Come As You Are - Assessing the Efficacy of a Nurse Case Management HIV Prevention and Care Intervention among Homeless Youth
随你而来——评估护士病例管理艾滋病毒预防和护理干预对无家可归青年的效果
基本信息
- 批准号:10173217
- 负责人:
- 金额:$ 15.57万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-01-09 至 2023-05-31
- 项目状态:已结题
- 来源:
- 关键词:AIDS preventionAddressAdherenceAdolescentAdoptedAffectAgeAlcohol or Other Drugs useAntibodiesAnxietyAreaBehaviorBehavioralCOVID-19CaringCase ManagementCase ManagerChronicCitiesClinicCollaborationsComprehensive Health CareContractsDevelopment PlansDistressDropsDrug usageEmotionalEmploymentExposure toFaceFeedbackFoodGeneral PopulationGeographyGoalsHIVHIV riskHalfway HousesHandwashingHealthHealth ServicesHealthcareHigh PrevalenceHome environmentHomeless YouthHomelessnessHousingHuman immunodeficiency virus testHygieneIndividualInfectionInterventionInterviewKnowledgeLearningLeftLifeLongitudinal StudiesMasksMeasuresMediatingMental HealthMethodsModelingMorbidity - disease rateNursesOutcomeParticipantPatternPersonal SatisfactionPrevalencePreventionPrevention educationPrevention programPrevention strategyPreventive InterventionPreventive measurePsyche structurePublic HealthQuarantineRandomized Controlled TrialsRegistered nurseResearch PersonnelResearch PriorityResourcesRiskRisk BehaviorsSamplingSanitationSelf EfficacyShelter facilitySocial DistanceSocial WorkSocial supportStressSurveysSymptomsTechnologyTestingTimeUnited StatesUnited States National Institutes of HealthUnsafe SexVulnerable PopulationsWorkYouthagedbasecare deliverycohortcondomscopingexperiencefood insecurityhealth assessmenthealth care availabilityhigh riskhigh risk populationimprovedinnovationintervention effectmeetingsmortalitymotivational enhancement therapypre-exposure prophylaxispreventprevention serviceprogramspsychosocialrecruitrisk perceptionscale upscreeningservice providerssexsexual risk behaviorsocial health determinantstheoriestransmission processtreatment as usualuptakeviral transmissionyoung adult
项目摘要
Youth experiencing homelessness (YEH) are at high risk for HIV, with prevalence estimates as high as 13%,
underscoring the need for targeted HIV prevention programs. YEH engage in more sexual risk behaviors than
stably housed youth, yet underutilize existing HIV prevention programs and prevention care delivery, including
low uptake of PrEP and nPEP. Nurse case management (NCM) enhanced with motivational interviewing (MI)
strategies and behavioral feedback may increase engagement of youth to adopt and adhere to behavioral and
biomedical HIV prevention methods. NCM is a proven public health approach that involves coordinated,
individualized, comprehensive care delivered by a registered nurse that includes health assessment, care plan
development, prevention education, and health and social service navigation and addresses the social
determinants of health including behavioral, psychosocial, and situational factors to optimize HIV prevention in
this high risk population. Guided by the Comprehensive Health Seeking and Coping Framework, we will
conduct a randomized controlled trial of an enhanced NCM intervention, NCM4HIV, delivered to YEH 16-25
years old in collaboration with health and social service providers to assess the intervention’s effect on uptake
of and adherence to HIV prevention strategies. NCM4HIV is an enhanced HIV prevention case management
that provides direct HIV prevention services (PrEP, nPEP) and individualized HIV prevention planning using MI
and behavior feedback technology. Aim 1: Determine whether the enhanced NCM intervention increases
uptake of HIV prevention strategies (PrEP and nPEP uptake, HIV testing, STI screening and treatment, and
condom use) when compared with usual care received by YEH (N=450; aged 16-25 years). Aim 2: Determine
whether NCM4HIV improves mental health, substance use, and housing status when compared with control
youth at baseline, immediate post and 3, 6, and 9 months. As an exploratory aim, we will determine whether
whether health seeking, coping, HIV risk perception, PrEP/nPEP barriers and facilitators, and condom self-
efficacy mediate the effect of the intervention on uptake of PrEP/nPEP and condom use. This early-stage and
new-investigator initiated R01 is significant because it has the ability to improve uptake of HIV prevention
strategies and reduce new HIV cases in a high-prevalence group. NCM4HIV is innovative because it uses
nurses to directly deliver enhanced NCM and can be applied to improve any existing YEH HIV prevention
program, making it a highly scalable and sustainable model that capitalizes on the “come as you are” approach
promoted by the National Healthcare for the Homeless Council (NHCHC). It aligns with the NIH HIV High
Priority Research Areas for reducing HIV by identifying strategies to adopt, integrate, and scale up sustainable
interventions in high HIV-prevalence and substance-using groups. If NCM4HIV is efficacious, we will work with
NHCHC to scale it across the 300 programs and 3,300 homeless clinics that serve youth experiencing
homelessness.
