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Scaling Up Implementation Strategies to Improve the DIAGNOSE and PREVENT Pillars for Young MSM in Florida

扩大实施战略以改善佛罗里达州年轻 MSM 的诊断和预防支柱

基本信息

批准号：
10469026
负责人：
Jose Arturo Bauermeister
金额：
$ 83.78万
依托单位：
FLORIDA STATE 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：
2022-08-04 至 2027-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10469026
关键词：
AIDS prevention Address Adult Age Black race Caring Cities Clinic Competence Contracts Counseling County Development Early Diagnosis Epidemic Evidence based practice Exploration Preparation Implementation and Sustainment Feedback Florida Goals HIV HIV Infections HIV diagnosis Health Human immunodeficiency virus test Intervention Latino Methods Monitor Outcome Persons Prevention Prevention strategy Provider Public Health Randomized Risk Reduction Sampling Service setting Services Site Strategic Planning Testing Training United States Viral Washington Youth base behavior change collaborative approach cultural competence design effectiveness outcome evidence base experience hybrid type 2 trial implementation context implementation fidelity implementation framework implementation outcomes implementation science implementation strategy improved innovation men men of color motivational enhancement therapy outreach peer pre-exposure prophylaxis primary outcome referral services scale up self testing service uptake sexual minority men skills social stigma sustainability framework testing services uptake young adult young men who have sex with men

项目摘要

Abstract This project will launch a Florida wide effort to promote the delivery of developmentally sensitive, culturally appropriate and evidence-based DIAGNOSE and PREVENT counseling testing and referral services (CTR) for young men who have sex with men (YMSM). The goal is to leverage implementation science strategies to improve the capacity of the HIV HealthForce to deliver evidence-based practices (risk reduction counseling, PrEP referral and Tailored Motivational Interviewing) within CTR services. Our recent YMSM Mystery Shoppers studies conducted at CTR sites in three cities indicated that providers are woefully unprepared or do not know how to deliver developmentally appropriate, culturally competent CTR services to YMSM and miss opportunities to deliver these evidence-based practices. Mystery Shopper is a quality management strategy to monitor implementation fidelity to culturally and developmentally responsive EBPs in CTR settings. However, assessment and feedback alone are insufficient to improve fidelity; the HealthForce must be properly trained and given technical assistance. We propose integrating two implementation strategies: quality management Mystery Shoppers and HealthForce training in Tailored Motivational Interviewing with centralized technical assistance. We will test Young Adult Centered HealthForce Training (YACHT) package in Florida’s seven EHE counties among the Department of Health’s 42 contracted sites who delivered CTR to at least 24 young MSM in the previous 12 months using a Stepped Wedge design. We power on both effectiveness outcomes (# of tests of YMSM) and implementation outcomes (EBP fidelity based on Mystery Shopper Assessments) consistent with a Type 2 Hybrid trial.

抽象的该项目将在佛罗里达州发起一项广泛的努力，以促进发展敏感的、文化的适当且基于证据的诊断和预防咨询测试和转诊服务（CTR）与男性发生性关系的年轻男性 (YMSM)。目标是利用实施科学策略提高艾滋病毒健康力量提供循证实践的能力（降低风险咨询、 CTR 服务范围内的 PrEP 转介和定制动机访谈）。我们最近的 YMSM 之谜在三个城市的 CTR 网站上进行的购物者研究表明，供应商严重没有做好准备，或者没有做好准备。不知道如何向 YMSM 提供适合发展、具有文化竞争力的 CTR 服务，并且错过了提供这些基于证据的实践的机会。神秘顾客是一种质量管理策略监控 CTR 环境中对文化和发展响应 EBP 的实施忠诚度。然而，仅评估和反馈不足以提高保真度； HealthForce 必须接受适当的培训并给予技术援助。我们建议整合两种实施策略：质量管理神秘顾客和 HealthForce 的定制动机访谈培训，集中技术协助。我们将在佛罗里达州的七个 EHE 测试以年轻人为中心的 HealthForce 培训 (YACHT) 套餐卫生部 42 个签约地点中的县为至少 24 名年轻 MSM 提供了 CTR 在过去 12 个月中使用阶梯楔形设计。我们致力于这两种有效性结果（# YMSM 测试）和实施结果（基于神秘顾客评估的 EBP 保真度）与 2 型混合试验一致。