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: 8916010
• 负责人: Patricia Flynn Weitzman
• 金额: $ 32.14万
• 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 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8916010
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Address; Advertisements; Affect; African American; Age; Aging; American; Awareness; Blueberries; Boston; Cellular Phone; 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; 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）：老年妇女（50岁以上）占美国艾滋病毒/艾滋病人口的近三分之一，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，特别是非洲裔美国人和拉丁美洲妇女制定一种对文化敏感、针对性别和年龄适当的艾滋病毒预防干预措施，这些妇女感染艾滋病毒/性传播疾病的风险很高。我们的目标人群是越来越多的离婚/分居老年妇女，她们的干预措施尚未开发，并且由于队列和社会背景因素，她们可能没有意识到自己面临风险，并且比单身（从未结婚）妇女更有可能放弃避孕套的使用。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，测试和商业化一个积极的基于心理学的“智能网络”干预措施，以促进文化多样性的老年离婚或分居妇女中的幸福和安全性行为，这些妇女正在约会或计划约会。第二阶段的具体目标是：1）创建SmartWeb干预; 2）在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干预制定营销和商业化计划。 与我们的第一阶段目标一致，即，开发内容以解决M-AARM理论模型的第1-3阶段，拟议的第II阶段包括解决M-AARM第4-5阶段的新组件。第二阶段还对第一阶段的评价结果作出反应，包括对移动的访问、成员资格的愿望;与妇女健康、积极老龄化、文化多样性社区的艾滋病毒/性传播疾病预防、安全性行为谈判战略和灰色离婚方面的专家进行视频访谈;在线社区，积极心理学为基础的自我效能和影响提升电子邮件，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1-3阶段。 我们通过与马萨诸塞州波士顿和哥伦比亚南卡罗来纳州（随机对照试验的地点）的合作伙伴关系支持这些努力。参与伙伴包括提供商业化支持的伙伴（Global Protection Corp、USC哥伦比亚孵化器、SC Launch、Moker CPCA），波士顿招聘和营销支持（新英格兰50岁以上艾滋病毒协会，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、南卡罗来纳州北部艾滋病协会、低地艾滋病服务、南卡罗来纳州联合之路协会、南卡罗来纳州初级保健协会、南卡罗来纳州哥伦比亚住房管理局、棕榈艾滋病生命支持服务），以及内容和技术开发与支持（南卡罗来纳州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）。