Traslating Effective Health Behavior Strategies Into Practice for HIV+ Women

产品说明：这一控制性“翻译”试验的多地点应用程序旨在测试一种基于证据的行为干预的传播策略，该策略旨在接触感染艾滋病毒的有色人种贫困妇女。在过去的十年里，这个多学科研究小组（迈阿密大学和临床主任网络，纽约）已经进行了两项行为临床试验与贫困妇女的颜色生活与艾滋病毒/艾滋病（SMART/EST妇女计划）SWP。这些试验表明，抗逆转录病毒药物治疗依从性，营养，自我效能，应对技能和生活质量显着改善，伴随着病毒载量，抑郁，焦虑，性风险和物质使用显着减少。申请人建议测试社区卫生中心工作人员是否可以接受培训，以便在纽约、新泽西和南佛罗里达的社区卫生中心实施SMART/EST妇女方案，这三个地方是美国妇女艾滋病毒感染率最高的地方。该研究将为CHC卫生保健人员提供强化培训和后续支持，以提供英语，西班牙语和克里奥尔语（视情况而定）的整个16个会话的手动干预。将对组织和临床变量进行评估，以确定参与CHC采用、实施和维护该计划的策略的有效性。

DESCRIPTION: This multisite application for a controlled "translational" trial proposes to test a dissemination strategy for an evidence-based behavioral intervention designed to reach poor women of color living with HIV. Over the past ten years, this multidisciplinary research team (University of Miami and Clinical Directors Network, New York) has conducted two behavioral clinical trials with poor women of color living with HIV/AIDS (the SMART/EST Women's Program) SWP. These trials demonstrated significant improvements in antiretroviral medication adherence, nutrition, self-efficacy, coping skills, and quality of life, accompanied by significant reductions in viral load, depression, anxiety, sexual risk and substance use. The applicants propose to test whether Community Health Center staff can be trained to implement the SMART/EST Women's Program in CHCs in New York, New Jersey and south Florida, three locales with the highest HIV rates for women in the U.S. Beginning with a six month "pilot phase" to refine the dissemination strategy, the study will provide intensive training and follow-up support for CHC health care staff to deliver the entire 16 session manualized intervention in English, Spanish and Creole, as appropriate. Organizational and clinical variables will be assessed to determine the effectiveness of this strategy for the adoption, implementation and maintenance of this program by the participating CHCs.