Providing online counseling for home-based HIV testing.

为家庭艾滋病毒检测提供在线咨询。

• 批准号: 9212978
• 负责人: Rob B. Stephenson
• 金额: $ 22.95万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-06-01 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9212978
• 关键词: AIDS prevention; Accounting; Adherence; Adopted; Agreement; Anus; Area; Caring; Centers for Disease Control and Prevention (U.S.); Cities; Communication; Counseling; Couples; Data; Enrollment; Epidemic; FDA approved; Funding; HIV; HIV Infections; HIV Seropositivity; HIV diagnosis; HIV risk; HIV/STD; Health; Heterosexuals; Home environment; Human immunodeficiency virus test; Incidence; Individual; Intervention; Lead; Learning; Lesbian Gay Bisexual Transgender; Life; Link; Measures; Methods; National Institute of Mental Health; Newly Diagnosed; Patient Self-Report; Positive Test Result; Prevention; Prevention strategy; Preventive Intervention; Professional counselor; Questionnaires; Randomized; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Risk Management; Risk Reduction; Rural; Sampling; Services; Sex Functioning; Sexual Partners; Surveys; Technology; Test Result; Testing; Time; Training; United States; arm; base; cohort; coping; coping mechanism; experience; follow-up; innovation; intervention effect; male; meetings; men; men who have sex with men; novel; prevent; scale up; screening; sex; sex risk; sexual risk taking; statistics; transmission process

DESCRIPTION (provided by applicant): Men who have sex with men (MSM) continue to be the most heavily-impacted risk group in the US HIV epidemic. Studies suggest that the majority of incident HIV infections among MSM are attributable to sex with a main male sex partner; however, HIV prevention interventions that target male-male couples are lacking. Because of this, Couples HIV Voluntary Counseling and Testing (CVCT), an intervention that has been repeatedly shown to reduce HIV transmission within heterosexual couples, has been adapted to US MSM couples. CVCT for MSM couples is now available in 11 US cities. The FDA recently approved home-based HIV testing: however, critics have pointed to the lack of counseling involved, particularly for those who receive a positive HIV test. The proposed activities include an innovative combination of home-based HIV testing and CVCT. The activities investigate the utility of home-based HIV testing combined with a video-Skype operated CVCT session, operated by a remotely located CVCT counselor. Through the screening of 1300 online recruited MSM couples from across the US and the enrollment of 600 in a RCT, the study aims to examine the impact of home-based HIV testing PLUS a video-Skype operated CVCT session (experimental condition) versus home- based HIV testing alone (control) on reductions in sexual risk-taking, formation of and adherence to agreements around sex, relationship functioning for the management of HIV risk in relationships among MSM couples. The proposed activities examine the impact of the intervention on self-reported sero-concordant negative couples (n=300) and self-reported sero-discordant couples (n=300). As a secondary aim, the activities propose to investigate the impact of home-based HIV testing plus a video-Skype operated CVCT session on timely linkage to care for those receiving a preliminary positive HIV result. Couples will complete baseline, 3 month and 6-month follow-up questionnaires, detailing recent sexual risks, scales to measure dyadic communication and coping around HIV risk management, and agreements around sex outside of the relationship. The researchers hypothesize that adding a Skype-operated couples-focused counseling session to home-based testing will act to increase coping mechanisms and communication for the effective management of HIV risks in relationships and will lead to reductions in sexual risk taking both within and outside of the relationship and for those receiving a HIV positive test result will increase timely linkage to care. CVCT provision through Skype offers an inexpensive opportunity for a couples-focused intervention to be taken to a wider audience and to provide a mechanism for those under-taking home-based HIV testing to receive counseling.

描述（由申请人提供）：与男性发生性关系的男性（MSM）仍然是美国艾滋病毒流行最严重的风险群体。研究表明，MSM中的大多数艾滋病毒感染归因于与主要男性性伴侣的性行为。但是，缺乏针对男性夫妇的艾滋病毒预防干预措施。因此，艾滋病毒自愿咨询和测试（CVCT）是一种反复证明可以减少异性恋夫妇中艾滋病毒传播的干预措施，已改编为US MSM夫妇。 MSM夫妇的CVCT现已在美国11个城市提供。 FDA最近批准了基于家庭的HIV测试：但是，批评家指出缺乏咨询，特别是对于那些接受阳性艾滋病毒测试的人。拟议的活动包括基于家庭的HIV测试和CVCT的创新组合。这些活动调查了由远程CVCT辅导员操作的视频类型CVCT会话的家庭基于家庭的艾滋病毒测试的效用。 Through the screening of 1300 online recruited MSM couples from across the US and the enrollment of 600 in a RCT, the study aims to examine the impact of home-based HIV testing PLUS a video-Skype operated CVCT session (experimental condition) versus home- based HIV testing alone (control) on reductions in sexual risk-taking, formation of and adherence to agreements around sex, relationship functioning for the management of HIV risk in relationships among MSM夫妻。提出的活动研究了干预对自我报告的血清结合夫妇（n = 300）和自我报告的血清探索夫妇的影响（n = 300）。作为次要目的，这些活动建议研究家庭基于家庭的HIV测试以及视频类型的CVCT会话对及时联系，以照顾那些获得初步阳性HIV结果的人。夫妻将完成基线，3个月和6个月的后续调查表，详细介绍最近的性风险，衡量围绕艾滋病毒风险管理的二元沟通和应对的量表以及围绕关系以外的性别的协议。研究人员假设，在基于家庭的测试中添加以Skype经营的夫妇为基础的咨询会议将采取行动，以提高应对机制和沟通，以有效地管理关系中的HIV风险，并导致性风险降低关系内部和内部的关系，以及接受HIV积极测试的人将增加及时的与及时的链接与护理。通过Skype提供的CVCT提供为以夫妻为中心的干预措施提供了廉价的机会，可以将其带给更广泛的受众，并为那些基于家庭的家庭艾滋病毒艾滋病毒测试提供机制，以接受咨询。