Computer-Based HIV Prevention Package for Drug Using African American Women

针对吸毒非裔美国妇女的基于计算机的艾滋病毒预防包

• 批准号: 8329975
• 负责人: DOUGLAS W BILLINGS
• 金额: $ 15.23万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-04-11 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8329975
• 关键词: AIDS prevention; Abstinence; Address; Adoption; African American; Assertiveness; Behavior; Behavior Control; Behavior Therapy; Beryllium; Centers for Disease Control and Prevention (U.S.); Clinic; Communication; Communities; Computers; Development; Diagnosis; Diffusion; Drug usage; Educational process of instructing; Elements; Environment; Face; Female; Focus Groups; HIV; HIV/STD; Health; Health Personnel; Heterosexuals; Human immunodeficiency virus test; Imprisonment; Individual; Injection of therapeutic agent; Intervention; Latex; Life; Literature; Location; Maintenance; Mediation; Methods; Outcome; Persons; Phase; Prevention program; Preventive; Preventive Intervention; Principal Investigator; Problem Solving; Provider; Published Comment; Randomized; Research; Risk Behaviors; Services; Sex Ratio; Social Environment; Social Interaction; Testing; Time; Training; Validation; Woman; base; clinical practice; combat; condoms; design; evidence base; experience; intervention program; male; men; mortality; prevent; programs; protective behavior; prototype; sex; skills; success; usability

DESCRIPTION (provided by applicant): To combat the spread of the HIV, the Centers for Disease Control (CDC) conducts ongoing reviews of the scientific literature to identify evidence-based HIV behavioral interventions (EBIs). Seventy-three EBIs have been identified. In conjunction with this, the CDC provides training and technical assistance to community based organizations and state and local health departments for a smaller subset (29) of these EBIs. This effort is known as the diffusion of effective behavioral interventions (DEBI) project. A consistent finding across EBIs is that interventions that are theoretically-based and tailored to the life- context of the individual are most effective. Of the 73 EBIs identified, only two address the most common ways that Black women become infected (i.e., heterosexual contact and drug use). Neither are part of the DEBI project and neither has an intervention package. And yet, 1 in 32 African American women will be diagnosed with HIV at some point in her lifetime. In comparison, 1 in 526 white women will become infected. Among drug using African American women the disproportionate impact of HIV is further enhanced. To address this need, we intend to develop a computer-based package for the EBI Female and Culturally Specific Negotiation Intervention (FCSNI). FCSNI was developed specifically for drug using African American women who have sex with men. There is also a substantial body of literature indicating that community-based organizations and health providers face significant barriers when trying to integrate EBIs into their clinical practice. To overcome these barriers, we intend to develop a second module designed specifically to help health providers integrate the computer-based FCSNI into their clinical practice. EBIs also have core elements that are key to intervention success and therefore should not be modified. Unfortunately, lack of fidelity to these core elements is common, leading to poorer outcomes. By adapting the core elements of FCSNI for a computer-based environment, it will be delivered with perfect fidelity across time and location. In this way, we hope to develop one of the first EBIs that is both scalable and widely utilized. Development of the Phase I prototype will be informed by the principal investigator from the original validation of FCSNI and formative research with treatment service providers. Following this, the prototype will undergo task-based usability testing with drug using African American women seeking services at a community-based health provider of HIV/STI services. Finally, treatment service providers will rate the functionality and content of module 2. PUBLIC HEALTH RELEVANCE: This project aims to develop a computer-based HIV prevention program for drug using African American women who have sex with men. For clinics, this will allow them to provide an empirically validated HIV prevention intervention to their cliens without creating additional demands on their already overburdened staff. For African American women, the skills contained in this program will help them reduce risk behaviors and, ultimately, prevent the spread of HIV.

描述（由申请人提供）：为了防止艾滋病毒的传播，疾病控制中心（CDC）正在对科学文献进行审查，以确定基于证据的艾滋病毒行为干预措施（EBI）。已确定73个EBI。与此同时，疾病预防控制中心为社区组织和州及地方卫生部门提供培训和技术援助，用于这些EBI的一小部分（29）。这项工作被称为有效行为干预（DEBI）项目的扩散。 EBI的一致发现是，基于理论并针对个人生活背景的干预措施最有效。在确定的73个EBI中，只有两个地址 黑人妇女感染的最常见方式（即，异性接触和吸毒）。两者都不是DEBI项目的一部分，也没有干预方案。然而，每32名非洲裔美国妇女中就有1人会在一生中的某个时候被诊断出感染艾滋病毒。相比之下，每526名白色妇女中就有1人会受到感染。在使用毒品的非洲裔美国妇女中，艾滋病毒的不成比例的影响进一步加强。 为了满足这一需求，我们打算开发一个基于计算机的包EBI女性和文化特定的谈判干预（FCSNI）。FCSNI是专门为与男性发生性关系的非裔美国女性开发的。 也有大量的文献表明，社区组织和卫生服务提供者在试图将EBI纳入其临床实践时面临重大障碍。为了克服这些障碍，我们打算开发第二个模块，专门用于帮助医疗服务提供者将基于计算机的FCSNI整合到他们的临床实践中。EBI也有核心要素，这些要素是干预成功的关键，因此不应修改。不幸的是，缺乏对这些核心要素的忠诚是常见的，导致更差的结果。通过将FCSNI的核心要素适应于基于计算机的环境，它将在时间和地点上以完美的保真度提供。通过这种方式，我们希望开发出第一批既可扩展又可广泛使用的EBI之一。 I期原型的开发将由主要研究者从FCSNI的原始验证和与治疗服务提供者的形成性研究中获得信息。在此之后，原型将接受基于任务的可用性测试，使用药物的非洲裔美国妇女在社区为基础的艾滋病毒/性传播感染服务提供者寻求服务。最后，治疗服务提供者将对模块2的功能和内容进行评级。 公共卫生关系：该项目旨在为与男性发生性关系的非洲裔美国吸毒妇女制定一个基于计算机的艾滋病毒预防方案。对于诊所来说，这将使他们能够向客户提供经过经验验证的艾滋病毒预防干预措施，而不会对已经负担过重的工作人员提出额外的要求。对于非裔美国妇女来说，该计划所包含的技能将帮助她们减少危险行为，并最终防止艾滋病毒的传播。