Computer-Based HIV Prevention Interventions for African-American Women

针对非裔美国妇女的基于计算机的艾滋病毒预防干预措施

• 批准号: 7494288
• 负责人: Josefina Jayme Card
• 金额: $ 32.86万
• 依托单位: SOCIOMETRICS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-02 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7494288
• 关键词: AIDS diagnosis; AIDS prevention; AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Active Learning; Address; Adolescent; Adult; Affect; African American; Age; Behavior; Behavioral; Centers for Disease Control and Prevention (U.S.); Clinic; Clip; Coitus; Collaborations; Color; Communities; Computer Assisted; Computers; Condition; Development; Diagnosis; Education; Effectiveness; Epidemic; Ethnic group; Female; Gays; Gender; HIV; HIV Infections; HIV Seropositivity; Healed; Health; Health Educators; Health Services; Hour; Image; Intervention; Interview; Lead; Learning; Life; Mediating; Mediation; Mediator of activation protein; Methods; Multimedia; Names; Narration; Numbers; Participant; Persons; Phase; Population; Prevention intervention; Prevention program; Preventive; Procedures; Public Health; Randomized; Randomized Controlled Trials; Rate; Recruitment Activity; Research; Research Personnel; Resources; Risk Behaviors; Risk-Taking; Sahara; Schedule; Schools; Self-Administered; Services; Sister; Target Populations; Text; Time; Training; Validation; Visual; Voice; Woman; Women' s Group; Women' s Health; age group; aged; base; caucasian American; computerized; concept; condoms; cost; digital; healing; high risk sexual behavior; literacy; member; men; programs; racial and ethnic; skills; theories; transmission process

DESCRIPTION (provided by applicant): Women of color, particularly African American women, are disproportionately affected by HIV/AIDS. African American women account for 66% of estimated AIDS cases among women, aged 13 and older, diagnosed in 2005, but only 12% of the U.S. population of women. Several behavioral prevention interventions tailored for African American women have shown efficacy in reducing sexual risk behaviors. Their successful replication has been hampered by cost, implementation difficulties, and participant retention issues. The proposed project seeks to address these barriers to reducing HIV/AIDS rates in African American females by developing and empirically validating computer enhanced, individualized versions of efficacious group-administered HIV prevention programs for African-American females. Specific objectives include: (1) to increase service agencies' ability to implement efficacious HIV interventions with fidelity; (2) to increase African American females' participation in efficacious HIV interventions; and, (3) ultimately, to reduce sexual risk behaviors and HIV infection rates among African-American females. In Phase I we developed a computer enhanced, individualized, multimedia version of SiSTA, a group-administered HIV prevention program for African- American women that has demonstrated efficacy in reducing sexual risk behavior. We called this computer version SAHARA, for Sistas Accessing HIV/AIDS Resources At-a-click. In Phase I we also successfully validated the effectiveness of SAHARA through a randomized controlled trial. In the proposed Phase II continuation, we will repeat these successful development and validation methods with two additional efficacious group programs for African American females: SiHLE (for adolescents age 14-18) and WiLLOW (for women living with HIV age 18 and older). Once again, Digitized SiHLE and Digitized WiLLOW will be developed and evaluated in collaboration with their developers, Drs. Gina Wingood and Ralph DiClemente. PUBLIC HEALTH RELEVANCE The proposed research will make efficacious HIV prevention programs for African American adolescents and women available to health service organizations at low cost, and will facilitate their cost-effective, faithful implementation. It will also promote community members' participation in the interventions by permitting sensitive topics to be addressed privately (i.e., one-on-one with the computer) and according to a flexible schedule. Ultimately, it will help to reduce sexual risk-taking behavior and HIV infection rates among African American women, who are disproportionately affected by the HIV/AIDS epidemic.

描述（由申请人提供）：有色人种妇女，特别是非洲裔美国妇女，不成比例地受到艾滋病毒/艾滋病的影响。在2005年确诊的13岁及以上妇女艾滋病病例中，非洲裔美国妇女占66%，但仅占美国妇女人口的12%。几种针对非裔美国妇女的行为预防干预措施在减少性风险行为方面显示出有效性。成本、实施困难和参与者保留问题阻碍了它们的成功复制。拟议的项目旨在解决这些障碍，以减少非洲裔美国女性的艾滋病毒/艾滋病发病率，通过开发和经验验证计算机增强，有效的组管理的艾滋病毒预防计划的非洲裔美国女性的个性化版本。具体目标包括：（1）提高服务机构忠实实施有效艾滋病毒干预措施的能力;（2）提高非洲裔美国女性参与有效艾滋病毒干预措施的程度;（3）最终降低非洲裔美国女性的性风险行为和艾滋病毒感染率。在第一阶段，我们开发了一个计算机增强的，个性化的，多媒体版本的SiSTA，一个小组管理的艾滋病毒预防计划，为非洲裔美国妇女，已被证明有效地减少性风险行为。我们把这个电脑版本叫做SAHARA，意思是Sistas艾滋病毒/艾滋病资源点击。在第一阶段，我们还通过随机对照试验成功验证了SAHARA的有效性。在拟议的II期延续中，我们将重复这些成功的开发和验证方法，并为非裔美国女性提供两个额外的有效群体计划：SiHLE（适用于14-18岁的青少年）和杨柳（适用于18岁及以上的HIV感染者）。同样，数字化SiHLE和数字化杨柳将与其开发人员Gina Wingood博士和Ralph DiClemente博士合作开发和评估。 公共卫生相关性拟议的研究将使有效的艾滋病毒预防计划，为非洲裔美国青少年和妇女提供低成本的卫生服务组织，并将促进其具有成本效益，忠实的执行。它还将通过允许私下讨论敏感话题（即，与计算机一对一），并根据灵活的时间表。最终，它将有助于减少非洲裔美国妇女的性冒险行为和艾滋病毒感染率，这些妇女不成比例地受到艾滋病毒/艾滋病流行病的影响。