Native iCHAMPS: An Innovative Online Decision Support System for Increasing Implementation of Effective Sexual Health Education in Tribal Communities

Native iCHAMPS：一种创新的在线决策支持系统，用于在部落社区加强有效的性健康教育的实施

• 批准号: 9895376
• 负责人: Christine Margaret Markham
• 金额: $ 24.6万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-02-01 至 2021-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9895376
• 关键词: Address; Adopted; Adoption; Alaska Native; American Indians; Area; Arizona; Attitude; Birth Rate; Communities; Decision Support Systems; Development; Education; Educational Intervention; Effectiveness; Ethnic group; Evidence based intervention; Geography; Goals; HIV; HIV Infections; Health; Health Educators; Health Promotion; Health education; Human Resources; Individual; Internet; Intervention; Knowledge; Logistics; Maintenance; Modeling; Organizational Policy; Population; Pregnancy in Adolescence; Prevention education; Process; Randomized; Randomized Controlled Trials; Readiness; Reproductive Health; Research; Resources; Sampling; Schools; Self Efficacy; Sex Education; Sexual Health; Sexually Transmitted Diseases; Site; Texas; Training; Translating; Tribal Council; Universities; base; design; digital; disparity reduction; experience; health disparity; high risk; implementation strategy; innovation; native youth; population health; pregnancy prevention; programs; racial and ethnic; teen birth; theories; tool; tribal community; tribal health; uptake; usability

Native iCHAMPS: An Innovative Online Decision Support System for Increasing Implementation of Effective Sexual Health Education in Tribal Communities ABSTRACT American Indian and Alaska Native (AIAN) youth experience serious disparities in sexual and reproductive health. These disparities may be ameliorated by the implementation of effective sexual health education. Yet, multiple factors, such as lack of access to culturally-relevant evidence-based interventions (EBIs), limited trained personnel, cultural barriers, and geographic isolation, hinder the adoption and implementation of effective sexual health EBIs in tribal communities. The goal of this R21 study is to adapt and assess the feasibility of an innovative online decision support system (DSS), Native iCHAMPS, as an effective implementation strategy to facilitate the adoption and implementation of sexual health EBIs in AIAN communities. We propose to adapt iCHAMPSS (CHoosing And Maintaining Effective Programs for Sex Education in Schools), a theory-based, online DSS developed by our research team to increase uptake and implementation of sexual health EBIs in Texas schools. Grounded in dissemination and implementation (D&I) theories, iCHAMPSS comprises 60+ tools to provide step-by-step guidance to overcome D&I barriers for sexual health education. Shown to impact critical determinants of EBI adoption and implementation and to mobilize school personnel to obtain board approval and implement a sexual health EBI, iCHAMPSS serves as an excellent implementation strategy to adapt for AIAN communities. AIAN stakeholders (n=35) rated iCHAMPSS as acceptable, easy to use, credible, appealing, and more helpful than current resources for EBI adoption and implementation in AIAN communities. Yet, because iCHAMPSS was designed specifically for Texas schools, the underlying DI& processes may not adequately reflect D&I processes in AIAN communities. Indeed, AIAN stakeholders recommended adaptations to iCHAMPSS to better reflect the needs and values of tribal communities. Our long-term goal is to reduce teen pregnancy, STI/HIV among AIAN youth by increasing the adoption, implementation, and maintenance of culturally-relevant sexual health EBIs in AIAN communities. In this R21 study, we propose to adapt the existing iCHAMPSS conceptual model and DSS to address barriers and facilitators to the adoption, implementation, and maintenance of sexual health education EBIs in AIAN communities (Native iCHAMPS), identify strategies to optimize its adoption and implementation, and assess the feasibility and impact of adopting and implementing Native iCHAMPS among a sample of heterogeneous and geographically disparate AIAN stakeholders (n=45) across the U.S. The study is innovative as it informs a culturally relevant, conceptual D&I model for sexual health EBIs in AIAN communities, and translates that model as a practical cross-platform digital DSS (Native iCHAMPS) to increase D&I capacity in geographically isolated, low-resource AIAN communities. It is significant because it advances use of culturally-relevant sexual health EBIs, thus impacting population health for underserved, high-risk AIAN youth. Findings will inform a randomized multisite R01 trial to assess the effectiveness of Native iCHAMPS in AIAN communities.

Native iCHAMPS：一种创新的在线决策支持系统，可提高 在部落社区实施有效的性健康教育 抽象的 美洲印第安人和阿拉斯加原住民 (AIAN) 青年在性和生殖方面经历着严重的差异 健康。实施有效的性健康教育可以改善这些差异。然而， 多种因素，例如缺乏获得与文化相关的循证干预措施（EBI）的机会，有限 训练有素的人员、文化障碍和地理隔离阻碍了方案的采用和实施 部落社区中有效的性健康 EBI。这项 R21 研究的目标是适应和评估 创新在线决策支持系统 (DSS) Native iCHAMPS 作为有效的 促进 AIAN 性健康 EBI 的采用和实施的实施战略 社区。我们建议调整 iCHAMPSS（选择和维护有效的性计划） Education in Schools），这是我们的研究团队开发的基于理论的在线 DSS，旨在提高采用率和 在德克萨斯州学校实施性健康 EBI。立足于传播和实施 (D&I) iCHAMPSS 包含 60 多个工具，为克服 D&I 障碍提供分步指导 性健康教育。经证明可以影响 EBI 采用和实施的关键决定因素，并 动员学校人员获得董事会批准并实施性健康 EBI，iCHAMPSS 充当 适应 AIAN 社区的出色实施策略。 AIAN 利益相关者 (n=35) 评级 iCHAMPSS 是可以接受的、易于使用的、可信的、有吸引力的，并且比当前的 EBI 资源更有帮助 AIAN 社区的采用和实施。然而，因为 iCHAMPSS 是专门为 德克萨斯州学校的基础 DI& 流程可能无法充分反映 AIAN 社区中的 D&I 流程。 事实上，AIAN 利益相关者建议对 iCHAMPSS 进行调整，以更好地反映 部落社区。我们的长期目标是通过增加 在 AIAN 社区中采用、实施和维护与文化相关的性健康 EBI。 在这项 R21 研究中，我们建议调整现有的 iCHAMPSS 概念模型和 DSS 以解决障碍 AIAN 中性健康教育 EBI 的采用、实施和维护的促进者 社区（本地 iCHAMPS），确定优化其采用和实施的策略，并评估 在异构样本中采用和实施本机 iCHAMPS 的可行性和影响 以及遍布美国各地的 AIAN 利益相关者 (n=45)。这项研究具有创新性，因为它为 AIAN 社区中性健康 EBI 的文化相关性、概念性 D&I 模型，并将其转化为 模型作为实用的跨平台数字 DSS（本地 iCHAMPS），以提高地理上的 D&I 能力 偏僻、资源匮乏的 AIAN 社区。它很重要，因为它促进了文化相关的使用 性健康 EBI，从而影响服务不足、高风险 AIAN 青年的人口健康。调查结果将 为一项随机多中心 R01 试验提供信息，以评估 Native iCHAMPS 在 AIAN 社区中的有效性。