Expanding HIV testing among Ugandan adults who utilize traditional healers

在使用传统治疗师的乌干达成年人中扩大艾滋病毒检测范围

• 批准号: 9811818
• 负责人: Radhika Lu Sundararajan
• 金额: $ 18.51万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-03 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9811818
• 关键词: AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Adult; Africa South of the Sahara; African; Applications Grants; Applied Research; Area; Attitude; Award; Bedside Testings; Benchmarking; Birth; Capital; Caring; Characteristics; Cities; Client; Collaborations; Communities; Community Health; Control Groups; Country; Cross-Sectional Studies; Data; Decentralization; Development; Early Diagnosis; Educational workshop; Epidemic; Epidemiology; Foundations; Goals; HIV; HIV Infections; HIV antiretroviral; HIV diagnosis; HIV risk; Health Care Costs; Health behavior; Healthcare; Human immunodeficiency virus test; Incidence; Infection; Instruction; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Knowledge; Link; Location; Longitudinal cohort; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methods; Modeling; Morbidity - disease rate; NIH Office of AIDS Research; National Institute of Mental Health; Outcome Study; Patients; Physicians; Play; Population; Positioning Attribute; Predictive Factor; Prevalence; Provider; Public Health; Randomized; Reading; Research; Research Design; Research Methodology; Research Personnel; Research Priority; Research Training; Resources; Role; Sampling; Science; Services; Shapes; Site; Structure; Surveys; Technology; Testing; Training; Training Activity; Uganda; United States National Institutes of Health; Universities; Visit; Work; antiretroviral therapy; base; behavior test; biomedical facility; care seeking; career; data format; design; experience; healing; health care model; health care service utilization; healthcare community; improved; innovation; mortality; novel; patient oriented; point of care; preference; prevention service; primary outcome; prospective; responsible research conduct; rural area; secondary outcome; sexually active; skills; social stigma; sociodemographics; spiritual healing; theories; transmission process

PROJECT SUMMARY The purpose of the proposed Mentored Patient-Oriented Career Development Award (K23) is to provide the candidate with training and research experiences that will promote her development to independent researcher as an HIV interventionist, specializing in expanding HIV care to communities who utilize Traditional Healers rather than biomedical facilities. The proposed training will provide her with the opportunity to develop knowledge and skills in: 1) quantitative methods needed to analyze cross-sectional, longitudinal and cohort data; 2) mixed-methods approaches to studying HIV and modeling HIV-related health behavior; and 3) theory, design and implementation of socio-structural interventions. Training activities will include didactic coursework and specific workshops, directed readings and one-on-one tutorials with mentors, and instruction in the responsible conduct of research. The candidate will receive mentorship from a Training Team comprised of globally renowned experts in the fields of HIV epidemiology, mixed methods research, and socio-structural intervention implementation in low-resource settings. Her applied research training will take place in Mbarara, Uganda in collaboration with Mbarara University of Science and Technology. Mbarara District is a rural region, approximately 275 kilometers southwest of the capital city of Kampala, with an HIV prevalence of nearly twice the national average (12%). Prior research in Mbarara has demonstrated the importance of Traditional Healers in providing healthcare for communities in this area, but little is known about Traditional Healer practices or rates of HIV testing (or HIV infection) among their clients. Specific aims of this study are to: 1) identify key socio-structural factors that frame HIV testing behaviors among Ugandan adults who utilize Traditional Healers; 2) investigate acceptability of providing point-of-care HIV testing at Traditional Healer practice locations; and 3) develop and pilot a prospective HIV testing intervention among Traditional Healer patients to promote earlier diagnosis. Results will generate effect estimates for parameters needed to inform power calculations for a subsequent, large-scale cluster-randomized HIV testing intervention at Traditional Healer practice locations, and will position the candidate to develop an R01 application for submission to NIMH at the end of the award period. The proposed work represents a high priority research topic designated by the NIH Office of AIDS Research to “reduce incidence of HIV/AIDS … [by] developing, testing, and implementing strategies to improve HIV testing and entry into prevention services”.

项目总结