Developing Computer-Based STI/HIV Prevention Interventions for Hispanic Women

为西班牙裔妇女制定基于计算机的性传播感染/艾滋病毒预防干预措施

• 批准号: 8633339
• 负责人: Josefina Jayme Card
• 金额: $ 7.2万
• 依托单位: SOCIOMETRICS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8633339
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adult; Affect; Behavior; Behavioral; Cause of Death; Centers for Disease Control and Prevention (U.S.); Clinic; Clip; Cognitive Therapy; Commit; Communication; Communities; Computer Literacy; Computer software; Computers; Development; Elements; English Language; Epidemic; Grant; HIV; HIV Infections; HIV risk; HIV/STD; Health; Health Services; Health education; Hispanics; Human; Individual; Information Technology; Intervention; Knowledge; Language; Latina; Latino; Lead; Life; Meta-Analysis; Minority; Multimedia; Phase; Population; Prevention program; Preventive Intervention; Production; Randomized; Randomized Controlled Trials; Research; Research Personnel; Resistance; Risk; Risk Behaviors; Schedule; Science; Services; Sexual Partners; Social Network; Tablet Computer; Target Populations; Telephone; Testing; Texas; Time; Training; Update; Woman; aged; animation; base; cost; cost effectiveness; design; efficacy trial; evidence base; flexibility; innovation; member; men; prevention service; programs; prototype; response; sexual coercion; sexual risk taking; therapy design; usability; web site

ABSTRACT Latinas have been disproportionately affected by HIV/AIDS since the beginning of the epidemic. Nearly 19% of women living with HIV/AIDS are Latina, even though Latinas constitute only 16% of US women, and HIV/AIDS is the fourth leading cause of death in Latinas aged 35-44. In 2006, Latinas represented one-quarter of new HIV infections in women, a rate of HIV infection four times higher than that of white women. While some behavioral prevention interventions tailored for Latinas have shown efficacy in reducing sexual risk, their successful replication has been hampered by cost, implementation challenges, and participation retention. At the same time, a new wave of computer-delivered interventions has emerged in the past few years, but none of these programs are tailored for adult Latinas or available in Spanish language versions. This project will address these gaps by continuing development of and conducting a randomized controlled efficacy trial on culturally tailored, English and Spanish language, computer-delivered versions of Project SAFE, an existing efficacious HIV prevention program for minority women. The resulting product will (1) make an efficacious HIV prevention intervention widely available to service agencies at low cost; (2) facilitate faithful program implementation (i.e., by means of a computer) with minimal staff involvement; (3) promote target population participation by permitting sensitive topics to be addressed privately (i.e., one-on-one with the computer) and according to a flexible schedule; and, (4) reduce sexual risk-taking behavior and HIV infection rates among Latinas, who are disproportionately affected by the HIV/AIDS epidemic.

抽象的 自艾滋病毒/艾滋病流行以来，拉丁美洲人受到的影响尤为严重。感染艾滋病毒/艾滋病的女性中有近 19% 是拉丁裔，尽管拉丁裔仅占美国女性的 16%，而且艾滋病毒/艾滋病是 35-44 岁拉丁裔的第四大死因。 2006年，拉丁裔女性占新增艾滋病毒感染女性的四分之一，其艾滋病毒感染率是白人女性的四倍。虽然一些针对拉丁裔的行为预防干预措施已显示出降低性风险的功效，但其成功复制受到成本、实施挑战和参与保留的阻碍。与此同时，过去几年出现了新一波计算机干预措施，但这些程序都不是为成人拉丁裔量身定制的，也没有西班牙语版本。该项目将通过继续开发和开展随机对照功效试验来弥补这些差距，该试验针对文化定制的英语和西班牙语计算机交付版本的 Project SAFE（一项针对少数族裔妇女的现有有效艾滋病毒预防计划）。由此产生的产品将 (1) 以低成本向服务机构广泛提供有效的艾滋病毒预防干预措施； (2) 以最少的人员参与促进忠实的计划实施（即通过计算机）； (3) 通过允许私下讨论敏感话题（即通过计算机一对一）并根据灵活的时间表来促进目标人群的参与； (4) 减少拉丁裔的性冒险行为和艾滋病毒感染率，因为他们受到艾滋病毒/艾滋病流行的影响尤为严重。