Faith in Sustaining SISTA

描述（由申请人提供）：研究小组在开发CDC定义的循证干预措施（EBI）以降低非裔美国妇女的艾滋病毒风险方面有着悠久的历史。到目前为止，该团队已经开发了六个CDC定义的艾滋病毒预防EBI。他们最广泛传播和采用的EBI是SISTA，这是一项针对非裔美国妇女的艾滋病毒干预措施。在过去的5年里，研究小组获得了CDC的资助，与教会的非信徒领袖和教会各部的领导人合作，调整EBI，即SISTA，以创建一个基于信仰的SISTA。历史上的黑人信仰机构参与实施循证艾滋病毒干预措施，有可能提高非洲裔美国人预防工作的可持续性。该研究旨在对亚特兰大24个历史上的黑人信仰机构进行三臂随机对照试验，通过比较三种实施策略，在12个月的随访中检查忠诚度和参与者范围的实施结果。宗教机构随机接受以下两种教育：（1）艾滋病毒101教育和SISTA课程（N = 8个宗教机构）;或（2）艾滋病毒101教育和SISTA课程，加上互动培训视频（N= 8个宗教机构）;或（3）艾滋病毒101教育和SISTA课程，加上互动培训视频以及每月两次的个人反馈（N=8个信仰机构）。研究的目的是：（1）评估24个宗教机构对基于信仰的SISTA的机构采纳情况;（2）评估来自宗教机构的120名培训师对基于信仰的SISTA的提供者采纳情况;（3）比较三个分支的培训师对基于信仰的SISTA的实施忠诚度;（4）比较三个训练组中接受基于信仰的SISTA干预的参与者人数，（5）评估训练员因素是否调节实施保真度。拟议的申请是一个令人兴奋的跨机构合作，涉及学术机构（埃默里大学，罗林斯公共卫生学院和国际神学中心），美国东南部最大的艾滋病毒教育服务提供商（亚特兰大艾滋病），位于低收入社区中心的社区机构（治愈我们的社区）和24个历史上的黑人信仰机构。

DESCRIPTION (provided by the applicant): The study team has a long history of developing CDC-defined evidence-based interventions (EBIs) to reduce HIV risk among African American women. To date the team has developed six CDC-defined HIV prevention EBIs. Their most widely disseminated and adopted EBI is SISTA, an HIV intervention for African American women. During the past 5 years the study team has been awarded a CDC grant to collaborate with church lay leaders and with leaders of church ministries to adapt the EBI known as SISTA to create a faith-based SISTA. The involvement of historically black faith institutions in implementing evidence-based HIV Interventions has the potential to enhance sustainability of prevention efforts among African Americans. The study seeks to conduct a three-arm randomized controlled trial among 24 historically black faith institutions in Atlanta to examine th implementation outcomes of fidelity and participant reach at 12-months follow-up by comparing three implementation strategies. Faith institutions are randomized to receive either: (1) HIV 101 Education and the SISTA curriculum (N = 8 faith institutions); or (2) HIV 101 Education and the SISTA curriculum, plus an interactive training video (N= 8 faith institutions); or (3) HIV 101 Education and the SISTA curriculum, plus an interactive training video as well as, personal feedback twice a month (N=8 faith institutions). The study aims are: (1) To assess institutional adoption of faith-based SISTA among 24 faith institutions; (2) To assess provider adoption of faith-based SISTA among the 120 trainers from the faith institutions; (3) To compare level of implementation fidelity to faith-based SISTA among trainers in three arms; (4) To compare number of participants reached with faith-based SISTA intervention among trainers in the three arms and, (5) To assess whether Trainer factors moderate implementation fidelity. The proposed application is an exciting trans-institutional collaboration involving academic institutions (Emory University, Rollins School of Public Health and Interdenominational Theological Center), the largest provider of HIV educational services in the Southeastern United States (AID Atlanta), a community based agency located in the heart of low-income communities (Healing Our Communities) and 24 historically black faith institutions.