Using Multimedia Technologies to Disseminate an HIV Prevention Intervention

利用多媒体技术传播艾滋病毒预防干预措施

• 批准号: 7626796
• 负责人: Susan S Witte
• 金额: $ 60.2万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-11 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7626796
• 关键词: AIDS prevention; Adherence; Adoption; Arts; Attention; Behavioral; Behavioral Research; Budgets; Centers for Disease Control and Prevention (U.S.); Client; Client satisfaction; Clinical; Clinical Trials Design; Cognitive; Collaborations; Communities; Competence; Computer Assisted; Couples; Data; Educational Curriculum; Educational Intervention; Educational process of instructing; Effectiveness; Elements; Equilibrium; HIV; HIV Infections; HIV/STD; Health; Health Services; Heterosexuals; Human; Information Technology; Internet; Intervention; Investments; Lead; Learning; Manuals; Measures; Mediating; Medical; Mental Health; Modeling; Multimedia; New York; Outcome; Outcome Study; Participant; Patient Self-Report; Pilot Projects; Prevention; Prevention Dissemination Research; Preventive Intervention; Process; Process Measure; Protocols documentation; Randomized; Randomized Clinical Trials; Research; Research Personnel; Risk Behaviors; Risk Reduction; Route; Schools; Science; Scientist; Services; Site; Site Visit; Social Work; Speed; Staff Attitudes; Staging; Target Populations; Technology; Technology Transfer; Telephone; Testing; Time; Training; Translating; Translations; Universities; Work; base; community based participatory research; community organizations; compare effectiveness; design; evidence base; follow-up; group intervention; high risk; improved; innovation; interactive multimedia; prevention service; primary outcome; programs; prototype; research to practice; service intervention; social; symposium; theories; tool; transmission process

DESCRIPTION (provided by applicant): Despite two decades of research demonstrating the efficacy of science-based interventions to reduce risk behaviors, the science of HIV prevention dissemination is still in its early stages. HIV infections continue to rise worldwide, and heterosexual contact remains the primary and escalating route of transmission. There is a critical need for increased capacity, scale and speed for HIV prevention intervention dissemination approaches, such as those increasingly implemented in educational and medical arenas, which use multimedia and internet-based approaches. This revised application proposes a technology transfer study that will advance the science of HIV prevention dissemination research by testing whether employing multimedia and internet-based technology for implementation of an evidence-based, couple-level HIV prevention intervention improves adoption outcomes beyond existing dissemination strategies. Proposed is a randomized clinical trial to compare the effectiveness of disseminating a traditional, manualized package of Project Connect (Traditional), a 6-session, relationship-based HIV/STI prevention intervention for heterosexual couples at high risk for HIV/STI transmission, versus a multimedia, internet-based version of Project Connect (Multimedia) to clients at community-based organizations (CBOs) across New York State. Eighty participating CBOs providing HIV prevention services will be randomized to receive either the Traditional or Multimedia intervention and training packages. All agencies will receive two days of on-site training and two planned technical assistance conference calls by study investigative staff in the first two months following training. Telephone assessments completed by up to 6 staff at each agency (total of 480 participants) will measure primary outcomes, mediating, moderating and process measure variables at baseline, 6-, 12- and 18-months post-technology transfer. The primary outcome of the study is adoptions of the Connect intervention. The unit of analysis is the CBO. The proposed study will be conducted by Dr. Susan Witte, Dr. Nabila EI-Bassel, and the investigative team at the Social Intervention Group at the Columbia University School of Social Work, in collaboration with Dr. Robert Remien, of the HIV Center for Behavioral Research and Dr. Frank Moretti, Executive Director of the Columbia Center for New Media Teaching and Learning (CCNMTL).

描述（由申请人提供）：尽管二十年的研究证明基于科学的干预措施对于减少危险行为的有效性，但艾滋病毒传播预防科学仍处于早期阶段。全球范围内艾滋病毒感染持续上升，异性接触仍然是主要且不断升级的传播途径。迫切需要提高艾滋病毒预防干预传播方法的能力、规模和速度，例如越来越多地在教育和医疗领域实施的方法，这些方法使用多媒体和基于互联网的方法。该修订后的申请提出了一项技术转让研究，该研究将通过测试采用多媒体和基于互联网的技术来实施基于证据的夫妇层面的艾滋病毒预防干预措施是否可以改善现有传播策略的采用结果，从而推进艾滋病毒预防传播研究的科学。提议进行一项随机临床试验，以比较向纽约州各地社区组织 (CBO) 的客户传播传统手动版 Project Connect（传统）和多媒体、基于互联网版本的 Project Connect（多媒体）的有效性。Project Connect 是一种为期 6 个疗程、基于关系的 HIV/STI 预防干预措施，针对 HIV/STI 传播高风险的异性夫妇。八十个参与提供艾滋病毒预防服务的社区组织将随机接受传统或多媒体干预和培训包。所有机构将在培训后的头两个月内接受研究调查人员为期两天的现场培训和两次计划的技术援助电话会议。每个机构最多 6 名工作人员（总共 480 名参与者）完成的电话评估将测量技术转让后基线、6、12 和 18 个月的主要结果、中介、调节和过程测量变量。该研究的主要结果是 Connect 干预措施的采用。分析单位是CBO。这项拟议的研究将由哥伦比亚大学社会工作学院社会干预小组的 Susan Witte 博士、Nabila EI-Bassel 博士和调查小组与艾滋病行为研究中心的 Robert Remien 博士和哥伦比亚新​​媒体教学中心 (CCNMTL) 执行主任 Frank Moretti 博士合作进行。