A smoking cessation/medication adherence intervention for African American MSM

针对非裔美国 MSM 的戒烟/药物依从性干预

• 批准号: 8529989
• 负责人: Kyle Jones
• 金额: $ 4.22万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8529989
• 关键词: AIDS/HIV problem; Abstinence; Address; Adherence; Advocacy; Affect; African American; Alcohol consumption; Back; Behavior Therapy; Behavioral; Belief; Biochemical; Carbon Monoxide; Clinic; Clinic Visits; Clinical Skills; Communities; Data; Data Analyses; Development; Drug usage; Educational Curriculum; Elements; Evaluation; Exhalation; Focus Groups; Future; Goals; Government; HIV; HIV diagnosis; Health; Health Promotion; Health behavior; Hospitals; Individual; Individual Differences; Institution; Intervention; Interview; Knowledge; Measures; Mentorship; Metric; Monitor; Needs Assessment; Outcome; Participant; Patient Self-Report; Pharmaceutical Preparations; Phase; Population; Prevalence; Public Policy; Published Comment; Recruitment Activity; Reporting; Research; Research Personnel; Resources; Risk Behaviors; Risk Factors; Role; Sampling; Schedule; Self Efficacy; Smoking; Smoking Behavior; Smoking Cessation Intervention; Social support; Staging; Structure; Testing; Time; TimeLine; Tobacco use; Training; Treatment Protocols; Treatment outcome; Universities; Vulnerable Populations; Withholding Treatment; base; behavioral health; clinical practice; coping; cost; experience; follow-up; group counseling; health disparity; improved; interest; intervention effect; medication compliance; meetings; member; men; men who have sex with men; modifiable risk; motivational enhancement therapy; nicotine replacement; patient population; peer; pill; post intervention; programs; prototype; psychosocial; public health relevance; response; satisfaction; skills; smoking cessation; smoking prevalence; social stigma; therapy development; treatment adherence

DESCRIPTION (provided by applicant): The goal of the proposed training plan is to further develop the applicant's knowledge, research, and clinical skills in the development, implementation and evaluation of behavioral health-promotion interventions for HIV-infected African American men who have sex with men (MSM). The proposed project will be conducted as a dissertation study that will: 1) Increase the applicant's knowledge of the role of HIV medication non-adherence and engagement in health risk behaviors, such as smoking, in observed HIV-related health disparities among African American MSM; and 2) Develop the applicant's methodological and analytical skills in conducting behavioral health interventions with a highly vulnerable and underserved patient population; and 3) Deepen the applicant's understanding of the demographic and socio-cultural factors associated with key intervention outcomes; that is, level of adherence to HIV medications and point-prevalence quit rates. The proposed training plan includes didactic training, structured coursework, professional development, regular sponsor and consultant meetings. The knowledge and skills gained in the proposed project are necessary for the applicant's future as an independent researcher at a university, academic hospital, or government institution. The proposed project is highly consistent with the applicant's goals; facilitators of and barriers to smoking cessation and HIV medication adherence will be examined in HIV-infected African American MSM and integrated into a culturally targeted intervention addressing both health behaviors. Smoking prevalence rates and levels of HIV medication non-adherence are alarmingly high in HIV-infected African American MSM. Yet, scant research has been conducted to simultaneously intervene on these two health risk behaviors. The specific aims of this study are to: 1) Identify barriers to and facilitators of smoking cessation and HIV medication adherence among recently diagnosed HIV-infected African American MSM; 2) Develop a culturally targeted intervention that addresses HIV medication adherence and smoking cessation; 3) Conduct a pilot-test of the intervention to assess its acceptability, feasibility, and effects on smoking and treatment adherence; and 4) Examine individual and cultural variables that influence the effects of the intervention. Data will be collected from 50 HIV-infected African American MSM recruited from LGBT clinics and other community-based venues. Mentorship for this project will be provided by experts in culturally targeting health behavior interventions for the LGBT community (Dr. Alicia Matthews), HIV-medication adherence among MSM (Dr. David McKirnan), cultural competency in intervention development and recruitment of the population of interest (Dr. Sybil Hosek, Dr. Alicia Matthews, and Dr. David McKirnan), and multilevel longitudinal data analyses (Dr. David McKirnan). The proposed project will be the first to address smoking cessation and HIV-medication adherence in a single systematic intervention. The proposed plan is consistent with the applicant's goals of further increasing skills and knowledge to establish a program of research.

描述（由申请人提供）：拟议的培训计划的目标是进一步发展申请人的知识，研究和临床技能，在发展，实施和评估行为健康促进干预艾滋病毒感染的非洲裔美国男性谁与男性发生性关系（MSM）。拟议的项目将作为论文研究进行，将：1）增加申请人对艾滋病毒药物不依从性和参与健康风险行为（如吸烟）在非洲裔美国男男性接触者中观察到的艾滋病毒相关健康差异的作用的认识;和2）发展申请人在对高度脆弱和服务不足的患者进行行为健康干预方面的方法和分析技能人口; 3）加深申请人对与关键干预结果相关的人口和社会文化因素的理解;即对艾滋病毒药物的坚持程度和点流行率戒烟率。拟议的培训计划包括教学培训、结构化课程、专业发展、定期赞助商和顾问会议。在拟议的项目中获得的知识和技能是申请人作为大学，学术医院或政府机构的独立研究人员的未来所必需的。拟议的项目是高度一致的申请人的目标;促进者和戒烟和艾滋病毒药物依从性的障碍将在艾滋病毒感染的非洲裔美国男男性接触者中进行检查，并整合到一个有文化针对性的干预措施，解决这两个健康行为。吸烟率和艾滋病毒药物不依从性的水平是惊人的高艾滋病毒感染的非洲裔美国男男性行为者。然而，很少有研究同时对这两种健康风险行为进行干预。本研究的具体目的是：1）确定最近诊断的艾滋病毒感染的非洲裔美国男男性行为者戒烟和艾滋病毒药物依从性的障碍和促进因素; 2）制定一项针对艾滋病毒药物依从性和戒烟的文化干预措施; 3）进行干预的试点测试，以评估其可接受性，可行性和对吸烟和治疗依从性的影响;（4）研究影响干预效果的个人和文化变量。数据将 从50名感染艾滋病毒的非洲裔美国人MSM中收集，这些MSM是从LGBT诊所和其他社区场所招募的。本项目的指导将由以下方面的专家提供：针对LGBT社区的文化健康行为干预（Alicia马修斯博士）、男男性行为者的艾滋病毒药物依从性（David McKirnan博士）、干预开发和招募相关人群的文化能力（Sybil Hosek博士、Alicia马修斯博士和大卫McKirnan博士）以及多层次纵向数据分析（大卫McKirnan博士）。拟议的项目将是第一个在单一的系统干预中解决戒烟和艾滋病毒药物依从性问题的项目。拟议的计划是与申请人的进一步增加技能和知识，以建立一个研究计划的目标相一致。