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

项目摘要 本申请是响应特别利益通知(NOSI)而提交的，而不是CA-23- 038.候选人Oluseye Ajayi是一名高级科学官员和预防顾问，在非 尼日利亚政府组织APIN公共卫生倡议。他申请的目标是 利用计划提供的受保护时间(1)建立和加强指导 通过与导师和共同导师的定期互动来传授关系和技能；(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)掌握以下技能 流行病学建模和人工智能；(5)建立研究协作网络和 有效协调多学科研究项目，以及(6)能够编写、保护和管理 资助进行研究以及撰写手稿，以便在影响较大的期刊上发表。 这项名为《英杰华-AI，构建人工智能的指导性方法》的研究计划旨在 利用人工智能(AI)匹配策略设计和集成面向客户的聊天机器人 用于改善艾滋病毒携带者妇女宫颈癌筛查的现有应用程序“英杰华” (WLWH)。在AIM 1中，我们将使用以下工具设计、部署聊天机器人并将其集成到英杰华应用程序中 一个多阶段的实施模式。在第一阶段，我们将收集WLWH的问题和关注 超过3个月的宫颈筛查和治疗，通过部署的实时社交媒体平台- WhatsApp，由虚拟支持医疗保健专业人员(HCP)操作。问题和回答 从社交媒体平台收集的信息将用于在线下构建预定义信息 聊天机器人。在第二阶段，建立的聊天机器人将被部署，供接收者实时在线使用 关怀(ROC)和人工智能--在小范围内匹配问题和关注，以及聊天机器人的响应 妇科肿瘤专家将在3个月内评估ROCS问题的适当性。 在第三阶段，聊天机器人将被扩大到在两个选定的州的艾滋病毒诊所使用。在……里面 目标2，我们将对WLWH聊天机器人的技术体验、行为进行简要评估 打算继续使用这项技术，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，虽然提议对创新进行全面评估(目标3) 在未来的赠款机会中实施。 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的基础上 尼日利亚和美国的导师和联合导师实现了这一培训和研究目标 程序。从长远来看，拟议的研究和培训活动将为应聘者提供 一套独特的经验技能，使他能够过渡到作为一名科学家的独立。

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.