HIV Prevention Tablet for Minority-Focused Effective Behavioral Interventions

用于针对少数群体的有效行为干预的艾滋病毒预防平板电脑

• 批准号: 8730377
• 负责人: Thi Truong Avrahami
• 金额: $ 22.5万
• 依托单位: SOCIOMETRICS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-23 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8730377
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Adopted; Adoption; Affect; African American; American Indian and Alaska Native; Asian Americans; Behavior Therapy; Bisexual; Caring; Centers for Disease Control and Prevention (U.S.); Communities; Community Health; Community Practice; Computer software; Diffusion; Disadvantaged; Effectiveness; Elements; Ensure; Epidemic; Evaluation; Gays; HIV; Hawaiian population; Health; Healthcare; Hispanic Americans; Incidence; Individual; Internet; Intervention; Learning; Life; Link; Marketing; Methodology; Minority; Minority Groups; Needs Assessment; Outcome; Pacific Island Americans; Phase; Population; Population Group; Population Heterogeneity; Preparation; Prevalence; Prevention; Prevention program; Process; Program Evaluation; Provider; Research; Resources; Risk Behaviors; Running; Science; Scientist; Solutions; Staging; Tablet Computer; Tablets; Technology; Testing; Training; United States National Institutes of Health; Weight; Work; base; cost; design; digital; field study; health disparity; high risk; improved; improved mobility; interest; intervention program; medically underserved; medically underserved population; men who have sex with men; minority health; mobile application; named group; product development; programs; prototype; public health relevance; rural area; socioeconomics; success; tool; transmission process; urban area; usability; web site

DESCRIPTION: NIH and CDC continue to prioritize efforts to decrease HIV transmission rates and increase care for people living with HIV, especially among minority populations that are disproportionately carrying the weight of the epidemic. Despite the success of effective behavioral interventions (EBIs) among diverse high-risk populations and significant resources dedicated to replicating them, many factors still obstruct the wide dissemination and sustained implementation of these EBIs, such as lack of technical assistance, organizational capacity, staff buy-in, program fit, and challenges to adaptation. Harnessing the recent proliferation of mobile tablet computers and their increasing use in pedagogy and healthcare, this project will leverage the specific benefits afforded by tablets (personalization, connectedness, mobility, and improved learning outcomes) to improve the implementation and diffusion of HIV prevention EBIs aimed at populations of special interest to NIH's National Center for Minority Health and Health Disparities (NCMHD). These population groups include "racial and ethnic minorities (African Americans, American Indians, Alaska Natives, Asian Americans, Hispanic Americans, Native Hawaiians and other U.S. Pacific Islanders), socioeconomically disadvantaged individuals, and medically underserved individuals residing in rural and urban areas" (NCMHD website). We will develop a self- contained application, Prevention Tablet (PTab), to help program facilitators overcome identified barriers to implementation. PTab will be the first mobile application to be designed especially for EBI facilitators working in real-world settings. Facilitators can use PTab on a tablet computer anytime, anywhere to access all program content as well as core features tailored for their current tasks, whether preparing for implementation, while running a session, or immediately after a session. PTab will have tools like digital note-taking, reminders to prepare materials, on-screen timers for session outlines to ensure coverage of core elements, and digital forms to streamline process evaluation. With an Internet connection, facilitators will have access to supplementary content, training refreshers, and strategies from other program facilitators through integrated links to an online community of practice. In Phase I, we will test the feasibility of the PTab concept by: conducting a needs assessment of EBI managers and implementers, building a prototype Prevention Tablet for one minority- focused HIV prevention program, and usability testing the prototype with representatives of PTab's target market. If PTab proves feasible and useful, we will submit a Phase II proposal to: improve the design and usability of PTab based on the Phase I usability study; conduct a field study to assess if and how access to PTab improves organizational adoption of EBIs, implementation fidelity, and sustainability; and develop PTab modules for 10-15 select minority-focused HIV prevention EBIs.

产品说明：美国国立卫生研究院和疾病预防控制中心继续优先努力降低艾滋病毒传播率，增加对艾滋病毒感染者的护理，特别是在不成比例地承受艾滋病负担的少数群体中。尽管有效的行为干预（EBI）在不同的高风险人群中取得了成功，并投入了大量的资源来复制它们，但许多因素仍然阻碍了这些EBI的广泛传播和持续实施，例如缺乏技术援助，组织能力，员工购买，计划适合和适应挑战。利用最近移动的平板电脑的激增及其在教育和医疗保健中的日益广泛的使用，该项目将利用平板电脑提供的具体好处（个性化，连通性，移动性和改善的学习成果），以改善针对NIH国家少数民族健康和健康差异中心（NCMHD）特别感兴趣的人群的艾滋病毒预防EBI的实施和传播。这些人口群体包括“种族和族裔少数群体（非裔美国人、美洲印第安人、阿拉斯加原住民、亚裔美国人、西班牙裔美国人、夏威夷原住民和其他美国太平洋岛民）、社会经济弱势群体以及居住在农村和城市地区的医疗服务不足的个人”（国家医疗卫生和人口中心网站）。我们将开发一个独立的应用程序，预防平板电脑（PTab），以帮助计划主持人克服已确定的障碍，实施。PTab将是第一个专门为在现实环境中工作的EBI促进者设计的移动的应用程序。辅导员可以随时随地在平板电脑上使用PTab，访问所有计划内容以及为其当前任务量身定制的核心功能，无论是准备实施，还是在运行课程时，还是在课程结束后立即访问。PTab将有数字笔记，提醒准备材料，屏幕上的会议大纲计时器，以确保核心要素的覆盖面，以及数字表格，以简化过程评估等工具。有了互联网连接，辅导员将有机会获得补充内容，培训刷新，并通过集成链接到实践的在线社区从其他程序辅导员的策略。在第一阶段，我们将通过以下方式测试PTab概念的可行性：对EBI管理者和实施者进行需求评估，为一个以少数群体为重点的艾滋病毒预防项目构建预防平板电脑原型，并与PTab目标市场的代表一起对原型进行可用性测试。如果PTab被证明是可行和有用的，我们将提交一份第二阶段的建议：根据第一阶段的可用性研究，改进PTab的设计和可用性;进行实地研究，以评估PTab的访问是否以及如何改善组织采用EBI，实施保真度和可持续性;并为10-15个选择的以少数民族为重点的艾滋病毒预防EBI开发PTab模块。