一种多组分干预 (可能) 改善黑人性少数群体男性对艾滋病毒的感知风险:可行性和初步有效性试点研究
Derek T Dangerfield Ii1, Janeane N Anderson2, Charleen Wylie1
1Milken Institute School of Public Health, George Washington University, Washington, DC, United States.
JMIR human factors
|June 11, 2024
概括
结合同行支持和智能手机应用程序的POSSIBLE干预表明可行性,但并没有显著增加黑人性少数群体男性的感知HIV风险. 需要进一步的研究来改善PrEP的吸收.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 暴露前预防 (PrEP) 的使用对于减少黑人性少数群体男性中艾滋病毒发病率至关重要.
- 对艾滋病毒 (PRH) 的低感知风险是这一群体采用PrEP的重要障碍.
- 综合同行支持和数字工具的多组件干预尚未得到充分探索.
研究的目的:
- 评估可能的干预对PRH的可行性和初步影响.
- 评估黑人性少数群体男性接受PrEP转诊的意愿.
- 为了探索同行改变剂 (PCA) 和PrEPme应用程序的联合使用.
主要方法:
- 一项试点研究涉及69名在巴尔的摩的黑人性少数民族男性,MD (2019-2021).
- 将PCA与PrEPme智能手机应用程序集成,用于自我监测和卫生工作者互动.
- 评估PRH使用8项尺度干预前后;转诊到PrEP服务.
主要成果:
- 在1个月的随访中,保持率高 (80%).
- 42%的参与者愿意被推到PrEP服务,69%的参与者愿意安排预约.
- 在基线和随访期间没有观察到PRH的统计学上显著变化 (P=.17).
结论:
- 可能的干预表明了参与者的可行性和可接受性.
- 虽然PRH没有显著改善,但干预显示出参与的希望.
- 未来的研究应该专注于基于统计数据的,基于同行的策略,以加强PrEP启动.
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