Interventions to Reduce Health Disparities in Youth of Dual Protection

减少双重保护青少年健康差异的干预措施

• 批准号: 8770908
• 负责人: MELISSA L. GILLIAM
• 金额: $ 24.37万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-19 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8770908
• 关键词: Abortion Rates; Accounting; Address; Adherence; Adopted; African American; Age; Behavior; Behavioral; Belief; Birth; Chicago; Chlamydia; Clinic; Clinical Trials Design; Communication; Conceptions; Contraceptive Agents; Contraceptive Usage; Contraceptive methods; Counseling; Education; Educational Materials; Effectiveness; Effectiveness of Interventions; Elements; Failure; Focus Groups; Gonorrhea; Grant; HIV; HIV Infections; Health; Implant; Individual; Infertility; Injectable; Intervention; Intrauterine Devices; Knowledge; Life; Low income; Maintenance; Methods; Modeling; Morbidity - disease rate; Multimedia; Outcome; Participant; Patients; Phase; Planning Theory; Population; Pre-Post Tests; Preparation; Prevention strategy; Printing; Professional counselor; Randomized Controlled Trials; Relapse; Reproductive Health; Research; Risk Reduction; Self Efficacy; Sex Behavior; Sexual Health; Sexually Transmitted Diseases; Site; Staging; Tablets; Testing; Time; Training; Woman; Youth; base; behavior change; condoms; design; digital; experience; health disparity; health economics; improved; infant outcome; innovation; interest; member; mobile application; mortality; motivational enhancement therapy; novel; peer; pregnancy prevention; prevent; public health relevance; racial and ethnic; theories; unintended pregnancy; young woman

DESCRIPTION (provided by applicant): Preventing sexually transmitted infections including HIV (STI/HIV) and unintended pregnancies is critical to improving sexual and reproductive health and life outcomes for African Americans. The reproductive health disparities are severe. There is a need for novel interventions that address the unique challenges faced by young African American women, contextualizing both STI/HIV and pregnancy prevention efforts within their lives. The proposed research promotes dual protection, combining condoms with a highly effective contraceptive (e.g., intrauterine device, implant, injectable), by framing behavioral targets in terms of risk reduction, helping young women adopt optimal (e.g., "dual method") as well as suboptimal but effective behaviors (e.g., condoms alone -a single method that offers "dual protection"). The multimedia counseling intervention miPlan operationalizes the Transtheoretical Model and the Theory of Planned Behavior in order to encourage behavior change. In addition, motivational interviewing will inform the contraceptive counseling women receive and concomitant printed educational materials will help women maintain and prevent relapse for new behaviors. The project will proceed in two phases. In Phase I, we will assemble a 10-member stakeholder advisory team to adapt the PreCounselor app, originally developed as part of a grant from the Office of Population Affairs, to focus on dual protection. We will train reproductive health counselors and create concomitant printed educational materials. In Phase II, the feasibility, acceptability, and effectiveness of the intervention will be assessed through pre- and post-testing examining improvement in dual method use, enhancement of contraception adherence and continuation, increase of condom use, and decrease of STI/HIV infection. We hypothesize the young African American women who use the miPlan app will find it to be comprehensive, culturally tailored, and engaging, and that participation in the intervention will ultimately improve dual method use, contraceptive adherence and continuation, and decrease STI/HIV infection. If proven to be feasible and effective, a subsequent R01 application will be submitted to assess miPlan using a large-scale multiple clinic site RCT design.

描述（由申请人提供）：预防性传播感染，包括艾滋病毒（性病/艾滋病毒）和意外怀孕是至关重要的，以改善性和生殖健康和生活结果的非洲裔美国人。生殖健康方面的差距很大。有必要采取新的干预措施，解决年轻的非洲裔美国妇女所面临的独特挑战，在他们的生活中的性传播感染/艾滋病毒和预防怀孕的努力。拟议中的研究促进了双重保护，将避孕套与高效避孕药（例如，宫内避孕器、植入物、注射剂），在降低风险方面制定行为目标，帮助年轻妇女采用最佳（例如，“对偶方法”）以及次优但有效的行为（例如，单独使用避孕套-提供“双重保护”的单一方法）。多媒体咨询干预miPlan操作化的跨理论模型和计划行为理论，以鼓励行为改变。此外，动机访谈将告知避孕咨询妇女接受和伴随印刷的教育材料将帮助妇女保持和防止复发的新行为。该项目将分两个阶段进行。在第一阶段，我们将组建一个由10名成员组成的利益相关者咨询团队，以调整最初作为人口事务办公室赠款的一部分开发的PreCounselor应用程序，以专注于双重保护。我们将培训生殖健康顾问，并制作相应的印刷教育材料。在第二阶段，将通过前后测试来评估干预措施的可行性、可接受性和有效性，检查双重方法使用的改善情况、加强避孕的坚持和继续、增加避孕套的使用以及减少性传播感染/艾滋病毒感染。我们假设使用miPlan应用程序的年轻非洲裔美国妇女会发现它是全面的，文化定制的，参与干预最终将改善双重方法的使用，避孕的坚持和延续，并减少STI/HIV感染。如果证明可行且有效，将提交后续R 01申请，以使用大规模多临床试验机构RCT设计评估miPlan。