Tailoring a HIV prevention intervention for college-aged black women

为大学年龄的黑人女性制定艾滋病毒预防干预措施

• 批准号: 8660349
• 负责人: Rasheeta Chandler
• 金额: $ 8.95万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-05-10 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8660349
• 关键词: 13 year old; 19 year old; AIDS diagnosis; Accounting; Acquired Immunodeficiency Syndrome; Address; Affect; African American; Age; Area; Award; Behavior; Behavioral; Categories; Communities; Data; Development Plans; Diagnosis; Discipline of Nursing; Education; Educational process of instructing; Environment; Family Nursing; Feedback; Female; Florida; Focus Groups; Fostering; Foundations; Funding; Gender; Goals; HIV; Health; Health Expenditures; Healthcare; Historically Black Colleges and Universities; Institution; Intervention; K-Series Research Career Programs; Knowledge; Manuals; Mediation; Mentors; Methodology; Morbidity - disease rate; Motivation; Nurse Practitioners; Nursing Schools; Outcome; Participant; Patients; Population; Preparation; Prevention; Preventive Intervention; Procedures; Publications; Randomized Controlled Trials; Research; Research Activity; Research Personnel; Research Project Grants; Sampling; Scientist; Sexually Transmitted Diseases; Site; Strategic Planning; Students; Testing; Training; Uninsured; United States; United States National Institutes of Health; Universities; Woman; Women' s Health; aged; burden of illness; career development; college; condoms; experience; high risk; meetings; mortality; planetary Atmosphere; prevent; professor; programs; public health relevance; safer sex; sex risk; skills; symposium; university student; young adult

DESCRIPTION (provided by applicant): The Candidate: I am an Assistant Professor of Nursing and a nationally certified family nurse practitioner. My long-term goal is to become an independent investigator, with the expertise to implement Human Immunodeficiency Virus (HIV) prevention interventions. My program of research focuses on HIV prevention in females, with an emphasis on determining the HIV knowledge, motivation, and behavioral skill needs of black college-aged females to foster HIV prevention. The intermediate goals of this career development plan focus on education and research. The educational goal is to acquire knowledge and skills essential to: tailor interventions, implement RCT methodologies, and disseminate findings. The research goal is to develop expertise as an independent investigator to tailor a previously tested intervention (HIP TEENS) and conduct a pilot RCT [HIP LADIES]. These goals are the direct result of the candidate's experiences as a family nurse practitioner. Practice as a clinician providing health care to underserved and uninsured patients predominately women since 2006 has extensively influenced my research goals. This proposed career development plan pulls together discrete areas of research that require different yet complimentary skill sets. Therefore, an interdisciplinary team of mentors and advisors, with distinct areas of expertise, has been included in this career development team. Environment: My primary institution, University of South Florida, is one of the nation's top 63 public research universities and one of only 25 public research universities nationwide with very high research activity that is designated as community engaged by the Carnegie Foundation for the Advancement of Teaching. The University of South Florida, College of Nursing is moving rapidly to establish itself as a top tier research- intensive college. USF College of Nursing has achieved its highest research ranking ever from the National Institutes of Health. In 2010, the College ranked 25th among nursing schools nationwide in NIH funding. Florida A&M University, an additional site for participant recruitment, has made impressive strides in research being awarded a total of more than $50 million in research funding. Both institutions will offer support to the PI and create an atmosphere conducive to collaborative and interprofessional teams for this award. This career development plan will be supervised by a team of experienced NIH funded, nationally recognized mentors, who provide an essential combination of expertise for the educational and research goals of this award. Research: Blacks account for the largest percentage of new cases of HIV/AIDS in all age categories, especially among people aged 13 to 24 years. Black women (12% of U.S. population of women) are disproportionately affected by HIV/AIDS, accounting for 68% of estimated HIV diagnoses among women 13 years and older. Thus, efficacious HIV prevention interventions could decrease morbidity and mortality in US black women. Few HIV prevention interventions have been tested with a population of college students and those that focus on young black females are further limited. Scientist recommend that interventions focused on the black college population should be culturally appropriate, focus on behavior skills for negotiating safer sex, and should include training on the proper use of condoms. An efficacious HIV prevention intervention developed for females 15-19 years old (HIP TEENS) will be modified for use in this population. The overarching goal of this proposal is to tailor a previously tested intervention (HIP TEENS), and conduct a pilot randomized control trial [HIP LADIES] addressing HIV prevention in black college-aged females. The research plan has four attainable goals, which include: Goal 1: Gain an enhanced knowledge of the methodologies and procedures used to conduct RCTs Goal 2: Develop skills essential to conducting RCT research through training (e.g. coursework, seminars, research meetings, and conferences). Goal 3: Tailor a previously tested intervention (HIP TEENS) and conduct a pilot RCT [HIP LADIES] Specific Aims: I. Using focus group data from black college-aged women, tailor the HIP TEENS manuals (intervention and control). II. A multi-site pilot RCT will be conducted with 72 black college females, attending a Traditional University (TU) or Historically Black College/University(HBCU) to: (a) appraise feasibility in preparation for a full RCT (b) determine what refinements in recruitment & retention strategies are necessary for a full RCT and (c) estimate effect size on theoretically-driven & behavioral outcomes. Goal 4: Disseminate pilot RCT intervention results through publications and conference presentations.

