LinkPositively: A Technology-Delivered Peer Navigation and Social Networking Intervention to Improve HIV Care Across the Continuum for Black Women Affected by Interpersonal Violence
LinkPositively:技术提供的同伴导航和社交网络干预措施可改善受人际暴力影响的黑人妇女的艾滋病毒护理
基本信息
- 批准号:10064028
- 负责人:
- 金额:$ 23.25万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-12-01 至 2022-10-31
- 项目状态:已结题
- 来源:
- 关键词:AIDS preventionAIDS/HIV problemAddressAffectBiologicalCD4 Lymphocyte CountCaringClinicClinicalContinuity of Patient CareCoping SkillsCounselingCountyDataDatabasesDiagnosisDomestic ViolenceFeedbackFocus GroupsFriendsGoalsHIVHIV SeropositivityHIV diagnosisHealth Services AccessibilityInterpersonal ViolenceInterventionIntervention StudiesInterviewMedicalMental HealthModelingMonitorOutcomeOutcome StudyParticipantPatient Self-ReportPhasePreparationProceduresProliferatingProviderRaceRandomizedRandomized Controlled TrialsRecommendationRecording of previous eventsReminder SystemsReportingResearch Project GrantsResourcesRiskScienceSelf CareSelf EfficacyServicesSexual abuseShelter facilitySocial NetworkSocial supportSpousesSubstance Use DisorderSubstance abuse problemSuggestionTechnologyTelephoneTestingTextTimeTraumaTriad Acrylic ResinViralVisitVisualWomanYouthacceptability and feasibilityantiretroviral therapyarmblack womencare outcomesemotional abuseexperiencefollow-upimplementation costimprovedinformantintervention effectintimate partner violencemHealthmalemarginalized populationmen who have sex with menmobile computingpeerpeer networkspeer supportperpetratorsphysical abuseprimary outcomeresponseservice organizationservice providersskillssmartphone Applicationsocialsocial stigmasocial structurestandard of caresubstance usetheoriestherapy adherenceusabilityviolence exposurevirtual
项目摘要
PROJECT SUMMARY
In the US, Black women living with HIV/AIDS (WLHA) are less likely to be engaged in care, adherent to
antiretroviral therapy (ART), and virally suppressed compared to White WLHA. Concurrently, Black women are
also disproportionately affected by interpersonal violence – physical, sexual, and/or psychological abuse by a
current or former intimate partner or non-intimate partner – which may co-occur with poor mental health and/or
substance use disorders, further contributing to ART non-adherence, lower CD4 counts, and reduced viral
suppression. Peer Navigation, while highlighted as a successful model of care in improving HIV care
outcomes, requires resources that HIV service agencies often lack. A scalable and sustainable solution is the
use of mobile health (mHealth) smartphone applications (“apps”). Although there has been an increase in
mHealth interventions developed for HIV prevention and care among at-risk and HIV-positive MSM and youth,
we are unaware of any to improve retention in care, ART adherence, and viral suppression among Black
WLHA, nor any mHealth interventions that are responsive to Black women’s experiences with interpersonal
violence. To address this gap, we will develop and pilot test a culturally tailored, trauma-informed smartphone
app, called LinkPositively, for Black WLHA affected by interpersonal violence. Core components of
LinkPositively include: a) Virtual Peer Navigation that includes phone and text check-ins and 4 weekly one-on-
one video sessions to build skills to cope with barriers and navigate care; b) Social Networking platform to
receive peer support; c) Educational and Self-care database with healthy living and self-care tips; d) GPS-
enabled Resource Locator for HIV care and ancillary support service agencies; and e) ART self-monitoring and
reminder system. Guided by the Theory of Triadic Influences and Syndemic Theory, the study will be
conducted in 2 phases with corresponding aims. In Aim 1, 4 focus groups with Black WLHA with experiences
of interpersonal violence, one focus group with peer navigators, and 4-6 key informant interviews with
providers will be conducted to determine which app features, content, and functions are most likely to support
downloading, initiating use, and sustaining engagement over time. Aim 1 will culminate in usability testing by
Black WLHA affected by interpersonal violence (n=5), to finalize intervention components and procedures. In
Aim 2, we will pilot test LinkPositively to assess feasibility and acceptability and determine preliminary effects
of the intervention on HIV care outcomes (i.e., retention in care, ART adherence, viral suppression) and
mechanism of change variables (i.e., social support, self-efficacy). Participants will be randomly assigned to
either the intervention (n=40) or control (Ryan White standard of care, n=40) arm, with follow-up at 3- and 6-
months. This study will benefit the advancement of HIV prevention science by harnessing technology to
promote engagement in HIV care, while improving social support through peers and social networking – all
under the auspices of being trauma-informed for Black WLHA with experiences of interpersonal violence.
