Self Stigma Reduction for African Americans Living with HIV/AIDS

减少感染艾滋病毒/艾滋病的非裔美国人的自我耻辱

• 批准号: 8073602
• 负责人: Deepa Rao
• 金额: $ 12.5万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-05 至 2013-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8073602
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Adherence; Africa; African American; Age; Appointment; Award; Awareness; Behavior Therapy; Cause of Death; Centers for Disease Control and Prevention (U.S.); Clinic; Clinical Research; Clinical Trials; Communities; Development Plans; Discrimination; Education; Effectiveness; Ensure; Environment; Evaluation; Faculty; Future; Gender; Generic Drugs; Goals; HIV; Health; Health Services Accessibility; Healthcare; Hospitals; Institution; Intervention; K-Series Research Career Programs; Lead; Life; Location; Measurement; Measures; Mentors; Mentorship; Modeling; Outcome; Outcome Measure; Outpatients; Patient Outcomes Assessments; Patients; Pharmaceutical Preparations; Population; Positioning Attribute; Questionnaires; Regimen; Reporting; Research; Research Methodology; Research Personnel; Research Project Grants; Resources; Stigmata; Techniques; Testing; Training; United States; Universities; Validation; Vulnerable Populations; Woman; Work; base; career; career development; clinical research site; effective intervention; experience; health belief; improved; instrument; international center; men; patient oriented research; patient population; racial and ethnic; racial and ethnic disparities; skills; social stigma; therapy design; treatment adherence

DESCRIPTION (provided by applicant): In 2004, the Centers for Disease Control reported that AIDS was the leading cause of death for African- American women between the ages of 25 to 34 and African-American men between the ages of 35 to 44 in the United States. Researchers have explained these ethnic/racial disparities in terms of delays in accessing care and difficulties in adhering to medication regimens. These findings suggest that culturally appropriate interventions developed to reduce HIV/AIDS stigma could help improve treatment adherence and in turn, improve health outcomes for African-Americans living with HIV/AIDS. It is the career aspiration of Dr. Rao, applicant for this Patient Oriented Research Career Development Award (K23), to help lessen the burden of stigma associated with HIV/AIDS in vulnerable populations. In this proposal, Dr. Rao outlines a career development plan that will lead to a line of work aimed at making available an effective, culturally- appropriate intervention to reduce self stigma for African-Americans living with HIV/AIDS. Through coursework and mentorship, Dr. Rao will train in culturally-specific models of health beliefs and advanced qualitative and quantitative research methodologies. She will implement a research project that will adapt a self stigma reduction intervention for African-Americans living with HIV. In addition, she will adapt and validate an outcome measure of self stigma for use in a future clinical trial. These adaptations will lead to a pilot test and then directly to a full-scale clinical trial of the intervention. Drs. David Cella and Patrick Corrigan, senior investigators with extensive experience in behavioral interventions and patient reported outcomes measurement, will serve as co-sponsors for this project. The clinical site for this project, the outpatient HIV Clinic at Northwestern Memorial Hospital, serves a patient population with much ethnic/racial and gender diversity, and its patients enthusiastically participate in clinical research. During the award period, Dr. Rao will be based at Evanston Northwestern Healthcare and have faculty appointments at Northwestern University. Her location at these institutions, with their outstanding reputation in research and education, will provide her with an outstanding environment, rich with the research resources she will need to become an independent investigator. Dr. Rao will be uniquely positioned to carry out this work aimed at reducing HIV stigma, and subsequently improving health outcomes, for African-Americans living with HIV.

描述（由申请人提供）：2004 年，美国疾病控制中心报告称，艾滋病是美国 25 至 34 岁非裔美国女性和 35 至 44 岁非裔美国男性死亡的主要原因。研究人员通过延迟获得护理和难以坚持药物治疗来解释这些民族/种族差异。这些发现表明，为减少艾滋病毒/艾滋病耻辱而制定的文化上适当的干预措施有助于提高治疗依从性，进而改善感染艾滋病毒/艾滋病的非裔美国人的健康状况。申请以患者为导向的研究职业发展奖 (K23) 的 Rao 博士的职业愿望是帮助减轻弱势群体中与艾滋病毒/艾滋病相关的耻辱负担。在这份提案中，拉奥博士概述了一项职业发展计划，该计划将导致一系列工作，旨在提供有效的、适合文化的干预措施，以减少感染艾滋病毒/艾滋病的非裔美国人的自我耻辱。通过课程作业和指导，饶博士将接受特定文化的健康信念模型以及先进的定性和定量研究方法的培训。她将实施一个研究项目，为感染艾滋病毒的非裔美国人采取减少自我耻辱的干预措施。此外，她还将调整和验证自我耻辱的结果测量，以用于未来的临床试验。这些调整将导致试点测试，然后直接进入全面的干预临床试验。博士。在行为干预和患者报告结果测量方面拥有丰富经验的高级研究人员 David Cella 和 Patrick Corrigan 将担任该项目的共同发起人。该项目的临床地点是西北纪念医院的艾滋病毒门诊，为具有多种种族/种族和性别多样性的患者群体提供服务，其患者热情地参与临床研究。在获奖期间，Rao 博士将在埃文斯顿西北医疗保健中心工作，并在西北大学担任教职。她所在的这些机构在研究和教育方面享有盛誉，将为她提供优越的环境，以及成为独立研究者所需的丰富研究资源。拉奥博士将拥有独特的优势来开展这项工作，旨在减少艾滋病毒耻辱，从而改善感染艾滋病毒的非裔美国人的健康状况。