Prevention of HIV/AIDS and STDs in Women over Fifty

五十岁以上女性艾滋病毒/艾滋病和性传播疾病的预防

• 批准号: 8647851
• 负责人: Patricia Flynn Weitzman
• 金额: $ 37.49万
• 依托单位: ENVIRONMENT AND HEALTH GROUP, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8647851
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Address; Advertisements; Affect; African American; Age; Aging; American; Awareness; Blueberries; Boston; Censuses; Centers for Disease Control and Prevention (U.S.); Collaborations; Communities; Data; Divorce; Education; Effectiveness; Elderly; Electronic Mail; Engineering; Evaluation; Focus Groups; Funding; Gender; Goals; Gray unit of radiation dose; Growth; HIV; HIV Infections; HIV risk; HIV/STD; Health; Health Benefit; Health Services; Hospitals; Housing; Incubators; Infection; Internet; Intervention; Interview; Latino; Life; Life Experience; Manufacturer Name; Market Research; Marketing; Massachusetts; Mediation; Minority; Modeling; Never Married; New England; Online Systems; Participant; Phase; Population; Pre-Post Tests; Prevention; Preventive Intervention; Primary Health Care; Privacy; Production; Psychology; Public Health; Randomized Controlled Trials; Risk; Risk Factors; Risk Reduction; Safe Sex; Self Efficacy; Services; Sexual Health; Site; Social Work; South Carolina; Staging; Target Populations; Testing; Text; Theoretical model; Universities; Unsafe Sex; Vagina; Woman; Women' s Health; authority; base; cohort; college; commercialization; computer science; condoms; contextual factors; data mining; high risk; improved; interest; member; novel; older women; public health relevance; response; risk perception; social; social stigma; technology development; trend; web site

DESCRIPTION (provided by applicant): Older adult women (age 50+) account for almost a third of the U.S. HIV/AIDS population, and infection rates among this group are increasing. The overall goal of the proposed Phase II application is to develop a culturally-sensitive, gender-specific, and age-appropriate HIV prevention intervention for older women, especially African American and Latino women who are at disproportionally high risk for HIV/STD infection. Our target population is the growing number of divorced/separated older women for whom interventions have not been developed and, due to cohort and social contextual factors, are likely unaware that they are at risk, and more likely than single (never married) women to forgo condom use. Building on Phase I and ARRA study results, our Phase II objectives are to create, test, and commercialize a positive psychology-based "SmartWeb" intervention to promote wellbeing and safe sex practices among culturally diverse older divorced or separated women who are dating or planning on dating. Specific Phase II Aims are: 1) Create the SmartWeb intervention; 2) Evaluate its effectiveness in a randomized controlled trial (RCT) of divorced/separated women over 50; and 3) Prepare marketing and commercialization plans for the SmartWeb intervention. Consistent with our Phase I objectives, i.e., developing content to address Stages 1-3 of the M-AARM theoretical model, the proposed Phase II includes new components to address M-AARM Stages 4-5. The Phase II is also responsive to Phase I evaluation findings, including the desire for mobile access, membership; video interviews with experts in women's health, positive aging, HIV/STD prevention in culturally diverse communities, safe sex negotiation strategies, and gray divorce; online community, and positive psychology- based self-efficacy and affect-boosting emails, as well as expanded versions of Phase I components to reinforce stages 1-3 of the M-ARRM theoretical model. We are supported in these efforts through our partnerships in both Boston, MA and Columbia SC, the sites for the randomized controlled trial. Participating partners include those providing commercialization support (Global Protection Corp, USC Columbia Incubator, SC Launch, Moker CPCA), recruitment and marketing support in Boston (New England Association of HIV over 50, Massachusetts Department of Public Health Statewide Consumer Advisory Board on HIV/AIDS, Brigham & Women's Hospital Women's Health Center) and in Columbia (South Carolina Lieutenant Governor's Office on Aging, South Carolina HIV/AIDS Council, AID Upstate in South Carolina, Lowcountry AIDS Services, United Way Association of South Carolina, South Carolina Primary Care Association, Columbia Housing Authority in South Carolina, Palmetto AIDS Life Support Services), and content and technology development and support (University of South Carolina College of Social Work and Department of Computer Science and Engineering, South Carolina HIV/AIDS Council, Blueberry Hill Productions).

描述(由申请人提供)：老年女性(50岁以上)几乎占美国艾滋病毒/艾滋病人口的三分之一，这一群体的感染率正在上升。拟议的第二阶段应用的总体目标是为老年妇女，特别是感染艾滋病毒/性传播疾病风险高得不成比例的非裔美国人和拉丁裔妇女开发一种具有文化敏感性、特定性别和适龄的艾滋病毒预防干预措施。我们的目标人群是越来越多的离婚/分居老年妇女，这些妇女尚未制定干预措施，由于队列和社会背景因素，她们可能没有意识到自己处于危险之中，而且比单身(从未结婚)妇女更有可能放弃使用避孕套。在第一阶段和ARRA研究结果的基础上，我们的第二阶段目标是创建、测试和商业化基于积极心理学的“SmartWeb”干预措施，以促进正在约会或计划约会的不同文化背景的老年离婚或分居女性的幸福感和安全性行为。第二阶段的具体目标是：1)创建SmartWeb干预；2)在一项针对50岁以上离婚/分居妇女的随机对照试验(RCT)中评估其有效性；3)为SmartWeb干预准备营销和商业化计划。与我们的第一阶段目标一致，即开发内容以满足M-AARM理论模型的阶段1-3，拟议的第二阶段包括新的组成部分，以解决M-AARM阶段4-5。第二阶段还对第一阶段的评估结果作出反应，包括对移动接入、成员资格的渴望；对妇女健康、积极老龄化、不同文化社区的艾滋病毒/性传播疾病预防、安全性行为谈判战略和灰色离婚方面专家的视频访谈；在线社区、基于积极心理学的自我效能和促进情感的电子邮件，以及第一阶段组成部分的扩展版本，以加强M-ARRM理论模型的第一至第三阶段。通过我们在马萨诸塞州波士顿和哥伦比亚南加州的合作伙伴关系，我们在这些努力中得到了支持，这两个地方都是随机对照试验的地点。参与的合作伙伴包括那些提供商业化支持的机构(全球保护公司、南加州大学哥伦比亚孵化器、SC Launch、Moker CPCA)、波士顿(新英格兰艾滋病毒50岁以上协会、马萨诸塞州公共卫生部全州艾滋病毒/艾滋病消费者咨询委员会、布里格姆妇女医院妇女健康中心)和哥伦比亚(南卡罗来纳州老龄问题副州长办公室、南卡罗来纳州艾滋病毒/艾滋病理事会、南卡罗来纳州北部AID、LowCountry AIDS Services、南卡罗来纳州团结之路协会、南卡罗来纳州初级护理协会、南卡罗来纳州哥伦比亚住房管理局、Palmetto艾滋病生命支持服务)、以及内容和技术开发与支持(南卡罗来纳大学社会工作学院和计算机科学与工程系，南卡罗来纳州艾滋病毒/艾滋病理事会，蓝莓山制作公司)。