容18，2）使用离散的选择体验 19（DCE），定义准备消息传递内容的首选属性，以告知格式的格式。 20公开通话和3）比较众包服务的MSM偏好与标准服务的偏好，以告知数字 21旨在增加深南部MSM的准备量 22在该项目期间将与卫生授权的内容进行比较，以表明社区来源的内容是 23 MSM偏爱培训计划，将进行课程，强化研讨会和专家指导 24专注于以下主题：1）定量，定性和混合方法，2）设计和行为 25个离散的选择实验，3）众包创建真实的促销消息 26奖项将支持开发肯定有效的内容，以改善预防艾滋病毒的预防策略 27 MSM同时还提供著名内容和方法论专家的指导，结构化， 28协作环境中的多学科培训 29独立医师研究者和深层性少数群体中艾滋病毒预防的领先专家 30南。