无家可归的年轻人感染艾滋病毒的风险很高,据估计患病率高达13%。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Diane M. Santa Maria其他文献
The Effect of Music Listening on Pain in Adults Undergoing Colonoscopy: A Systematic Review and Meta-Analysis
- DOI:
10.1016/j.jopan.2020.12.012 - 发表时间:
2021-10-01 - 期刊:
- 影响因子:
- 作者:
Setor K. Sorkpor;Constance M. Johnson;Diane M. Santa Maria;Hongyu Miao;Carolyn Moore;Hyochol Ahn - 通讯作者:
Hyochol Ahn
Implications for Prep Uptake in Homeless Young Adults: A Mixed-Methods Study
- DOI:
10.1016/j.jadohealth.2016.10.068 - 发表时间:
2017-02-01 - 期刊:
- 影响因子:
- 作者:
Diane M. Santa Maria;Sarah C. Narendorf;Anamika Barman-Adhikari;Robin Petering;Charlene A. Flash - 通讯作者:
Charlene A. Flash
108. Prevalence and Correlates of HIV and STIs among Youth Experiencing Homelessness
- DOI:
10.1016/j.jadohealth.2022.11.129 - 发表时间:
2023-03-01 - 期刊:
- 影响因子:
- 作者:
Diane M. Santa Maria;Mary Paul;Marguerita Lightfoot;Adey Nyamathi;Nikhil Padhye;Yasmeen Quadri - 通讯作者:
Yasmeen Quadri
106. Experience of Homelessness and HIV Risk Behaviors in Homeless Youth: A Mixed Methods Study
- DOI:
10.1016/j.jadohealth.2014.10.112 - 发表时间:
2015-02-01 - 期刊:
- 影响因子:
- 作者:
Diane M. Santa Maria;Sarah Narendorf;Noel Bezette-Flores;Yoonsook Ha - 通讯作者:
Yoonsook Ha
Artificial intelligence 101: Building literacy with the AI-ABCs framework
人工智能101:用AI - ABCs框架构建素养
- DOI:
10.1016/j.outlook.2025.102445 - 发表时间:
2025-07-01 - 期刊:
- 影响因子:3.700
- 作者:
Mahrokh M. Kobeissi;Diane M. Santa Maria;Jung In Park - 通讯作者:
Jung In Park
Diane M. Santa Maria的其他文献
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{{ truncateString('Diane M. Santa Maria', 18)}}的其他基金
Assessing the use of MY-RIDE, a just-in-time adaptive intervention, to Improve HIV prevention and Substance Use in Youth Experiencing Homelessness
评估 MY-RIDE(一种及时适应性干预措施)的使用情况,以改善无家可归青少年的艾滋病毒预防和药物使用
- 批准号:
10836097 - 财政年份:2023
- 资助金额:
$ 15.57万 - 项目类别:
Adapting a mindfulness-based stress reduction intervention for emotion regulation and impulsivity in homeless young adults: a pilot project
采用基于正念的减压干预措施来调节无家可归的年轻人的情绪和冲动:试点项目
- 批准号:
10477381 - 财政年份:2020
- 资助金额:
$ 15.57万 - 项目类别:
Adapting a mindfulness-based stress reduction intervention for emotion regulation and impulsivity in homeless young adults: a pilot project
采用基于正念的减压干预措施来调节无家可归的年轻人的情绪和冲动:试点项目
- 批准号:
10266127 - 财政年份:2020
- 资助金额:
$ 15.57万 - 项目类别:
Adapting a mindfulness-based stress reduction intervention for emotion regulation and impulsivity in homeless young adults: a pilot project
采用基于正念的减压干预措施来调节无家可归的年轻人的情绪和冲动:试点项目
- 批准号:
10062212 - 财政年份:2020
- 资助金额:
$ 15.57万 - 项目类别:
Come As You Are - Assessing the Efficacy of a Nurse Case Management HIV Prevention and Care Intervention among Homeless Youth
随你而来——评估护士病例管理艾滋病毒预防和护理干预对无家可归青年的效果
- 批准号:
9932621 - 财政年份:2019
- 资助金额:
$ 15.57万 - 项目类别:
Come As You Are - Assessing the Efficacy of a Nurse Case Management HIV Prevention and Care Intervention among Homeless Youth
随你而来——评估护士病例管理艾滋病毒预防和护理干预对无家可归青年的效果
- 批准号:
10295176 - 财政年份:2019
- 资助金额:
$ 15.57万 - 项目类别:
Come As You Are - Assessing the Efficacy of a Nurse Case Management HIV Prevention and Care Intervention among Homeless Youth
随你而来——评估护士病例管理艾滋病毒预防和护理干预对无家可归青年的效果
- 批准号:
10359950 - 财政年份:2019
- 资助金额:
$ 15.57万 - 项目类别:
Come As You Are - Assessing the Efficacy of a Nurse Case Management HIV Prevention and Care Intervention among Homeless Youth
随你而来——评估护士病例管理艾滋病毒预防和护理干预对无家可归青年的效果
- 批准号:
10064014 - 财政年份:2019
- 资助金额:
$ 15.57万 - 项目类别:
Come As You Are - Assessing the Efficacy of a Nurse Case Management HIV Prevention and Care Intervention among Homeless Youth
随你而来——评估护士病例管理艾滋病毒预防和护理干预对无家可归青年的效果
- 批准号:
10531852 - 财政年份:2019
- 资助金额:
$ 15.57万 - 项目类别:
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