FOYC+ImPACT US: A digital platform for critical sexual health risk reduction curriculum customization and hybrid/remote delivery of Focus on Youth to underserved Caribbean youth in the U.S.

FOYC ImPACT US：一个数字平台，用于关键的性健康风险降低课程定制以及混合/远程向美国服务不足的加勒比青年提供“关注青年”课程。

• 批准号: 10699553
• 负责人: LESLEY A COTTRELL
• 金额: $ 27.55万
• 依托单位: DFUSION, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-22 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10699553
• 关键词: Abortion Rates; Acculturation; Address; Adolescent; African Caribbean; Age; Bahamas; Bahamian; Behavior Therapy; Black Populations; Black race; Caribbean region; Categories; Communities; Complex; Country; Course Content; Cultural Diversity; Data; Development; Discrimination; E-learning; Early Intervention; Educational Curriculum; Effectiveness; Evaluation; Extended Family; Family; Focus Groups; Goals; Government; HIV; HIV Seroprevalence; HIV/AIDS; Health; Health education; Hybrids; Imagery; Immigrant; Immigrant community; Intention; Intervention; Interview; Knowledge; Licensing; Linguistics; Methods; Modeling; Native-Born; Paint; Parents; Participant; Persons; Phase; Pilot Projects; Population; Public Health; Race; Randomized, Controlled Trials; Reproductive Health; Research; Research Personnel; Resources; Risk; Risk Reduction; Schools; Self Efficacy; Sex Behavior; Sexual Development; Sexual Health; Source; Students; Testing; Text; Time; Unwanted pregnancy; Update; Woman; Youth; base; cloud based; commercialization; community setting; condom use rate; condoms; digital platform; epidemiologic data; ethnic diversity; experience; feasibility testing; health knowledge; implementation fidelity; improved; intervention program; member; pilot test; population health; pressure; programs; prototype; racial discrimination; remote delivery; sexual health intervention; skills; success; teacher; unintended pregnancy; young adult

ABSTRACT – FOYC+ImPACT U.S. While there is extensive epidemiological data on the high rates of HIV, STIs and unintended pregnancies among Black populations in the U.S., this monolithic racial category problematically subsumes the ethnic diversity of immigrant Black populations. Today one in ten Black people in the U.S. are immigrants, with the Caribbean being the largest origin source. Caribbean immigrants in the U.S. account 46% of the total Black immigrant population and 10% of our nation’s foreign-born population. Researchers note a variety of factors shown to impact Caribbean immigrant’s sexual behaviors and HIV seroprevalence, including acculturation pressures (particularly for adolescents), intersectional identities, racial discrimination, and settling in urban HIV epicenters with high rates of STIs. While a variety of effective behavioral intervention (EBI) programs exist to address sexual and reproductive health for Black adolescent populations, it is problematic to assume such programs, delivered as is, will prove effective with Afro-Caribbean immigrant populations. There are no existing U.S. EBI programs developed specifically for these populations; however, the EBI program Focus on Youth with ImPACT program has been successfully culturally adapted and delivered in a Caribbean setting (FOYC+ImPACT). The 8-session program, delivered in schools but including parent involvement, was evaluated through a randomized controlled trial in the Bahamas. It was shown to be effective in improving condom use rates and skills, self-efficacy, intention to use a condom, and HIV/AIDS knowledge. To address the gap in culturally tailored sexual health education for youth within Caribbean communities in the U.S., we propose to develop FOYC+ImPACT U.S. This project will (1) revise the FOYC+ImPACT program in a new, broader context, making it customizable and scalable across Caribbean communities in the U.S.; 2) develop a cloud-based platform in which educators can build their own customized curriculum for FOYC+ImPACT U.S. in which all program components are modularized and made available in both e-learning and in-person formats; 3) address cultural tailoring needs by allowing teachers to customize their course content by age, imagery shown, components (non-core) to include, and country/region- specific content and linguistic references; and 4) increase implementation fidelity through providing online materials, fidelity tracking, and implementation prompts. The primary goal of this Phase 1 project is to test the feasibility of developing a digital platform that allows for implementation with fidelity of FOYC+ImPact U.S. in diverse Caribbean community settings in the U.S. The Phase I project will include development of the cloud- based platform with two lessons made available with customization of delivery formats and content/text/imagery to meet needs of various Caribbean communities. A pilot test will be conducted to assess the impact on student knowledge and improvement in implementation fidelity. Phase II will complete the remaining lessons, add new lessons/content to update the program, and demonstrate effectiveness through a randomized controlled trial.

摘要-FOYC+Impact U.S. 虽然有关于艾滋病毒、性传播感染和意外怀孕的高比率的广泛流行病学数据 在美国的黑人人口中，这一单一的种族类别问题地归入了 移民黑人人口。今天，美国十分之一的黑人是移民，加勒比海人 最大的源头。美国加勒比海移民占黑人移民总人口的46% 以及我国10%的外国出生人口。研究人员指出，有多种因素显示会影响 加勒比移民的性行为和艾滋病毒血清阳性率，包括适应文化的压力(特别是 对于青少年来说)，跨部门身份，种族歧视，以及在城市艾滋病毒中心定居 性传播感染的比率。虽然存在各种有效的行为干预(EBI)计划来处理性和 对于黑人青少年人口的生殖健康，假设这样的计划是有问题的，如 将被证明对非洲裔加勒比移民人口有效。美国没有现有的EBI计划 专门为这些人群制定的；然而，EBI计划侧重于具有影响力的青年计划 已成功适应文化并在加勒比海环境中交付(FOYC+IMPACT)。八届会议 该计划在学校实施，但包括家长参与，通过随机对照的 在巴哈马受审。研究表明，它能有效地提高避孕套的使用率和技巧、自我效能感、意图 要使用避孕套，并了解艾滋病毒/艾滋病知识。为了解决因文化差异而定制的性健康教育的差距 在美国加勒比海社区的青年，我们建议开发FOYC+Impact美国。该项目将 (1)在新的、更广泛的背景下修订FOYC+Impact计划，使其可定制和扩展 美国的加勒比海社区；2)开发一个基于云的平台，教育工作者可以在其中建立自己的 FOYC+Impact U.S.的定制课程，其中所有计划组件都是模块化和定制的 提供电子学习和面对面两种形式；3)通过允许教师 按年龄、显示的图像、要包括的组件(非核心)和国家/地区定制其课程内容- 具体内容和语言参考；以及4)通过在线提供 材料、保真度跟踪和实施提示。此第一阶段项目的主要目标是测试 开发一个数字平台的可行性，以实现FOYC+Impact在美国的保真实施 美国多样化的加勒比海社区环境。第一阶段项目将包括开发云- 基于平台，提供两个课程，定制交付格式和内容/文本/图像 以满足不同加勒比社区的需求。将进行试点测试，以评估对学生的影响 了解并改进实施的保真度。第二阶段将完成剩余的课程，添加新的 课程/内容，以更新计划，并通过随机对照试验证明有效性。