A Novel Online Intervention to Reduce Sexual Risk Among Men Who Meet Men Online

一种新颖的在线干预措施可降低在网上认识男性的男性的性风险

• 批准号: 7230331
• 负责人: SABINA HIRSHFIELD
• 金额: $ 19.33万
• 依托单位: PUBLIC HEALTH SOLUTIONS
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7230331
• 关键词: AIDS education /prevention; HIV infections; Internet; clinical research; cooperative study; homosexuals; human subject; male

DESCRIPTION (provided by applicant): Increasing HIV transmission among men who have sex with men (MSM) is cause for serious concern. New HIV infections in MSM have been attributed to factors including safer sex fatigue, HIV treatment optimism, drug use, and easy access to sex partners via Internet hook-up sites. The purpose of this proposed project entitled, A Novel Online Intervention to Reduce Sexual Risk among Men who Meet Men Online, is to assess the feasibility of developing and implementing an innovative online randomized HIV behavioral risk intervention using digital video vignettes. The target population of interest for this proposed online intervention is men who have sex with men (MSM) who meet male sex partners online. Men who seek sex online are more likely to report a sexually transmitted infection (STI), have sexual encounters with HIV-positive partners, and to self-identify as being white and homosexual, compared to men who do not seek sex online. We recently conducted an online pilot intervention and were successful at recruiting and following a convenience sample of MSM participants online, using a single-group, pre-post test design. Between baseline and 3-month follow-up, we found significant increases in HIV disclosure to new sex partners and HIV testing. Based on the success of our pilot data, we request funding to test the feasibility of developing and implementing a 4-branch, randomized control design, with a pre-post test and 30-day follow-up, to be implemented online, including the ABC components. We hypothesize that a brief online behavioral intervention using digital videos, which are meant to elicit critical thinking and attitude and behavior change, will yield a reduction in sexual transmission risk, and increase HIV testing and HIV disclosure to sexual partners to varying degrees among MSM who meet male sex partners online. If successful, this type of novel intervention will be efficient, cost-effective, feasible to replicate online, and especially useful in overcoming geographic boundaries, such as reaching men in rural areas or other hard-to-reach populations.

描述（由申请人提供）：男男性行为者 (MSM) 中艾滋病毒传播的增加引起严重关注。男男性接触者中新的艾滋病毒感染归因于安全性行为疲劳、艾滋病毒治疗乐观、吸毒以及通过互联网连接网站轻松接触性伴侣等因素。该拟议项目名为“降低网上结识男性性风险的新型在线干预措施”，其目的是评估使用数字视频片段开发和实施创新的在线随机艾滋病毒行为风险干预措施的可行性。这项拟议的在线干预措施的目标人群是在网上认识男性性伴侣的男男性行为者 (MSM)。与不在网上寻求性的男性相比，在网上寻求性的男性更有可能报告性传播感染（STI）、与艾滋病毒呈阳性的伴侣发生性接触，并自我认定为白人和同性恋。我们最近进行了在线试点干预，并使用单组、前后测试设计成功地在线招募和跟踪了 MSM 参与者的便捷样本。在基线和 3 个月随访期间，我们发现向新性伴侣披露艾滋病毒和艾滋病毒检测的情况显着增加。基于我们试点数据的成功，我们请求资金来测试开发和实施 4 分支随机对照设计的可行性，并进行前后测试和 30 天的随访，并在线实施，包括ABC 组件。我们假设，使用数字视频进行简短的在线行为干预，旨在引发批判性思维以及态度和行为的改变，将降低性传播风险，并在不同程度上增加对性伴侣的艾滋病毒检测和艾滋病毒披露。在线认识男性性伴侣。如果成功，这种新颖的干预措施将是高效的、具有成本效益的、可以在网上复制的，并且在克服地理界限方面特别有用，例如覆盖农村地区的男性或其他难以接触到的人群。