Elimination of Health Disparities through Translation Research

描述（由申请人提供）：拟议的研究锻造之间的联系埃默里大学罗林斯公共卫生学院和新生传教士浸信会在大都会亚特兰大，格鲁吉亚。研究的目的是：（1）通过应用ADAPT-ITT模型，制定经调整的基于信仰的艾滋病毒干预措施，调整SISTA艾滋病毒循证干预措施，使其适用于非洲裔美国妇女;（2）通过对社区咨询委员会和试点服务人员进行可接受性调查，评估经调整的基于信仰的艾滋病毒干预措施的可接受性;（3）评估基于信仰的适应性艾滋病毒干预措施的有效性，方法是在6个月的随访中证明无保护性交和安全性行为的减少-在最初的SiSTA艾滋病毒干预中，与年轻成年妇女相当的上升期;（4）通过培训非洲裔美国女性，加强采用基于信仰的艾滋病毒干预措施，18 - 29岁，来自六个新生附属教会（N = 50名妇女）实施基于信仰的SISTA艾滋病毒干预措施;（5）通过让50名培训师中的每一位对参加新出生附属教会的目标人群中的5至10名妇女实施干预，加强基于信仰的适应性艾滋病毒干预措施的传播;（6）通过让50名培训员在每次举办讲习班后填写一份课程遵守情况表，评估他们对基于信仰的适应性艾滋病毒干预措施的忠诚度;（7）通过评估实施这种干预措施的成本，确定实施基于信仰的适应性艾滋病毒干预措施的经济可行性。

DESCRIPTION (provided by applicant): The proposed study forges a link between Emory University Rollins School of Public Health and New Birth Missionary Baptist Church in metropolitan Atlanta, Georgia. The study aims are: (1) to adapt the evidence-based SISTA HIV intervention for African-American women by applying the ADAPT-ITT model to develop an adapted faith-based HIV intervention; (2) to assess the acceptability of the adapted faith-based HIV intervention by administering an acceptability survey to the community advisory board and pilot attendants; (3) to assess the efficacy of the faith-based adapted HIV intervention by demonstrating a reduction in unprotected sexual intercourse and mediators of safer sex over the 6-month follow-up period comparable to young adult women in the original SiSTA HIV intervention; (4) to enhance adoption of the faith-based adapted HIV intervention by training African-American females, 18 - 29 years of age from each of the six New Birth Affiliate Churches (N = 50 women total) to implement the faith-based adapted SISTA HIV Intervention; (5) to enhance diffusion of the faith-based adapted HIV intervention by having each of the 50 trainers implement the intervention to five to ten women in the target population attending New Birth Affiliate Churches; (6) to assess fidelity to the faith-base adapted HIV intervention among the 50 trainers by having them complete a Session Adherence form after every workshop administered and (7) to determine the economic feasibility of implementing the faith-based adapted HIV intervention by assessing the cost to implement this intervention.