Reducing HIV Disparities among Latinos: Disseminating An Effective Intervention

描述（由申请人提供）：我们提出了一项为期3年的研究（R24），以促进HoMBReS的传播，吸收和可持续性：Por UN Cambio干预措施，一种非专业健康顾问（LHA）干预措施，发现在降低东南部移民拉丁裔男性的艾滋病毒风险方面有效。由拉丁美洲移民男子的生活经验，组织代表的观点，社会认知和赋权理论，这种干预措施的开发和测试的长期社区大学的合作伙伴关系，使用并将继续使用社区为基础的参与式研究（CBPR）的原则在整个研究过程的所有阶段。在拟议的研究中，3个社区组织（CBO）代表了典型的社区一级艾滋病毒和性传播疾病预防干预措施提供者（即，一个艾滋病服务组织、一个拉丁美洲服务组织和一个县公共卫生部门）将与我们现有的CBPR伙伴关系合作，开发一个全面的工具包，以指导实施;实施和评估实施;并通过多种渠道传播结果和材料。每个CBO将雇用1名兼职项目协调员，以招募，培训和支持8名非专业健康顾问（称为“导航”）。这24名导航员将在12个月内促进他们足球队社交网络成员的性健康。将从社交网络成员那里收集基线和后续数据，以评估影响。混合定量和定性的方法，我们将探讨促进者和障碍，干预实施，忠诚度，和潜在的可持续性，这些不同的社区组织。在实施前和实施后，我们将与CBO代表进行个别深入访谈。实施后，我们还将在每个CBO与Navigates进行焦点小组讨论。我们将使用扩展和传播，一个由扩散和社会规范理论提供信息的框架来指导这项研究。我们还将通过与合作伙伴的深入访谈、直接观察伙伴关系会议和研究实施情况以及伙伴关系文件审查来评估CBPR流程。

DESCRIPTION (provided by applicant): We propose a 3-year study (R24) to facilitate dissemination, uptake, and sustainability of the HoMBReS: Por UN Cambio intervention, a lay health advisor (LHA) intervention found to be efficacious in reducing the HIV risk among immigrant Latino men in the Southeast. Informed by the lived experiences of immigrant Latino men, perspectives of organizational representatives, and social cognitive and empowerment theories, this intervention was developed and tested by a long-term community-university partnership that has used and will continue to use community-based participatory research (CBPR) principles throughout all phases of the research process. In the proposed study, 3 community-based organizations (CBOs) that represent typical community-level providers of HIV and STD prevention interventions (i.e., an AIDS service organization, a Latino-serving organization, and a county public health department) will work with our existing CBPR partnership to develop a comprehensive toolkit to guide implementation; implement and evaluate implementation; and disseminate results and materials through multiple channels. Each CBO will hire 1 part-time project coordinator to recruit, train, and support 8 lay health advisors (known as "Navigates"). These 24 Navigates will promote sexual health among members of their soccer team-based social networks for 12 months. Baseline and follow-up data will be collected from social network members to evaluate impact. Blending both quantitative and qualitative methods, we will explore facilitators and barriers to intervention implementation, fidelity, and potential sustainability by these diverse CBOs. Pre and post-implementation, we will conduct individual in-depth interviews with CBO representatives. Post-implementation, we also will conduct focus groups with Navigates at each CBO. We will use scale-up and spread, a framework informed by diffusion and social normative theories, to guide this study. We also will evaluate the CBPR process, using in-depth interviews with partners, direct observation of partnership meetings and study implementation, and partnership document review.