求职者：我是护理学助理教授，是国家认证的家庭护理从业人员。我的长期目标是成为一名独立的调查员，拥有实施人类免疫缺陷病毒(HIV)预防干预措施的专业知识。我的研究项目的重点是在女性中预防艾滋病毒，重点是确定黑人大学年龄女性的艾滋病毒知识、动机和行为技能需求，以促进艾滋病毒预防。这项职业发展计划的中期目标侧重于教育和研究。教育目标是获得以下方面所必需的知识和技能：量身定制干预措施、实施随机对照研究方法和传播研究结果。该研究的目标是发展作为独立调查者的专业知识，以量身定制之前测试的干预措施(髋关节青少年)，并进行试点RCT[髋关节女士]。这些目标是应聘者作为家庭护士从业者经验的直接结果。自2006年以来，作为一名临床医生，为以女性为主的未得到充分服务和保险的患者提供医疗保健的实践广泛影响了我的研究目标。这项拟议的职业发展计划汇集了不同领域的研究，这些领域需要不同但相互补充的技能。因此，这个职业发展团队包括了一个由导师和顾问组成的跨学科团队，他们拥有不同领域的专业知识。环境：我的主要机构南佛罗里达大学是美国63所顶尖公立研究型大学之一，也是全国仅有的25所研究活动非常活跃的公立研究型大学之一，被卡内基教学促进基金会指定为社区活动。南佛罗里达大学护理学院正在迅速发展，将自己打造成一流的研究密集型大学。USF护理学院获得了美国国立卫生研究院有史以来最高的研究排名。2010年，该学院在美国国立卫生研究院资助的护理学校中排名第25位。佛罗里达农工大学是一个额外的参与者招聘网站，它在研究方面取得了令人印象深刻的进展，获得了总计超过5000万美元的研究资金。这两个机构都将为PI提供支持，并为该奖项创造一个有利于合作和跨专业团队的氛围。这一职业发展计划将由经验丰富的NIH资助的国家公认的导师团队监督，他们为该奖项的教育和研究目标提供必要的专业知识组合。研究：黑人在所有年龄段的艾滋病毒/艾滋病新病例中所占比例最大，特别是在13至24岁的人群中。黑人妇女(占美国妇女人口的12%)受艾滋病毒/艾滋病的影响不成比例，占13岁及以上妇女估计艾滋病毒诊断的68%。因此，有效的艾滋病毒预防干预措施可以降低美国黑人妇女的发病率和死亡率。很少有艾滋病预防干预措施在大学生群体中进行测试，那些专注于年轻黑人女性的干预措施进一步受到限制。科学家建议，针对黑人大学生人群的干预措施应该是文化上合适的，重点是谈判更安全的性行为的行为技能，并应该包括正确使用避孕套的培训。为15-19岁女性(髋关节青少年)开发的有效艾滋病毒预防干预措施将改进用于这一人群。这项提议的首要目标是量身定做一种先前测试过的干预措施(臀部青少年)，并进行一项试点随机对照试验[臀部女性]，以解决黑人大学年龄女性的艾滋病毒预防问题。该研究计划有四个可实现的目标，其中包括：目标1：增进对用于开展区域技术研究的方法和程序的了解；目标2：通过培训(如课程作业、研讨会、研究会议和会议)发展开展区域技术研究所必需的技能。目标3：制定先前测试过的干预措施(髋关节青少年)，并开展一项试点RCT[髋关节女性]特定目标：i.利用来自黑人大学年龄女性的焦点小组数据，定制髋关节青少年手册(干预和对照)。Ii.将对72名就读于传统大学(TU)或历史黑人学院/大学(HBCU)的黑人女大学生进行一项多地点试点随机对照试验，以：(A)评估准备全面随机对照试验的可行性；(B)确定全面随机对照试验需要对招聘和保留战略进行哪些改进；以及(C)估计对理论驱动和行为结果的影响程度。目标4：通过出版物和会议发言传播区域现金转移试点干预成果。