Gamification to enhance engagement in HIV prevention and co-morbid conditions in young men who have sex with men

游戏化可提高男男性行为年轻男性对艾滋病毒预防和共病的参与度

• 批准号: 10620338
• 负责人: Jeffrey Allen Wickersham
• 金额: $ 21万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-10 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10620338
• 关键词: AIDS prevention; Acceleration; Address; Adherence; Affect; Alcohol consumption; Alcohols; Boredom; Capital; Caring; Cellular Phone; Collaborations; Complex; Country; Development; Diabetes Mellitus; Discrimination; Drug usage; Elements; Epidemic; Evidence based intervention; Exposure to; Fatigue; Feedback; Focus Groups; Fostering; Future; Geographic Locations; Goals; HIV; HIV Infections; Health; Health Priorities; Health Promotion; Health behavior; Health behavior and outcomes; Human immunodeficiency virus test; Hybrids; Incidence; International Agencies; Intervention; Knowledge; Malaysia; Malaysian; Malignant Neoplasms; Medical; Mental Depression; Methamphetamine; Methods; Mobile Health Application; Modeling; Monitor; Motivation; Outcome; Ownership; Performance; Personal Satisfaction; Persons; Pilot Projects; Population; Prevalence; Prevention; Prevention program; Prevention strategy; Recommendation; Reporting; Research; Rewards; Risk; Risk Behaviors; Sexual Health; Sexual Transmission; Sexually Transmitted Diseases; Smoking; Surveys; Testing; Time; Unsafe Sex; acceptability and feasibility; aged; biobehavior; cigarette smoking; comorbidity; condoms; design; digital; digital media; distraction; experience; implementation science; implementation trial; improved; improved outcome; infancy; innovation; insight; interest; intervention delivery; mHealth; male; marginalization; men; men who have sex with men; mobile application; mortality; nutrition; physical inactivity; pre-exposure prophylaxis; prevention service; preventive intervention; prospective; prototype; response; smartphone application; social; social stigma; syndemic; therapy design; transmission process; uptake; usability; vulnerable community; young men who have sex with men

Abstract Malaysia’s HIV epidemic is rapidly expanding with recent evidence suggesting accelerated sexual transmission, especially among men who have sex with men (MSM): 10% in 2008 to 54% in 2016. Biobehavioral surveys suggest high HIV prevalence in MSM being nationally (21.6%). Among these, Young MSM (YMSM) bear a substantial burden of new HIV cases in Malaysia, attributed to high levels of condomless sex, low uptake of HIV testing, and limited access to PrEP. Besides heightened risk, Malaysian YMSM have high levels co-morbid conditions that contribute to poor overall health, including high use of cigarette (78%), alcohol and methamphetamine, depression, and STIs. Besides the common barriers that YMSM have (e.g., lack of knowledge in HIV prevention and misperception of risk), Malaysian YMSM experience high stigma and discrimination and also difficulty in accessing confidential HIV care. Consequently, they are marginalized from traditional, venue-based HIV prevention services, which undermines recommendations by international agencies. HIV prevention fatigue among YMSM can also undermine gains in this group because of boredom, diminishing interests in existing HIV prevention methods, which lead to more risk behaviors. To address stigma, discrimination and HIV prevention fatigue, gamified mHealth integrated HIV prevention strategies can engage Malaysian YMSM with prevention messages and help them make health decisions anonymously, and thus hold great promise for Malaysian YMSM. Gamified mHealth interventions designed for YMSM are at its infancy and have not been adapted in Malaysia yet. We therefore aim to adapt, expand, and refine an existing gamified mHealth app to assess acceptability, feasibility and important factors that affecting Malaysian YMSM’s HIV prevention and co-morbid conditions. Findings from this exploratory pilot study will inform a future prospective Type 1 Hybrid implementation science trial.

抽象的 马来西亚的艾滋病毒流行正在迅速扩大，最近的证据表明，性传播加速， 特别是在与男性发生性关系的男性中（MSM）：2016年为10％，达到54％。生物行为调查 表明在全国范围内，MSM的HIV患病率很高（21.6％）。其中，年轻的MSM（YMSM）带有A 马来西亚的新艾滋病毒病例的大量燃烧归因于高水平的无避孕套性别，艾滋病毒的吸收率低 测试和对准备的有限访问。除了增加风险外，马来西亚YMSM还有高水平的合并症 导致整体健康状况不佳的疾病，包括大量使用香烟（78％），酒精和 甲基苯丙胺，抑郁症和性传播感染。除了YMSM的常见障碍（例如，缺乏 在预防艾滋病毒的知识和对风险的误解），马来西亚YMSM经历了很高的污名和 歧视，也很难获得机密的艾滋病毒护理。因此，它们是从边缘化的 传统的基于场地的艾滋病毒预防服务，强调了国际机构的建议。 YMMM中的艾滋病毒预防疲劳也可能破坏这一组的收益，因为无聊，减少 现有的艾滋病毒预防方法的兴趣，这导致了更多的风险行为。要解决污名， 歧视和艾滋病毒预防疲劳，加游戏的MHealth综合艾滋病毒预防策略可以参与 马来西亚YMSM带有预防信息，并帮助他们匿名做出健康决定，因此 马来西亚YMSM的巨大希望。为YMSM设计的游戏MHealth干预措施仍处于起步阶段，并且 在马来西亚还没有改编。因此，我们的目标是适应，扩展和完善现有游戏 MHealth应用程序评估影响马来西亚YMSM艾滋病毒的可接受性，可行性和重要因素 预防和合并条件。这项探索性试点研究的发现将为未来的潜在 1型混合实施科学试验。