Computer-Based HIV Prevention Interventions for African-American Women

描述（由申请人提供）：有色人种妇女，特别是非洲裔美国妇女，受到艾滋病毒/艾滋病的影响不成比例。非裔美国女性占2005年确诊的13岁及以上女性艾滋病病例的66%，但仅占美国女性人口的12%。为非裔美国妇女量身定制的一些行为预防干预措施在减少性危险行为方面显示出了功效。它们的成功复制受到成本、实施困难和参与者保留问题的阻碍。拟议的项目旨在通过开发和经验验证计算机增强的、针对非洲裔美国女性的有效群体管理的艾滋病毒预防项目的个性化版本，解决这些障碍，以降低非洲裔美国女性的艾滋病毒/艾滋病发病率。具体目标包括：(1)提高服务机构实施有效的艾滋病毒干预措施的能力；(2)增加非洲裔美国女性参与有效的艾滋病干预措施；(3)最终降低非裔美国女性的性风险行为和艾滋病毒感染率。在第一阶段，我们开发了一个计算机增强的、个性化的、多媒体版本的SiSTA，这是一个针对非裔美国妇女的群体管理的艾滋病毒预防项目，在减少性风险行为方面已被证明有效。我们称这个电脑版本为SAHARA，即“点击获取艾滋病毒/艾滋病资源”。在I期，我们也通过随机对照试验成功验证了SAHARA的有效性。在拟议的第二阶段继续中，我们将在另外两个针对非裔美国女性的有效群体项目中重复这些成功的开发和验证方法：SiHLE（针对14-18岁的青少年）和WiLLOW（针对18岁及以上感染艾滋病毒的女性）。再一次，数字化的SiHLE和数字化的柳树将与他们的开发者合作开发和评估。吉娜·温伍德和拉尔夫·迪克莱门特。

DESCRIPTION (provided by applicant): Women of color, particularly African American women, are disproportionately affected by HIV/AIDS. African American women account for 66% of estimated AIDS cases among women, aged 13 and older, diagnosed in 2005, but only 12% of the U.S. population of women. Several behavioral prevention interventions tailored for African American women have shown efficacy in reducing sexual risk behaviors. Their successful replication has been hampered by cost, implementation difficulties, and participant retention issues. The proposed project seeks to address these barriers to reducing HIV/AIDS rates in African American females by developing and empirically validating computer enhanced, individualized versions of efficacious group-administered HIV prevention programs for African-American females. Specific objectives include: (1) to increase service agencies' ability to implement efficacious HIV interventions with fidelity; (2) to increase African American females' participation in efficacious HIV interventions; and, (3) ultimately, to reduce sexual risk behaviors and HIV infection rates among African-American females. In Phase I we developed a computer enhanced, individualized, multimedia version of SiSTA, a group-administered HIV prevention program for African- American women that has demonstrated efficacy in reducing sexual risk behavior. We called this computer version SAHARA, for Sistas Accessing HIV/AIDS Resources At-a-click. In Phase I we also successfully validated the effectiveness of SAHARA through a randomized controlled trial. In the proposed Phase II continuation, we will repeat these successful development and validation methods with two additional efficacious group programs for African American females: SiHLE (for adolescents age 14-18) and WiLLOW (for women living with HIV age 18 and older). Once again, Digitized SiHLE and Digitized WiLLOW will be developed and evaluated in collaboration with their developers, Drs. Gina Wingood and Ralph DiClemente. PUBLIC HEALTH RELEVANCE The proposed research will make efficacious HIV prevention programs for African American adolescents and women available to health service organizations at low cost, and will facilitate their cost-effective, faithful implementation. It will also promote community members' participation in the interventions by permitting sensitive topics to be addressed privately (i.e., one-on-one with the computer) and according to a flexible schedule. Ultimately, it will help to reduce sexual risk-taking behavior and HIV infection rates among African American women, who are disproportionately affected by the HIV/AIDS epidemic.