Prevention of HIV/AIDS and STDs in Women over Fifty

五十岁以上女性艾滋病毒/艾滋病和性传播疾病的预防

• 批准号: 7747798
• 负责人: Patricia Flynn Weitzman
• 金额: $ 10万
• 依托单位: ENVIRONMENT AND HEALTH GROUP, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2011-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7747798
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Advertising; Affect; African American; Age; Aging; Behavioral; Client; Clinical Trials; Collaborations; Communication; Contracts; Coupled; Data; Disadvantaged; Distal; Divorce; Education; Effectiveness; Elderly; English Language; Ensure; Environment; Evaluation; Gender; Generations; Goals; Growth; Gynecologist; HIV; HIV Infections; HIV diagnosis; Health; Heterosexuals; Incidence; Individual; Internet; Intervention; Journals; Justice; Knowledge; Longevity; MEDLINE; Marketing; Mediation; Methods; Minority; New England; Newly Diagnosed; Nurses; Outcome; Persons; Phase; Physicians; Physiological; Population; Population Group; Preventive Intervention; Privacy; Provider; Psychology; Public Health; Publishing; Qualifying; Randomized Controlled Trials; Recording of previous events; Research Infrastructure; Risk; Risk Reduction; Risk-Taking; Safe Sex; Schedule; Self Efficacy; Services; Sexually Transmitted Diseases; Site; Social Workers; Stereotyping; Stigmata; Taboo; Technical Expertise; Testing; Training and Education; Woman; base; cohort; commercial application; commercialization; disorder prevention; disorder risk; experience; innovation; interest; meetings; older men; older women; peer; prevent; programs; prototype; public health relevance; skills; social; social stigma; web site

DESCRIPTION (provided by applicant): HIV infection is on the rise among older women in the U.S. There is an urgent need for culturally- sensitive, gender-specific, and age-appropriate HIV prevention interventions for older women, particularly minority older women who are most at-risk - a need that is disturbingly unmet. The need to overcome stigma and privacy barriers to HIV/AIDs and STD education in this group, combined with the explosive growth in the number of wired seniors, including minority seniors, makes an e-intervention an ideal delivery method for addressing this problem, and for addressing ethnic disparities in HIV infection rates among older women. Our overall goal is to develop a comprehensive (educational and behavioral), tailored, accessible, and innovative HIV/AIDs and STD prevention e-intervention for culturally-diverse older women age 50 and over. Specific Phase 1 Aims are to: 1) Develop a prototype website for a risk reduction e-intervention for culturally- diverse older women, incorporating a "peer chatroom" and "ask the expert" segment; 2) Collect pilot data to develop an individually tailored online coaching component to be incorporated into the Phase 2 site; 3) Evaluate the feasibility, acceptability, and immediate effectiveness of the Phase 1 site for increasing knowledge and perceived risks; and, 4) Prepare for the Phase 2 application with respect to functional expansion, evaluation, and commercialization of the website, to be developed in Phase I. Specific Aims for the Phase 2 application are to 1) Expand the "peer chatroom" to a fully-functional, interactive component of the website for users to meet peers, and share stories and experiences; 2) Expand the "ask the expert" segment to a fully-functional, interactive component in which user questions will be answered and posted on the website on an ongoing basis; 3) Incorporate scheduled, individually tailored, online behavioral coaching sessions with a health expert (nurse, gynecologist, or social worker); 4) Implement and evaluate the effectiveness of the enhanced risk reduction intervention in a randomized controlled trial, focusing on both proximal (e.g., increasing self-efficacy for safe sex practices, sexual negotiation skills, and physician communication skills), and distal outcomes (e.g., increase in consistent safe sex practices, successful sexual negotiation, and successful physician communication, including appropriate HIV/AID/STD testing); 5) Market the website through collaboration with national and local aging organizations, including CyberSeniors and the New England Association of HIV Over 50; and, 6) Commercialize the product(s) through individual subscription, advertising, and partnerships with other companies and nonprofits to ensure financial and administrative sustainability of the website. Environment and Health Inc. is well poised to successfully accomplish the proposed aims, given our highly qualified team, technical expertise, and infrastructure. PUBLIC HEALTH RELEVANCE: HIV infection rates are rising among older women, particularly African American women, creating public health and distributive justice imperatives for culturally-sensitive and gender-specific HIV and STD prevention interventions for older women. To date, no such interventions exist. We propose developing the first comprehensive (educational and behavioral), tailored, accessible, and innovative STD and HIV prevention e- intervention for culturally-diverse older women. The intervention will help prevent STD and HIV infection among older women, and reduce ethnic disparities in HIV/AIDS.

描述（由申请人提供）：艾滋病毒感染在美国老年妇女中呈上升趋势，迫切需要对老年妇女，特别是风险最大的少数民族老年妇女进行文化敏感，性别特异性和年龄适当的艾滋病毒预防干预-这是令人不安的未满足的需求。需要克服这一群体中艾滋病毒/艾滋病和性传播疾病教育的耻辱和隐私障碍，加上有线老年人，包括少数民族老年人数量的爆炸性增长，使电子干预成为解决这一问题的理想交付方法，并解决老年妇女艾滋病毒感染率的种族差异。我们的总体目标是为50岁及以上文化多样的老年妇女制定一个全面的（教育和行为）、量身定制、可获得和创新的艾滋病毒/艾滋病和性病预防电子干预措施。第一阶段的具体目标是：⑴开发一个原型网站，为具有不同文化背景的老年妇女提供减少风险的电子干预措施，其中包括“同龄人聊天室”和“向专家提问”部分; ⑵收集试点数据，以开发一个针对个人的在线辅导部分，并将其纳入第二阶段网站; 3）评估第一阶段场地的可行性、可接受性和即时有效性，以增加知识和感知风险; 4）为第二阶段的申请做好准备，包括第一阶段开发的网站的功能扩展、评估和商业化。第二阶段应用的具体目标是：1）将“同行聊天室”扩展为网站的一个功能齐全的互动组件，供用户与同行见面，分享故事和经验; 2）将“询问专家”部分扩展为一个功能齐全的互动组件，用户的问题将得到回答，并持续在网站上发布; 3）与健康专家（护士、妇科医生或社会工作者）结合预定的、个性化的在线行为辅导课程; 4）在随机对照试验中实施和评估增强的风险降低干预的有效性，重点关注近端（例如，增加安全性行为的自我效能、性谈判技巧和医生沟通技巧），和远端结果（例如，增加一致的安全性行为，成功的性谈判，和成功的医生沟通，包括适当的艾滋病毒/艾滋病/性病检测）; 5）通过与国家和地方老龄化组织，包括网络老年人和新英格兰协会的艾滋病毒超过50合作，营销网站;和，6）通过个人订阅，广告，并与其他公司和非营利组织合作，以确保网站的财务和行政可持续性。环境与健康公司凭借我们高素质的团队、技术专长和基础设施，我们已经做好了成功实现拟议目标的准备。公共卫生相关性：老年妇女，特别是非裔美国妇女的艾滋病毒感染率正在上升，这就要求对老年妇女采取对文化敏感和针对性别的艾滋病毒和性传播疾病预防干预措施，以实现公共卫生和分配公正。迄今为止，还没有这种干预措施。我们建议为文化多样性的老年妇女开发第一个全面的（教育和行为），量身定制的，可访问的和创新的性病和艾滋病毒预防电子干预措施。这项干预措施将有助于预防老年妇女感染性病和艾滋病毒，并减少艾滋病毒/艾滋病方面的种族差异。