Structural Intervention to Promote HIV Care in Black Sexual Minority Men

促进黑人性少数男性艾滋病毒护理的结构性干预

• 批准号: 10684895
• 负责人: Darnell N Motley
• 金额: $ 14.27万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-17 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10684895
• 关键词: AIDS prevention; Address; Adult; Age; Attention; Award; Black race; Caring; Characteristics; Climate; Communities; Consolidated Framework for Implementation Research; Continuity of Patient Care; Data; Development; Economic Conditions; Economics; Elderly; Elements; Employee; Employment; Enrollment; Ensure; Feedback; Financial Support; Focus Groups; Goals; HIV; HIV Infections; HIV Seropositivity; Homelessness; Hour; Implementation readiness; Individual; Informal Social Control; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Knowledge; Language; Manuals; Measures; Mentorship; Methods; Minority; Minority Groups; Modeling; Occupations; Outcome; Outcome Study; Outcomes Research; Persons; Phase; Pilot Projects; Population; Poverty; Procedures; Process; Protocols documentation; Qualitative Research; Race; Randomized, Controlled Trials; Readability; Reading; Research; Research Personnel; Research Project Grants; Risk; Role; Sampling; Self Efficacy; Series; Supported Employment; Surveys; Testing; Treatment outcome; Unemployment; United States National Institutes of Health; Update; Viral; Visit; Work; Youth; acceptability and feasibility; aged; arm; barrier to care; career preparation; community organizations; computerized; cost effective; epidemic preparedness; experience; follow up assessment; follow-up; implementation context; implementation intervention; implementation outcomes; implementation science; improved; innovation; medication compliance; member; men employment; pilot trial; population health; prevention service; programs; racial discrimination; recruit; secondary outcome; sexual minority men; sixth grade; skills; success; therapy development; transgender women; treatment services; uptake; women of color

PROJECT SUMMARY The goals of this research project are to use the ADAPT-ITT framework to adapt elements of an existing career readiness interventions tailored to young SMM and trans women of color at-risk for HIV infection (Work2Prevent) to the needs of young Black SMM (YBSMM), ages 18-29, living with HIV. Once adapted, a pilot study of the intervention (Work2Prevent Plus; W2P+) will be conducted with 40 YBSMM to determine intervention feasibility, acceptability, and efficacy for improving care engagement. To ensure W2P+ can serve the needs of HIV-positive YBSMM, the research team will engage in a formative phase of adaptation, wherein quantitative and qualitative data will be collected from employers. A sample of potential employers (n=50) will complete a survey focused on challenges related to hiring and retaining individuals with a range of minority identities. A second sample (n = 20) of potential employers will complete an interview with project staff, where they will respond to vignettes focused on successes and challenges a hiring manager could encounter when trying to hire and retain employees who are YBSMM living with HIV. These data will inform the adaptation of W2P+. Next, a series of focus groups will be conducted with members of the population (n = 40) to identify what they most need in a career readiness intervention. More specifically, this phase will use the ADAPT-ITT framework to ensure the adapted intervention addresses the range of concerns associated with employment for YBSMM irrespective of HIV status. Next, the research team will conduct a theater test with 8 YBSMM aged 18-29 years old and 10 stakeholders serving YBSMM, wherein stakeholders will observe the administration of content from the existing interventions to identify which content should be retained, adapted, or replaced. Next, 3 to 5 experts on employment and treatment barriers will be asked for additional feedback for intervention revision. The feedback will be used for additional revision of W2P+. Finally, a computerized readability test will ensure that language used in the revised intervention manual and activities is accessible to a 6th grade reading level. After the intervention manual and delivery procedures with the ADAPT-ITT model are finalized, 40 YBSMM, ages 18-29, will be enrolled in a single arm pilot trial, with follow- up assessments at 6 and 12 months. The primary research outcomes for the pilot study are feasibility and acceptability. Additional outcomes include hours worked per week, job seeking self-efficacy, and proportion of missed HIV care visits. Further, we will use implementation science measures to identify the best approach for delivering the intervention in a CBO setting. Primary implementation outcomes are relative advantage of the intervention and implementation climate. Secondary outcome is readiness for implementation.

项目摘要 这个研究项目的目标是使用ADAPT-ITT框架来适应现有职业的元素 为有艾滋病毒感染风险的有色人种年轻SMM和跨性别妇女量身定制的准备干预措施 （Work 2 Prevent）满足18-29岁感染艾滋病毒的年轻黑人SMM（YBSMM）的需求。一旦适应， 将对40名YBSMM进行干预（Work 2 Prevent Plus; W2 P+）的试点研究，以确定 干预的可行性，可接受性和有效性，以改善护理参与。 为了确保W2 P+能够满足艾滋病毒阳性YBSMM的需求，研究团队将参与一个形成性的 适应阶段，将从雇主那里收集定量和定性数据。的样品 潜在雇主（n=50）将完成一项调查，重点关注与招聘和留住员工相关的挑战 具有各种少数民族身份的人。第二个潜在雇主样本（n = 20）将完成 与项目工作人员进行访谈，他们将在访谈中回答有关招聘成功和挑战的小插曲 经理在试图雇用和留住感染艾滋病毒的YBSMM员工时可能会遇到这种情况。这些 数据将通知W2 P+的适配。接下来，将与 人群（n = 40），以确定他们在职业准备干预中最需要什么。更具体地说， 第一阶段将使用ADAPT-ITT框架，以确保适应性干预措施能够解决一系列问题 与YBSMM的就业相关，无论艾滋病毒状况如何。接下来，研究小组将进行一项 剧场测试，8名18-29岁的YBSMM和10名为YBSMM服务的利益相关者，其中利益相关者 将观察现有干预措施的内容管理，以确定哪些内容应该 保留、调整或替换。接下来，将请3至5名就业和待遇障碍方面的专家 干预修订的额外反馈。反馈将用于W2 P+的额外修订。最后， 计算机化的可读性测试将确保修订后的干预手册和活动中使用的语言 可以达到六年级的阅读水平。在干预手册和交付程序之后， ADAPT-ITT模型最终确定后，40名年龄在18-29岁的YBSMM将入组一项单臂初步试验， 在6个月和12个月时进行评估。试点研究的主要研究成果是可行性和 可接受性其他结果包括每周工作时间，求职自我效能感， 错过了艾滋病护理访问。 此外，我们将使用实施科学措施来确定实现目标的最佳方法 在CBO环境中进行干预。主要实施成果是干预措施的相对优势， 执行气候。第二个结果是准备实施。