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: 8837043
• 负责人: Rob B. Stephenson
• 金额: $ 48.31万
• 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/8837043
• 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）：男男性行为者 (MSM) 仍然是美国艾滋病毒流行中受影响最严重的风险群体。研究表明，MSM 中大多数艾滋病毒感染事件可归因于与主要男性性伴侣的性行为；然而，缺乏针对男性伴侣的艾滋病毒预防干预措施。因此，夫妻艾滋病毒自愿咨询和检测（CVCT）这一干预措施已被多次证明可以减少异性夫妇中艾滋病毒的传播，现已适用于美国的男男性行为者夫妇。针对 MSM 夫妇的 CVCT 现已在美国 11 个城市推出。 FDA 最近批准了家庭艾滋病毒检测：然而，批评者指出缺乏咨询，特别是对于那些艾滋病毒检测呈阳性的人。拟议的活动包括家庭 HIV 检测和 CVCT 的创新组合。这些活动调查了家庭 HIV 检测与视频 Skype 操作的 CVCT 会话相结合的实用性，该会话由远程 CVCT 顾问操作。通过对来自美国各地的 1300 名在线招募的 MSM 夫妇进行筛查，并在随机对照试验中招募了 600 名 MSM 夫妇，该研究旨在检验家庭 HIV 检测加上视频 Skype 操作的 CVCT 会话（实验条件）与家庭 HIV 检测的影响。仅基于艾滋病毒检测（对照）来减少性冒险、形成和遵守围绕性的协议、关系功能，以管理男男性行为者夫妇之间的艾滋病毒风险。拟议的活动检查了干预措施对自我报告血清一致阴性夫妇 (n=300) 和自我报告血清不一致夫妇 (n=300) 的影响。作为次要目标，这些活动建议调查家庭 HIV 检测加上视频 Skype 操作的 CVCT 会议对及时联系护理那些获得初步阳性 HIV 结果的人的影响。夫妻将完成基线、3 个月和 6 个月的随访调查问卷，详细说明近期的性风险、衡量夫妻沟通和应对艾滋病毒风险管理的量表，以及就关系之外的性行为达成的协议。研究人员推测，在家庭测试中添加以 Skype 操作的以夫妻为中心的咨询课程将有助于增强应对机制和沟通，以有效管理人际关系中的艾滋病毒风险，并将减少家庭内外的性风险。对于那些接受艾滋病毒检测结果呈阳性的人来说，这种关系将增加与护理的及时联系。通过 Skype 提供的 CVCT 为更广泛的受众提供了以夫妇为中心的干预措施的廉价机会，并为那些进行家庭 HIV 检测的人提供了接受咨询的机制。