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HIV Risk Reduction in Migrant Workers

减少移徙工人的艾滋病毒风险

基本信息

批准号：
7644568
负责人：
H VIRGINIA MCCOY
金额：
$ 58.87万
依托单位：
FLORIDA INTERNATIONAL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-30 至 2010-12-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7644568
关键词：
AIDS prevention Acculturation Address Affect African American Attitude Behavior Behavior Therapy Behavioral Cognition Cognitive Counseling Drug usage Effectiveness Equation Frequencies Gender HIV Health Promotion Health behavior Hispanics Individual Intervention Knowledge Life Link Low income Maintenance Mediating Mediator of activation protein Migrant Workers Modeling Motivation Outcome Outcome Study Participant Population Preventive Intervention Randomized Randomized Controlled Clinical Trials Recording of previous events Research Risk Risk Behaviors Risk Reduction Sampling Staging Translating United States National Institutes of Health Unsafe Sex Woman alcohol and other drug base cognitive function community setting design effective intervention efficacy trial follow-up health disparity high risk improved motivational enhancement therapy peer sex risk sexually active skills social transmission process

项目摘要

This proposed study targeting Alcohol and Other Drug-(AOD) using Migrant Workers (MWs) is a 5-year randomized trial of a Cognitive Behavioral HIV Prevention Intervention (CBI), enhanced/adapted (CBI-A) compared with a Health Promotion (HPC) condition. This application proposes to expand on current "effective" behavioral interventions to include contextual components (e.g., Peer Counseling and Motivational Enhancement) that are likely to produce long term maintenance of HIV risk reduction effects. The CBI-A integrates key contextual components targeting peer counseling and motivational interviewing linked to maintaining HIV risk reduction effects. Only two HIV prevention outcome studies of MWs, conducted by our research team, have assessed participants for longer than 6 months. Both studies used a CBI approach and documented a moderate short-term HIV risk reduction effect that diminished at the later follow-up points. The proposed sample (N=320) will be predominantly Hispanic and African-American, low income, sexually active, AOD-using MWs?a group disproportionately affected by HIV and other health disparities. We hypothesize that 1) the CBI-A will produce a greater beneficial effect than the HPC on HIV sexual risk behaviors of 'ratio of protected to unprotected sex following intervention' and frequency of unsafe sex; 2) that the CBI-A will produce more beneficial effects than the HPC in the mediator variables (social influence, stages of change, attitude-motivation-skills); and 3) that the CBI-A will be more effective for participants who are women, acculturated, have high levels of cognitive functioning and no history of traumatic abuse. Structural Equation Modeling analyses will be used to explore how study variables interrelate to affect outcomes. This project addresses the problem of health disparities in HIV risks and the potential to adapt "effective" interventions to reach this new population. The proposed project further responds to the NIH priority on rapidly translating and disseminating new knowledge, which emphasizes bringing intervention strategies developed during efficacy trials in a rigorous academic setting, into community settings in a manner adaptable to "real world" conditions. If successful, this research will delineate important HTV intervention strategies that can be practically implemented to improve maintenance of HIV risk behaviors of high-risk AOD-using MWs.

这项针对酒精和其他药物(AOD)的农民工(MWS)研究是一项为期5年的随机试验，比较了认知行为HIV预防干预(CBI)、增强/适应(CBI-A)和健康促进(HPC)条件。该应用程序建议对当前的“有效”行为干预进行扩展，以包括可能产生长期影响的情境成分(例如，同伴咨询和动机增强长期维持降低艾滋病毒风险的效果。CBI-A整合了针对同伴咨询和激励性访谈的关键背景成分，这些内容与保持艾滋病毒风险降低效果有关。我们的研究团队只对妇女进行了两项艾滋病毒预防结果研究，评估参与者的时间超过6个月。这两项研究都使用了CBI方法，并证明了一种适度的短期艾滋病毒风险降低效果，但在后者减弱跟进要点。建议的样本(N=320)将主要是西班牙裔和非裔美国人，低收入，性活跃，使用AOD-这一群体受到艾滋病毒和其他健康差距的不成比例的影响。我们假设1)CBI-A对HIV性行为危险行为的“干预后有保护的性行为与无保护的性行为的比率”和不安全性行为的频率比HPC产生更大的有益影响；2)CBI-A在中介变量(社会影响、改变的阶段、态度-动机-技能)方面比HPC产生更多的有益影响；以及3)CBI-A对那些适应了文化、认知功能水平较高且没有创伤性虐待病史的女性参与者更有效。将使用结构方程建模分析来探索如何研究变量与影响结果相互关联。该项目解决了艾滋病毒风险方面的健康差异问题，以及采用“有效”干预措施接触这一新人口的可能性。拟议的项目进一步响应了NIH关于快速翻译和传播新知识的优先事项，该优先事项强调将在严格的学术环境中进行疗效试验期间开发的干预策略以适应“真实”的方式纳入社区环境如果成功，这项研究将勾勒出重要的HTV干预策略，这些策略可以实际实施，以改善使用高危AOD人群的HIV危险行为的维持。