Technology to connect at-risk youth to testing

将高危青少年与测试联系起来的技术

基本信息

批准号：
8464044
负责人：
Marguerita A. Lightfoot
金额：
$ 24.36万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-05-01 至 2015-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8464044
关键词：
AIDS prevention AIDS/HIV problem Accounting Address Adolescent Adult African American Anti-Retroviral Agents Attention Behavior Censuses Clinic Clinic Visits Clinical Color Communities Confidentiality Detection Diagnosis Diffuse Diffusion Early Diagnosis Education and Outreach Effectiveness Epidemic Exhibits Feasibility Studies Feedback Friends HIV HIV Seropositivity HIV risk HIV/STD Health Health Resources Healthcare Systems Heterosexuals Human immunodeficiency virus test Individual Infant Intervention Life Marketing Measures Outcome Parental Notification Participant Patient Appointment Patients Pharmaceutical Preparations Pilot Projects Population Preparation Prevention Prevention strategy Preventive Protocols documentation Provider Public Health Quality of life Race Reaction Recruitment Activity Reproductive Health Risk Risk Behaviors Sampling Services Sexual Health Site Social Network Symptoms Technology Teenagers Testing Text Unsafe Sex Viral Load result Virus Visit Woman Youth aged cost drug abuse prevention health disparity high risk improved inclusion criteria innovation medically underserved meetings men outreach peer response screening sex risk sexually active telehealth theories transmission process

项目摘要

DESCRIPTION (provided by applicant): Among the numerous health disparities disproportionately burdening people of color, HIV/AIDS is among the highest. In the African American community the HIV/AIDS epidemic is one of the most urgent public health issues. In order to address the health disparity in HIV/AIDS, detection of HIV in the African American community is crucial. The benefits for early detection of HIV include potentially prolonged duration and quality of life for those living with the virus. HIV testing has also been proposed as a HIV preventive strategy. Detection of HIV has a number of potential preventive benefits, including reduced transmission risk behaviors by those infected9 and reduced viral load by those taking antiretroviral medications, whereby potentially reducing transmission. The proposed study makes a significant public health impact by developing and pilot testing an innovative strategy to increase the number of high-risk adolescents receiving HIV screening. In response to PA-09-146 (Pilot and Feasibility Studies in Preparation for Drug Abuse Prevention Trials [r34]), we propose a pilot study to examine the acceptability and feasibility of a peer-driven, HIV-testing campaign. Peer education and outreach strategies have been successful at reducing sexual risk behavior and increasing the use of health resources in adolescents and other at-risk groups, including adults residing in census tracts where STI rates are high. A potential vehicle for outreach to adolescents is socially interactive technologies (e.g., text messages). The proposed study makes a scientific impact in examining the effectiveness of messaging diffused through the social network of adolescents. A total of 100 current patients at an urban adolescent health clinic serving predominately African Americans will be recruited to disseminate at least 5 text messages to friends they believe are sexually active. Youth will be provided with a brief guide to help them develop their messages. The youth generated text messages will encourage their friends to visit the clinic and get tested. The specific aims of this project are to: Aim 1: Develop protocols and a theory-informed message guide for a peer-driven text message intervention for adolescents recruited from an adolescent health clinic. Aim 2: Examine the acceptability and feasibility of sending text messages related to obtaining HIV/STI testing. We will obtain participant feedback and examine the recruitment rate, number of youth failing to meet inclusion criteria, number of youth verified to have sent text messages, and number of text messages sent. We will also obtain feedback from the clinic providers regarding impact on patient and services flow, provider reactions, and impact on clinical visit. Aim 3: Preliminarily examine the efficacy of a youth generated messaging intervention to increase the: 1) number of high-risk youth seeking services and 2) clinic volume as measured by: a) number of new patients at clinic, b) increase in rate of new patient appointments, and c) number of STI tests conducted. If successful, the proposed study will significantly contribute to the field of HI prevention by examining the acceptability, feasibility and potential impact of an innovative strategy for delivering messages to high-risk youth, which encourage connection with the healthcare system and screening for HIV. This trial will fill a critical need to improve the sexual health outcomes of high-risk African American youth and lay the groundwork for a subsequent R01 proposal with a larger sample and that would include control sites.

描述（由申请人提供）：艾滋病毒/艾滋病的众多健康差异不成比例地负担有色人种。在非裔美国人社区中，艾滋病毒/艾滋病流行是最紧迫的公共卫生问题之一。为了解决艾滋病毒/艾滋病的健康差异，非裔美国人社区中艾滋病毒的发现至关重要。早期发现艾滋病毒的好处包括患有病毒的人可能会延长持续时间和生活质量。还提出了HIV测试艾滋病毒预防策略。艾滋病毒的检测具有许多潜在的预防效益，包括通过服用抗逆转录病毒药物的患者降低了感染者的传播风险行为，并减少了病毒载量，从而有可能减少传播。拟议的研究通过制定和试点测试创新的策略来增加接受HIV筛查的高风险青少年数量，从而产生了重大的公共卫生影响。为了回应PA-09-146（为预防药物滥用试验准备的试点和可行性研究[R34]），我们提出了一项试点研究，以检查同伴驱动的HIV测试运动的可接受性和可行性。同伴教育和外展策略已成功地减少性风险行为，并增加在青少年和其他高危群体中的健康资源，包括居住在STI率高的人口普查区中的成年人。向青少年推出的潜在工具是社会互动技术（例如，文本消息）。拟议的研究在研究通过青少年社交网络扩散的消息传递的有效性对科学产生了影响。将招募以非裔美国人为主导的城市青少年健康诊所目前的100名患者，以向他们认为具有性活跃的朋友至少传播5条短信。将为青年提供简短的指南，以帮助他们发展信息。年轻人产生的短信将鼓励他们的朋友参观诊所并接受测试。这个特定的目的项目对：目标1：为从青少年健康诊所招募的青少年制定同行驱动的文本消息干预的理论信息指南。目标2：检查发送与获得HIV/STI测试有关的短信的可接受性和可行性。我们将获得参与者的反馈，并检查招聘率，未符合纳入标准的青年人数，已验证已发送短信的青年人数以及发送的短信数量。我们还将从诊所提供者那里获得有关对患者和服务流，提供者反应以及对临床访问的影响的反馈。 AIM 3：初步检查青年产生的消息干预措施的功效以增加：1）高危青年寻求服务的数量； 2）临床数量，如下：a）诊所的新患者数量，b）新患者预约率的增加，c）进行了STI测试的数量。如果成功的话，拟议的研究将通过检查创新策略向高风险青年传递信息的可接受性，可行性和潜在影响，从而为HI预防领域做出重大贡献，这鼓励了与医疗保健系统的联系并筛查HIV。该试验将满足改善性的关键需求高风险的非洲裔美国青年的健康结果，为随后的R01提案提供了较大样本的基础，其中包括控制地点。