项目摘要
在美国,感染艾滋病毒/艾滋病的黑人妇女(WLHA)不太可能参与护理,
抗逆转录病毒疗法(ART),并且与白色WLHA相比病毒受到抑制。与此同时,黑人女性
也不成比例地受到人际暴力的影响-受到家庭暴力的身体、性和/或心理虐待,
现任或前任亲密伴侣或非亲密伴侣-这可能与精神健康状况不佳同时发生,和/或
物质使用障碍,进一步导致ART不依从性,CD 4计数降低,病毒感染减少
镇压同伴导航虽然被强调为改善艾滋病毒护理的成功护理模式,
艾滋病毒服务机构往往缺乏资源。可扩展和可持续的解决方案是
使用移动的健康(mHealth)智能手机应用程序(“应用程序”)。虽然有增加,
为高危和艾滋病毒阳性男男性行为者和青年的艾滋病毒预防和护理制定了移动健康干预措施,
我们不知道有任何改善护理保留,ART坚持和病毒抑制黑人
WLHA,也没有任何针对黑人妇女人际交往经历的移动健康干预措施
暴力为了解决这一差距,我们将开发和试点测试一种文化定制的创伤智能手机
一款名为LinkPositively的应用程序,面向受人际暴力影响的黑人WLHA。核心部件
链接积极包括:a)虚拟同行导航,包括电话和文本签到和每周4次一对一
一个视频会议,以建立科普障碍和导航护理的技能; B)社交网络平台,
c)教育和自我保健数据库,提供健康生活和自我保健提示; d)全球定位系统-
为艾滋病毒护理和辅助支持服务机构提供资源支持;以及e)抗逆转录病毒疗法自我监测,
提醒系统本研究将以三元影响理论和共群理论为指导,
分两个阶段进行,有相应的目标。在目标1中,4个焦点小组与黑人WLHA有经验
人际暴力,一个焦点小组与同行导航员,和4-6个关键线人访谈,
提供商将进行评估,以确定哪些应用程序功能、内容和功能最有可能支持
下载、开始使用和随着时间的推移保持参与。目标1将通过以下方式在可用性测试中达到高潮:
受人际暴力影响的黑人WLHA(n=5),以最后确定干预组成部分和程序。在
目标二:我们会先进行LinkPositively试验,以评估其可行性和可接受性,并确定初步效果
对艾滋病毒护理结果的干预(即,保持护理,ART依从性,病毒抑制)和
改变变量的机制(即,社会支持、自我效能)。参与者将被随机分配到
干预组(n=40)或对照组(Ryan白色标准治疗,n=40),随访时间为3和6-
个月这项研究将有利于艾滋病预防科学的进步,利用技术,
促进参与艾滋病毒护理,同时通过同伴和社交网络改善社会支持-所有
在为有人际暴力经历的黑人WLHA提供创伤信息的主持下。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Keith Joseph Horvath其他文献
Keith Joseph Horvath的其他文献
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{{ truncateString('Keith Joseph Horvath', 18)}}的其他基金
eSTEP: An integrated mHealth intervention to engage high-risk individuals along the full PrEP care continuum
eSTEP:一种综合移动医疗干预措施,让高危人群参与整个 PrEP 护理连续过程
- 批准号:
10675096 - 财政年份:2022
- 资助金额:
$ 23.25万 - 项目类别:
eSTEP: An integrated mHealth intervention to engage high-risk individuals along the full PrEP care continuum
eSTEP:一种综合移动医疗干预措施,让高危人群参与整个 PrEP 护理连续过程
- 批准号:
10556195 - 财政年份:2022
- 资助金额:
$ 23.25万 - 项目类别:
Using EMA to developmentally tailor an intervention to support on-demand PrEP among YMSM
使用 EMA 制定干预措施以支持 YMSM 中的按需 PrEP
- 批准号:
10250523 - 财政年份:2020
- 资助金额:
$ 23.25万 - 项目类别:
LinkPositively: A Technology-Delivered Peer Navigation and Social Networking Intervention to Improve HIV Care Across the Continuum for Black Women Affected by Interpersonal Violence
LinkPositively:技术提供的同伴导航和社交网络干预措施可改善受人际暴力影响的黑人妇女的艾滋病毒护理
- 批准号:
9913297 - 财政年份:2019
- 资助金额:
$ 23.25万 - 项目类别:
LinkPositively: A Technology-Delivered Peer Navigation and Social Networking Intervention to Improve HIV Care Across the Continuum for Black Women Affected by Interpersonal Violence
LinkPositively:技术提供的同伴导航和社交网络干预措施可改善受人际暴力影响的黑人妇女的艾滋病毒护理
- 批准号:
10292458 - 财政年份:2019
- 资助金额:
$ 23.25万 - 项目类别:
A Technology-Delivered Peer-to-Peer Support ART Adherence Intervention for HIV+ Adults
一种通过技术提供的点对点支持,针对艾滋病毒成人的 ART 依从干预
- 批准号:
8943049 - 财政年份:2015
- 资助金额:
$ 23.25万 - 项目类别:
A Technology-Delivered Peer-to-Peer Support ART Adherence Intervention for HIV+ Adults
通过技术提供点对点支持的 ART 依从性艾滋病毒成人干预措施
- 批准号:
9273492 - 财政年份:2015
- 资助金额:
$ 23.25万 - 项目类别:
A Mobile App to Increase Routine HIV Testing Among High-Risk Diverse MSM
一款可增加高风险多元化 MSM 常规 HIV 检测的移动应用程序
- 批准号:
8898231 - 财政年份:2014
- 资助金额:
$ 23.25万 - 项目类别:
A Mobile App to Increase Routine HIV Testing Among High-Risk Diverse MSM
一款可增加高风险多元化 MSM 常规 HIV 检测的移动应用程序
- 批准号:
8788610 - 财政年份:2014
- 资助金额:
$ 23.25万 - 项目类别:
A Mobile App to Increase Routine HIV Testing Among High-Risk Diverse MSM
一款可增加高风险多元化 MSM 常规 HIV 检测的移动应用程序
- 批准号:
9110351 - 财政年份:2014
- 资助金额:
$ 23.25万 - 项目类别: