Technology Enhanced Substance Use and HIV Service Navigation for Justice-Involved Young Adults

技术增强了对参与正义的年轻人的药物使用和艾滋病毒服务导航

基本信息

批准号：
10327137
负责人：
Emily F Dauria
金额：
$ 17.55万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
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：
2022-09-01 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10327137
关键词：
AIDS prevention Adherence Adult Awareness Case Management Characteristics Communities Community of Practice Consolidated Framework for Implementation Research Continuity of Patient Care Criminal Justice Development Drug Compounding Drug abuse Effectiveness Enhancement Technology Feasibility Studies Feedback Focus Groups Future Goals HIV HIV Seropositivity Health Health Technology Healthcare Imprisonment Improve Access Individual Intervention Interview Justice Lead Learning Link Mental Health Modeling Movement Participant Persons Phase Pilot Projects Population Prevention strategy Prevention trial Process Provider Publishing Randomized Controlled Trials Reporting Research Research Personnel Risk Risk Behaviors San Francisco Services Substance Use Disorder Supervision System Technology Testing Time Translations Underserved Population United States Woman Work acceptability and feasibility aged alcohol abuse prevention behavioral health behavioral health intervention design disorder prevention effective intervention efficacy testing evidence base feasibility testing follow-up health care availability high risk implementation process improved innovation interest intervention delivery minority children multidisciplinary navigator intervention pandemic coronavirus parole pilot trial pre-exposure prophylaxis prevention service preventive intervention primary outcome probation programs racial and ethnic racial and ethnic disparities satisfaction service intervention standard of care study population substance use substance use treatment tool treatment services trial comparing uptake young adult

项目摘要

Project Summary/Abstract There is a strong scientific premise for the study of integrated substance use disorders (SUDs) and HIV- prevention interventions for criminal justice-involved (CJI) populations. SUDs lead to increased rates of justice involvement as well as increased risk for HIV-acquisition. Estimates of the proportion of the CJI-population with a SUD reach 72%, and ~150,000 persons with HIV pass through a correctional facility annually. Although pre- exposure prophylaxis (PrEP), is a proven effective intervention for HIV-prevention, its maximal impact depends on uptake, and adherence among those at high risk. To date, few published studies have examined PrEP uptake among CJI populations. Our ongoing work with CJI women (San Francisco, CA) has identified high rates of risk behaviors (including substance use), low levels of PrEP awareness, and high levels of interest in PrEP once learning of it. Participants reported a strong interest in participating in a navigator-led intervention to screen and link them to PrEP-related services; younger participants (i.e., those aged 18 to 29 years) were eager to incorporate electronic health (eHealth) into navigation services. Navigator models use a one-on-one relationship to promote the timely movement of an individual through a health care continuum by eliminating barriers and have successfully increased healthcare access for CJI HIV-positive adults and individuals with SUDs. eHealth approaches to SUD and HIV prevention also hold promise because they improve access to effective intervention services, particularly for younger people. As a multidisciplinary team with expertise in behavioral health (substance use and HIV prevention) among justice-involved populations, and eHealth supported and navigator- led healthcare access and engagement interventions, we propose to develop and test an eHealth enhanced, navigator-led substance use and HIV-prevention referral and linkage intervention for CJI-young adults. Study aims are to: 1) Adapt an existing evidence-based navigator model (The Navigation Project) to incorporate codeveloped eHealth technology, to refer and link CJI young adults (aged 18 to 29 years) to substance use treatment and HIV-prevention services; 2) Refine and test the adapted, eHealth enhanced, navigator-led substance use treatment and HIV prevention intervention for CJI-young adults for fidelity, satisfaction, and appropriateness; 3) Assess the feasibility, acceptability, and impact of the adapted eHealth enhanced, navigator program to refer and link CJI-young adults substance use treatment and HIV-prevention services. The proposed study has the potential to: 1) reduce HIV-acquisition and improve access to substance use treatment among a high-risk, underserved group of young adults in the US; 2) test the feasibility, acceptability, fidelity, effectiveness, appropriateness, and satisfaction of implementing an eHealth enhanced, navigator-led substance use and HIV- prevention intervention, and 3) create an intervention suitable for large-scale efficacy testing and translation to other criminal justice settings.

项目摘要/摘要研究综合物质使用障碍（SUD）和HIV-有一个很强的科学前提针对刑事司法诉讼（CJI）人口的预防干预措施。泡沫导致司法率提高参与以及增加艾滋病毒的风险。用A的CJI人群的比例估计 SUD每年通过惩教设施达到72％，约有15万名艾滋病毒的人通过。虽然预先暴露预防（PREP）是对HIV预防的有效干预，其最大影响取决于在摄取和高风险的人中遵守。迄今为止，很少有研究检查的研究摄取在CJI人群中。我们与CJI妇女（加利福尼亚州旧金山）的持续工作已经确定了高风险率行为（包括使用物质），低水平的准备意识和对PREP的高度兴趣学习它。参与者报告说，有浓厚的兴趣参加导航员主导的干预措施进行屏幕和将它们链接到与预备相关的服务；年轻的参与者（即18至29岁的参与者）渴望将电子健康（EHealth）纳入导航服务。导航器模型使用一对一关系通过消除障碍和已成功增加了CJI HIV阳性成年人和患有SUDS的人的医疗保健。 eHealth 预防SUD和HIV的方法也有希望，因为它们可以改善获得有效干预的机会服务，特别是对于年轻人。作为具有行为健康专业知识的多学科团队（预防毒品和艾滋病毒）在诉讼中的人群中，eHealth支持和导航者 - LED医疗保健访问和参与干预措施，我们建议开发和测试增强的eHealth， CJI-Young成年人的导航员领导的药物使用和预防hiv的转诊和连锁干预。学习目的是：1）调整现有的基于证据的导航器模型（导航项目）以合并代码开发的eHealth技术，将CJI年轻人（18至29岁）推荐并链接到药物治疗和预防服务； 2）完善并测试适应的，eHealth增强的，导航员领导的 CJI-YOUNG成年人的药物治疗和HIV预防干预措施以保持忠诚，满意度和适当性； 3）评估适应性的eHealth增强器的可行性，可接受性和影响参考和链接CJI-YOUNG成人药物使用治疗和艾滋病毒预防服务的计划。提议研究有可能：1）减少艾滋病毒的收购并改善在在美国，高风险，服务不足的年轻人； 2）测试可行性，可接受性，忠诚，有效性，适当性和实施eHealth增强，导航者主导的药物使用和HIV的满意度预防干预，以及3）创建适用于大规模疗效测试的干预措施，然后翻译为其他刑事司法机构。