Elimination of Health Disparities through Translation Research

描述（由申请人提供）：拟议的研究建立了埃默里大学罗林斯公共卫生学院与佐治亚州亚特兰大市新生浸信会传教士教堂之间的联系。本研究的目的是：(1)应用adapt - itt模型，对基于证据的非洲裔美国妇女艾滋病干预进行适应性调整，开发基于信仰的艾滋病干预；(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，评估基于信仰的适应性艾滋病干预措施的可接受性；(3)通过证明在6个月的随访期间，与最初的SiSTA艾滋病毒干预中的年轻成年妇女相比，无保护的性行为和更安全的性行为的中介减少，评估基于信仰的适应性艾滋病毒干预的效果；(4)通过培训来自六个新出生附属教会的18 - 29岁非裔美国女性（N = 50名女性）实施基于信仰的适应性艾滋病干预措施，提高基于信仰的适应性艾滋病干预措施的采用；(5)通过让50名培训师中的每一位对参加新生附属教会的目标人群中的5至10名妇女实施干预，加强以信仰为基础的适应性艾滋病毒干预的传播；(6)评估50名培训师对基于信仰的适应性艾滋病干预的忠诚程度，方法是在每次培训后让他们填写一份“课程遵守表”；(7)评估实施基于信仰的适应性艾滋病干预的成本，以确定实施这种干预的经济可行性。

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.