Implementing HIV Evidence Based Interventions for African American Women in Church Settings

在教会环境中对非裔美国妇女实施基于艾滋病毒证据的干预措施

• 批准号: 9334940
• 负责人: Jennifer M Stewart
• 金额: $ 18.42万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-04 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9334940
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; African American; Age; Area; Award; Baltimore; Behavior; Belief; Church; Climate; Coitus; Communication; Communities; Complex; Data Analyses; Diabetes Mellitus; Diffusion; Diffusion of Innovation; Disease; Education; Effectiveness; Epidemic; Evidence based intervention; Factor Analysis; Frequencies; Goals; HIV; HIV diagnosis; HIV risk; Health Services; Heart Diseases; Hybrids; Individual; Influentials; Institution; Intervention; Knowledge; Life; Maintenance; Malignant Neoplasms; Mentors; Methodology; Methods; Modeling; National Institute of Mental Health; Obesity; Organizational Change; Outcome; Pattern; Pilot Projects; Play; Population; Predictive Factor; Preventive Intervention; Program Development; Public Health; Qualitative Methods; Readiness; Religion and Spirituality; Reporting; Research; Research Personnel; Research Training; Risk Reduction; Role; Services; Sister; Site; Social Network; System; Testing; Training; Woman; Work; aged; base; behavioral outcome; career; community setting; consistent condom use; design; evidence base; implementation science; innovation; patient oriented research; peer; prevent; public health relevance; research and development; self help; sex; social; social stigma; success; synergism; therapy development; trend; uptake

 DESCRIPTION (provided by applicant): The primary training objectives of the proposed K23 Mentored Patient-Oriented Research Development Award is to develop expertise in advanced quantitative methods and multilevel data analysis, implementation science and social network methodologies. This will build on my existing training in qualitative methods, community based approaches, and African American church based research on development of interventions to prevent HIV. My long-term objective is to become an independent investigator and to use the proposed study to support a R01. I will have the support of an interdisciplinary team of experts in my proposed areas of training including Drs. Carl Latkin, David Celentano, Patricia Davidson, and Loretta Sweet Jemmott. The research portion of this application aims to test the effect of the addition of a peer education network intervention, Self Help in Eliminating Life-Threatening Disease (SHIELD)75 as an implementation strategy to promote acceptability and maintenance of Sister to Sister an evidence based HIV risk reduction intervention for African American women between the ages of 18-44 in church settings and to examine the role of organizational variables on implementation. The study is framed by an integrated version of the Diffusion of Innovations Model (DIM)76 and the Practical, Robust, Implementation and Sustainability Model (PRISM)25, which looks at implementation and maintenance from a multi-level approach. For Aim 1 we will use a hybrid type 2 effectiveness-implementation design and test the effect of the addition of SHIELD on the behavioral outcomes of consistent condom use and number of unprotected sexual intercourse acts, and the implementation outcomes of acceptability and maintenance of the intervention. In Aim 2 we will used a mixed methods convergent parallel design57 to examine the organizational factors contributing to implementation. The importance of this study cannot be understated. Disproportionately high rates of HIV continue to persist among African American women. Despite the availability of several evidence-based interventions to reduce rates of HIV, there is a significant gap in scientific knowledge on how to implement these interventions effectively into influential community settings for long-term use. With additional training, I will be able to bridge this gap. The public health significance of the proposed researc is crucial, as finding ways to successfully implement and sustain interventions can make a substantial impact on prevention of HIV. This study also supports the National HIV/AIDS Strategy (NHAS) 73 to engage the faith community in HIV risk reduction and supports NIMH's goals to identify ways to distribute health services across service sectors that will produce the greatest synergy and best outcomes.74This study's innovation lies in its aim to expand HIV prevention efforts through the engagement of nontraditional sites for implementation of evidence based HIV risk reduction interventions for African Americans.

 描述（由申请人提供）：拟议的K23指导以患者为导向的研究开发奖的主要培训目标是发展先进的定量方法和多层次数据分析，实施科学和社会网络方法的专业知识。这将建立在我现有的定性方法，社区为基础的方法，和非洲裔美国人教会为基础的研究干预措施，以预防艾滋病毒的发展培训。我的长期目标是成为一名独立研究者，并使用拟定的研究来支持R 01。我将得到一个跨学科专家团队的支持，他们将在我建议的培训领域提供支持，包括卡尔·拉特金博士、大卫·塞伦塔诺博士、帕特里夏·戴维森博士和洛蕾塔·斯威特·杰莫特博士。本申请的研究部分旨在测试添加同伴教育网络干预的效果，自助消除危及生命的疾病（SHIELD 75）作为一项执行战略，以促进18岁至19岁的非洲裔美国妇女接受和维持姐妹互助方案，这是一项以证据为基础的减少艾滋病毒风险的干预措施。44在教会环境中，并研究组织变量对实施的作用。这项研究的框架是创新传播模型76和实用、稳健、实施和可持续性模型25的综合版本，该模型从多层次的方法看待实施和维护问题。对于目标1，我们将使用混合型2有效性-实施设计，并测试添加SHIELD对持续使用安全套的行为结果和无保护性交行为数量的影响，以及干预措施的可接受性和维持的实施结果。在目标2中，我们将使用混合方法收敛并行设计57来检查有助于实现的组织因素。这项研究的重要性不能低估。非裔美国妇女的艾滋病毒感染率仍然居高不下。尽管有几种循证干预措施可以降低艾滋病毒感染率，但在如何将这些干预措施有效地落实到有影响力的社区环境中以供长期使用方面，科学知识存在重大差距。通过进一步的培训，我将能够弥合这一差距。拟议研究的公共卫生意义至关重要，因为找到成功实施和维持干预措施的方法可以对预防艾滋病毒产生重大影响。这项研究还支持国家艾滋病毒/艾滋病战略（NHAS）73让宗教团体参与降低艾滋病毒风险，并支持NIMH的目标，即确定在服务部门之间分配卫生服务的方法，以产生最大的协同作用和最佳结果。74这项研究的创新在于其目的是通过参与非传统场所实施基于证据的艾滋病毒风险来扩大艾滋病毒预防工作。减少对非裔美国人的干预。