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（EBIs）以降低非洲裔美国妇女的艾滋病毒风险方面有着悠久的历史。迄今为止，该团队已经开发了六种由疾病预防控制中心定义的艾滋病毒预防ebi。他们最广泛传播和采用的EBI是SISTA，这是一个针对非洲裔美国妇女的艾滋病毒干预。在过去的5年里，研究小组获得了CDC的资助，与教会的平信徒领袖和教会事工的领袖合作，以适应被称为“SISTA”的EBI，创建一个基于信仰的“SISTA”。历史上的黑人信仰机构参与实施以证据为基础的艾滋病毒干预措施，有可能提高非裔美国人预防工作的可持续性。该研究试图在亚特兰大的24个历史悠久的黑人信仰机构中进行一项三组随机对照试验，通过比较三种实施策略，在12个月的随访中检查忠实度和参与者覆盖率的实施结果。宗教机构随机接受：(1)HIV 101教育和SISTA课程（N = 8个宗教机构）；(2) HIV 101教育和SISTA课程，外加一个互动培训视频（N= 8个信仰机构）；(3) HIV 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）。本研究的目的是：(1)评估24个信仰机构对基于信仰的SISTA的机构采用情况；(2)评估来自信仰机构的120名培训人员对基于信仰的SISTA的采用情况；(3)比较三个培训师对基于信仰的SISTA的实施忠诚程度；(4)比较三组培训师以信仰为基础的SISTA干预所达到的参与者数量；(5)评估培训师因素是否对实施保真度有调节作用。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跨宗派神学中心），美国东南部最大的艾滋病毒教育服务提供者（AID亚特兰大），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.