Testing scalable, IVR-supported cancer prevention interventions for SGM in the rural Alabama Black Belt

这项拟议的研究与特别关注通知NOT-OD-22-032是一致的。在这个管理部门中 补充，我们将建立在我们正在进行的R01家长资助的基础设施[]- 专注于 增加普通人群的体力活动[1]。列出的具体研究领域 特别关注的通知，我们将使用“方法和战略创新，以改善招聘和 在任何研究活动中保留性少数群体和性别少数群体(SGM)个人。 NCT03903874深 South Interactive Voice Response(IVR)-支持主动生活方式(Dial)干预-即 这项研究具有重要意义 因为研究表明，在SGM中，与缺乏运动相关的慢性病的比率甚至更高 与他们的异性恋同龄人相比。造成这种差异的原因是特定于SGM的 除障碍外，身体活动的障碍(例如，害怕更衣室的歧视性互动) 普通民众的经验(例如，有限的时间、承诺)。这些障碍进一步加剧 在南方腹地，特别报告员社区普遍遭受耻辱和歧视。…的状态 阿拉巴马州继续有歧视性法律(例如，将艾滋病毒/艾滋病定为刑事犯罪，#年缺乏LGBTQ主题 学校、LGBTQ父母在收养和寄养安置中被排除在外)，这些因素导致了大量的精神 以及SGM成年人的身体健康负担。考虑到有可能解决一系列危重健康问题 通过增加体力活动的结果，迫切需要新的动态方法，因此我们 建议在现有家长奖励的基础上：阶段1(6个月)-与20名高级副总裁进行电话采访 居住在阿拉巴马州黑带县农村的成年人，以确定目前招募的哪些方面 应调整保留策略和干预内容。第二阶段(6个月)- 与我们的社区合作伙伴、学术专家和IVR合作完成拨号干预 采访中的真知灼见将呈现给我们的 利益相关者在虚拟研讨会中接收反馈，并进一步告知干预措施的适应 程序和内容。研讨会结束后，来自家长Grant的IVR开发人员将与他的 编程团队模拟 负责实施的开发人员和编程团队。 O 经调整的干预内容的测试版，用于在 随后的研讨会。将使用反馈来最终确定实施的干预内容更改。 在完成为期12个月的行政补充后，我们将定位于R34申请 对新调整的体力活动干预进行最终可用性测试和试点试验，以解决 南方腹地农村SGM人口之间的健康差距。

This proposed research is consistent with the Notice of Special Interest NOT-OD-22-032. In this administrative supplement, we will build on the infrastructure of our ongoing R01 parent grant [ ] – the focused on increasing physical activity among the general population [1]. Per the specific areas of research listed in the Notice of Special Interest, we will use “methodological and strategic innovations to improve the recruitment and retention of sexual and gender minority (SGM) individuals in any research activity.” NCT03903874 Deep South Interactive Voice Response (IVR)-supported Active Lifestyle (DIAL) intervention - that is This research is important because studies have shown that rates of inactivity-related chronic conditions are even higher among SGM populations compared to their heterosexual counterparts. Contributing to this disparity are SGM-specific barriers to physical activity (e.g., fear of discriminatory interaction in locker rooms) in addition to barriers experience by the general population (e.g., limited time, commitment). These barriers are further exacerbated by pervasive stigma and discrimination experienced by SGM communities in the Deep South. The state of Alabama continues to have discriminatory laws (e.g., HIV/AIDS criminalization, lack of LGBTQ topics in schools, exclusions of LGBTQ parents in adoption and foster placement) which contribute to massive mental and physical health burdens among SGM adults. Given the potential to address a range of critical health outcomes by increasing physical activity, new dynamic approaches are urgently needed, and we therefore propose building on the current parent award to: Phase 1 (6 months) - Conduct phone interviews with 20 SGM adults living in the rural Black Belt counties of Alabama to determine what aspects of the current recruitment and retention strategies, as well as intervention content, should be adapted. Phase 2 (6 months) - Finalize the DIAL intervention in collaboration with our community partners, academic experts, and IVR The insights from the interviews will be presented to our stakeholders in a virtual workshop to receive feedback and further inform the adaptation of intervention procedures and content. Following the workshop, ur IVR developer from the parent grant will work with his programming team to mock-up the developer and programming team for implementation. o beta version of adapted intervention content for review and feedback at a subsequent workshop. Feedback will be used to finalize intervention content changes for implementation. Upon completion of the 12-month administrative supplement, we will be positioned for an R34 application to conduct final usability testing and a pilot trial of the newly adapted physical activity intervention to address health disparities amongst rural SGM populations in Deep South.