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

基本信息

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
项目类别：
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

项目摘要

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，尤其是男男性行为者 (MSM)：2008 年为 10%，2016 年为 54%。生物行为调查表明全国范围内 MSM 的艾滋病毒感染率较高（21.6%），其中年轻 MSM（YMSM）的感染率较高。马来西亚新增艾滋病毒病例负担沉重，原因是无套性行为率高、艾滋病毒感染率低除了肉毒风险外，马来西亚 YMSM 的共病率也很高。导致整体健康状况不佳的状况，包括大量吸烟（78%）、酗酒和除了 YMSM 所面临的常见障碍（例如缺乏甲基苯丙胺、抑郁症和性传播感染）。艾滋病毒预防知识和对风险的误解），马来西亚 YMSM 经历了高度耻辱和歧视以及难以获得保密的艾滋病毒护理，他们被边缘化。传统的、基于场所的艾滋病毒预防服务削弱了国际机构的建议。 YMSM 中的艾滋病毒预防疲劳也会因无聊而削弱该群体的成果，减少对现有艾滋病毒预防方法的兴趣，这会导致更多的危险行为。歧视和艾滋病毒预防疲劳，游戏化的移动医疗综合艾滋病毒预防策略可以吸引马来西亚 YMSM 提供预防信息，帮助他们匿名做出健康决定，从而保持健康马来西亚 YMSM 的游戏化移动医疗干预措施尚处于起步阶段，并且前景广阔。尚未在马来西亚进行调整，因此我们的目标是调整、扩展和完善现有的游戏化。 mHealth 应用程序可评估影响马来西亚 YMSM 艾滋病毒的可接受性、可行性和重要因素这项探索性试点研究的结果将为未来的展望提供信息。类型 1 混合科学实施试验。