Communication Technology to Disseminate Evidence-Based HIV Interventions to NGOs

利用通信技术向非政府组织传播循证艾滋病毒干预措施

• 批准号: 7229663
• 负责人: Jeffrey A Kelly
• 金额: $ 73.36万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7229663
• 关键词: Communication; Technology; Disseminate; Evidence; Based

DESCRIPTION (provided by applicant): Great advances have been made in our scientific knowledge about effective HIV prevention interventions. However, this research can help to curtail an epidemic that remains out-of-control in most of the world only when evidence-based HIV prevention interventions are moved from the research arena into the hands of frontline service providers and can be successfully used by them. New, sustainable approaches are needed to quickly, flexibly, and cost-effectively disseminate advances in HIV prevention science-whenever they occur-to providers who deliver prevention services. Advanced interactive communication technologies can potentially be used to disseminate new evidence-based interventions to service providers on a global level, but the effects of distance training programs have not been compared to more traditional provider training methods. This study will enroll a sample of 99 AIDS nongovernmental organizations (NGOs) from countries in Eastern Europe, a region with HIV incidence among the highest in the world. The study will disseminate a community-level HIV prevention intervention-the "Popular Opinion Leader" (POL) model-shown efficacious in the research literature, adaptable cross-culturally, and widely requested by NGOs in the region. In-depth baseline telephone interview assessments with NGO directors and frontline staff will measure current prevention services, as well as organizational factors and staff attitudes that may influence POL intervention adoption. NGOs will then be randomized to one of three dissemination conditions: (1) a control condition in which only intervention print manuals are distributed; (2) a traditional face-to-face workshop training condition that provides manuals, an on-site NGO staff training workshop, and followup individualized telephone consultation on intervention implementation; or (3) a distance dissemination condition that provides NGO staff training comparable to the on-site workshop but that uses interactive and Internet-based distance training methods followed by individualized distance followup consultation. At 12- and 24-month followup points, telephone interviews assess NGO adoption of the disseminated intervention, determine the fidelity of new NGO programs to core elements of the disseminated model, and identify factors mediating or moderating adoption. We hypothesize that both the traditional face-to-face workshops and distance training methods will both result in greater provider adoption than that found in the control group and that the distance method will be more cost-effective. Because the distance modality lends itself well to repeated and "refresher"' training by NGO staff, a secondary hypothesis is that this modality will produce greater adoption than one-time workshops. The overarching goal of this research is to evaluate a prototype for an Internet-based "virtual" training system infrastructure that can be used to facilitate rapid research-to-practice technology transfer of public health interventions to providers on a global scale.

描述（由申请人提供）：我们在有效的艾滋病毒预防干预措施的科学知识方面取得了巨大进步。然而，只有将基于证据的艾滋病毒预防干预措施从研究竞技场转移到一线服务提供者手中，并使他们能够成功地使用，这项研究才能有助于遏制这种在世界大多数地区仍然失控的流行病。需要新的、可持续的方法来快速、灵活和具有成本效益地向提供预防服务的提供者传播艾滋病毒预防科学的进展。先进的交互式通信技术有可能用于在全球范围内向服务提供者传播新的循证干预措施，但远距离培训方案的效果尚未与更传统的提供者培训方法进行比较。这项研究将从东欧国家的99个艾滋病非政府组织（NGO）中招募样本，东欧是世界上艾滋病发病率最高的地区之一。这项研究将传播一个社区一级的艾滋病毒预防干预措施----“民意领袖”模式----在研究文献中显示有效，适应跨文化，并受到该区域非政府组织的广泛要求。与非政府组织主任和一线工作人员进行的深入基线电话访谈评估将衡量目前的预防服务，以及可能影响POL干预措施采用的组织因素和工作人员态度。然后，非政府组织将被随机分配到以下三种传播条件之一：（1）对照条件，只分发干预措施印刷手册;（2）传统的面对面讲习班培训条件，提供手册、现场非政府组织工作人员培训讲习班，并就干预措施的实施进行后续的个性化电话咨询;或（3）远程传播条件，为非政府组织工作人员提供类似于现场讲习班的培训，但使用交互式和基于互联网的远程培训方法，然后进行个性化的远程后续咨询。在12个月和24个月的随访点，电话访谈评估非政府组织通过的传播干预，确定新的非政府组织计划的保真度的传播模式的核心要素，并确定因素调解或调节通过。我们假设，无论是传统的面对面的研讨会和远程培训方法都将导致更大的供应商采用比在控制组中发现，距离的方法将更具成本效益。由于远距离方式很适合非政府组织工作人员的反复和“复习”培训，第二个假设是，这种方式将比一次性讲习班得到更多的采用。这项研究的总体目标是评估一个基于互联网的“虚拟”培训系统基础设施的原型，该基础设施可用于促进在全球范围内向提供者迅速转让公共卫生干预措施的研究到实践技术。