The CHESS (Community, Home-based Education, Screening Services) Strategy to increase cervical cancer control access for HIV positive women in Nigeria

CHESS（社区、家庭教育、筛查服务）战略旨在增加尼日利亚艾滋病毒阳性妇女获得宫颈癌控制的机会

• 批准号: 10846292
• 负责人: LISA C. FLOWERS
• 金额: $ 12.5万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10846292
• 关键词: Acetic Acids; Adopted; Adoption; Artificial Intelligence; Attitude; Awareness; Behavior Therapy; Behavioral; Cancer Control; Caring; Cervical Cancer Screening; Cervix Uteri; Client; Clinic; Cold Therapy; Collaborations; Communication; Communities; Country; Databases; Decision Aid; Decision Making; Diagnosis; Education; Effectiveness; Evaluation; Focus Groups; Future; Goals; Grant; Gynecologic Oncologist; HIV; HIV Seropositivity; Health; Health Personnel; Health Professional; Health Status; Health care facility; Home; Image; Infrastructure; Intention; Interdisciplinary Study; Iodine; Journals; Lesion; Malignant neoplasm of cervix uteri; Manuscripts; Mentors; Modality; Modeling; Mothers; Nigeria; Nigerian; Nongovernmental Organizations; Nurses; Patient Monitoring; Patients; Perception; Phase; Physicians; Prevention; Public Health; Public Health Practice; Publications; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Receiver Operating Characteristics; Reporting; Research; Research Activity; Research Personnel; Research Project Grants; Resource-limited setting; Risk; Sampling; Science; Scientist; Secure; Series; Services; Site; Stains; Technology; Telephone; Testing; Time; Training; Training Activity; Translating; Visual; Woman; Women' s Group; Work; World Health Organization; Writing; care recipients; chatbot; clinical epidemiology; compliance behavior; design; diagnostic accuracy; epidemiological model; epidemiology study; experience; follow-up; global health; health care settings; implementation framework; implementation process; improved; innovation; interest; peer; premalignant; programs; psychosocial; response; satisfaction; scale up; screening; screening services; skill acquisition; skills; social media; statistics; treatment services; treatment strategy; virtual

Project Summary This application is being submitted in response to the Notice of Special Interest (NOSI), NOT-CA-23- 038. The candidate, Oluseye Ajayi, is a Senior Science Officer and Prevention Advisor in a non - governmental organization, APIN Public Health Initiatives, in Nigeria. The goals of his application are to use the protected time provided through the program to (1) Build and strengthen mentoring relationships and skills transfer through regular interactions with mentors and co-mentors; (2) Acquire experiential skills in clinical epidemiologic research, and be able to translate this to public health practice (3) Conduct the rigorous research proposed in the application; (4) Acquire skills in epidemiological modeling, and artificial intelligence; (5) Establish research collaboration network and effectively coordinate multidisciplinary research projects, and (6) Be able to write, secure, and manage grants to conduct studies as well as write manuscripts for publication in high-impact journals. The proposed research titled “AVIVA-AI, Mentored Approach to Building Artificial Intelligence” is aimed at utilizing artificial intelligence (AI) matching strategy to design and integrate a client-oriented chatbot to an existing app "AVIVA" used in improving cervical cancer screening among women living with HIV (WLWH) in Nigeria. In AIM 1, we will design, deploy and integrate the chatbot into the AVIVA app using a multi-stage implementation model. In stage 1, we will gather WLWH questions and concerns about cervical screening and treatment over 3 months, through a deployed real-time social media platform- WhatsApp, manned by virtual support health care professionals (HCP). The questions and responses gathered from the social media platform will be used to build pre-defined information on an offline chatbot. In stage 2, the built chatbot will be deployed for real-time online utilization by the recipient of care (ROCs) and AI-matching of questions and concerns on a small scale, and the chatbot response appropriateness to ROCs questions will be assessed over 3 months by expert gynecologic-oncologist. In stage 3, the chatbot will be scaled up for utilization across HIV clinics in the two selected states. In AIM 2, we will conduct a brief assessment of WLWH Chatbot technology experience, behavioral intention to continue using the technology, and their perception of technology scalability among WLWH in HIV settings in Nigeria, while the full evaluation of the innovation (AIM 3) is proposed for implementation in future grant opportunities. This application builds on the candidate’s background experience and the expertise of his team of mentors and co-mentors in Nigeria and the US to achieve the training and research goals of this program. In the long term, the proposed research and training activities will provide the candidate with a unique set of experiential skills that will enable him to transition to independence as a scientist.

项目摘要 本申请是为了响应特别利益通知（NOSI），NOT-CA-23- 038.候选人Oluseye Ajayi是一名高级科学官员和预防顾问， 在尼日利亚的APIN公共卫生倡议。他申请的目的是 利用该计划提供的受保护的时间（1）建立和加强指导 通过与导师和共同导师的定期互动，建立关系并传授技能;（2）获得 临床流行病学研究的经验技能，并能够将其转化为公共卫生 实践（3）进行申请中提出的严格研究;（4）获得以下技能 流行病学建模和人工智能;（5）建立研究合作网络， 有效地协调多学科研究项目，（6）能够编写，安全和管理 赠款开展研究以及撰写在高影响力期刊上发表的手稿。 这项名为“AVIVA-AI，构建人工智能的指导方法”的研究旨在 在利用人工智能（AI）匹配策略，设计和集成面向客户端的聊天机器人 现有的应用程序“AVIVA”用于改善感染艾滋病毒的妇女的宫颈癌筛查 （WLWH）在尼日利亚。在AIM 1中，我们将使用 多阶段实施模型。在第一阶段，我们将收集WLWH的问题和关注点， 通过部署的实时社交媒体平台，在3个月内进行宫颈筛查和治疗- WhatsApp，由虚拟支持医疗保健专业人员（HCP）操作。问题和答复 从社交媒体平台收集的信息将用于在离线平台上构建预定义的信息。 聊天机器人在第2阶段，构建的聊天机器人将被部署用于接收者的实时在线使用。 护理（ROC）和人工智能-小规模匹配问题和关注点，以及聊天机器人响应 将由妇科肿瘤专家在3个月内评估ROC问题的适当性。 在第三阶段，聊天机器人将扩大规模，供两个选定州的艾滋病诊所使用。在 目的2，我们将对WLWH聊天机器人技术经验、行为 继续使用该技术的意图，以及他们对WLWH中技术可扩展性的看法 在尼日利亚的艾滋病毒环境中，同时建议对创新（AIM 3）进行全面评估， 在未来的机遇中。 此应用程序建立在候选人的背景经验和他的团队的专业知识， 导师和共同导师在尼日利亚和美国，以实现培训和研究目标，这 程序.从长远来看，拟议的研究和培训活动将为候选人提供 一套独特的经验技能，使他能够过渡到独立的科学家。