HIV Prevention PROWESS (Program Regarding Older Women's Education for Sexual Safe

描述（由申请人提供）：这项SBIR第一阶段提案的目的是针对50岁及以上的英语和西班牙语妇女的艾滋病毒教育，意识和预防需求制定有针对性的干预措施。拟议的项目“老年妇女性安全教育项目”与NIDA的使命和目标一致，即开发药物滥用治疗、降低艾滋病毒风险和培训临床医生的创新技术。由于药物滥用和艾滋病毒/艾滋病在美国老年妇女中越来越普遍，而且研究表明，许多医疗保健提供者不定期对老年患者进行药物滥用和艾滋病毒筛查，社会解决方案选择将拟议的干预措施的重点放在提高50岁以上妇女对艾滋病毒的公众意识上，并教育老年妇女及其医疗保健提供者了解50岁及以上个体的艾滋病毒风险。拟议的艾滋病毒预防能力计划将是一项以初级保健为基础的干预措施，包括各种书面和印刷材料，包括但不限于：患者教育手册、提供者培训材料、提供者谈话要点、格式化的提供者联系笔记、提供者“处方垫”、提供者后续提醒和宣传海报。为了确保老年妇女、医疗保健提供者和一般人群对艾滋病毒预防能力工具包的相关性和可接受性，社会解决方案将召集一个专家咨询小组；对最新研究进行文献综述，并分析针对50岁及以上妇女和医疗保健提供者的现有资源；对艾滋病毒阳性的老年妇女进行焦点小组讨论；与50岁及以上的妇女进行焦点小组讨论，以确定艾滋病毒知识、恐惧、教育需求和可接受的干预成分；与卫生保健提供者进行需求评估，以确定他们使用、偏好和需要何种艾滋病毒意识和教育材料；与EAP协商，起草工具包材料的初步内容，包括但不限于智能手机/PDA应用程序、CDROM/网站材料、患者教育手册、宣传海报、提供者培训材料、提供者谈话要点、格式化的提供者联系笔记以及对提供者的后续提醒；并对50岁及以上的妇女及其医疗保健提供者进行试点测试，以确定开发的工具包材料的可接受性和可行性。

DESCRIPTION (provided by applicant): The purpose of this SBIR Phase I proposal is to develop a targeted intervention addressing the need for HIV education, awareness, and prevention among English and Spanish-speaking women age 50 and older. The proposed project, HIV Prevention PROWESS (Program Regarding Older Women's Education for Sexual Safety) is aligned with NIDA's mission and goal to develop innovative technologies for drug abuse treatment, HIV risk reduction, and training clinicians. Because substance abuse and HIV/AIDS is increasingly common among older adult women in the United States, and because research shows that many healthcare providers do not routinely screen older patients for substance abuse and HIV, Social Solutions has chosen to focus the proposed intervention on increasing public awareness of HIV among women over 50 and educating older women and their healthcare providers about HIV risk among individuals 50 and older. The proposed HIV Prevention PROWESS program will be a primary care-based intervention that includes a variety of written and print materials, including, but not limited to, patient education brochures, provider training materials, provider talking points, formatted provider contact note, provider "prescription pads," follow-up reminders for providers, and awareness posters. To ensure relevance and acceptability of the HIV Prevention PROWESS toolkit among older women, healthcare providers, and the general population, Social Solutions will convene an Expert Advisory Panel; conduct a literature review of the most recent research and analyze existing resources for women 50 and older and healthcare providers; conduct a focus group with HIV positive older women; conduct a focus group with women 50 and older to identify HIV knowledge, fears, educational needs, and acceptable intervention components; conduct a needs assessment with healthcare providers to determine what kinds of HIV awareness and educational materials they use, prefer, and need; draft preliminary content of toolkit materials, in consultation with the EAP, including, but not limited to, smartphone/PDA application, CDROM/website materials, patient education brochure, awareness posters, provider training materials, provider talking points, formatted provider contact note, and follow-up reminders for providers; and conduct pilot tests with women 50 and older and their healthcare providers to determine acceptability and feasibility of toolkit materials developed. PUBLIC HEALTH RELEVANCE: HIV among older adults is a significant and complicated health problem in the U.S. Lack of knowledge, stigma, physiological status, high-risk behavior, and inadequate diagnosis and healthcare contribute to the growing numbers of women age 50 and above living with HIV and AIDS. Because older women lack knowledge about HIV transmission, they often engage, unknowingly, in high-risk behaviors: injection drug use is second to high risk heterosexual contact as the mode of HIV/AIDS transmission among older women. The purpose of this project is to develop an innovative andtargeted intervention, facilitated through primary care providers, to address the need for HIV education, awareness, and prevention among English and Spanish-speaking women age 50 and older.