Using Multimedia Technologies to Disseminate an HIV Prevention Intervention

利用多媒体技术传播艾滋病毒预防干预措施

• 批准号: 7862384
• 负责人: Susan S Witte
• 金额: $ 60.36万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-11 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7862384
• 关键词: AIDS prevention; Adherence; Adoption; Arts; Attention; Behavioral; Behavioral Research; Budgets; Centers for Disease Control and Prevention (U.S.); Client; Client satisfaction; Clinical; Clinical Trials Design; Cognitive; Collaborations; Communities; Competence; Computer Assisted; Couples; Data; Educational Curriculum; Educational Intervention; Educational process of instructing; Effectiveness; Elements; Equilibrium; HIV; HIV Infections; HIV/STD; Health; Health Services; Heterosexuals; Human; Information Technology; Internet; Intervention; Investments; Lead; Learning; Manuals; Measures; Mediating; Medical; Mental Health; Modeling; Multimedia; New York; Outcome; Outcome Study; Participant; Patient Self-Report; Pilot Projects; Prevention; Prevention Dissemination Research; Preventive Intervention; Process; Process Measure; Protocols documentation; Randomized; Randomized Clinical Trials; Research; Research Personnel; Risk Behaviors; Risk Reduction; Route; Schools; Science; Scientist; Services; Site; Site Visit; Social Work; Speed; Staff Attitudes; Staging; Target Populations; Technology; Technology Transfer; Telephone; Testing; Time; Training; Translating; Translations; Universities; Work; base; community based participatory research; community organizations; compare effectiveness; design; evidence base; follow-up; group intervention; high risk; improved; innovation; interactive multimedia; prevention service; primary outcome; programs; prototype; research to practice; service intervention; social; symposium; theories; tool; transmission process

DESCRIPTION (provided by applicant): Despite two decades of research demonstrating the efficacy of science-based interventions to reduce risk behaviors, the science of HIV prevention dissemination is still in its early stages. HIV infections continue to rise worldwide, and heterosexual contact remains the primary and escalating route of transmission. There is a critical need for increased capacity, scale and speed for HIV prevention intervention dissemination approaches, such as those increasingly implemented in educational and medical arenas, which use multimedia and internet-based approaches. This revised application proposes a technology transfer study that will advance the science of HIV prevention dissemination research by testing whether employing multimedia and internet-based technology for implementation of an evidence-based, couple-level HIV prevention intervention improves adoption outcomes beyond existing dissemination strategies. Proposed is a randomized clinical trial to compare the effectiveness of disseminating a traditional, manualized package of Project Connect (Traditional), a 6-session, relationship-based HIV/STI prevention intervention for heterosexual couples at high risk for HIV/STI transmission, versus a multimedia, internet-based version of Project Connect (Multimedia) to clients at community-based organizations (CBOs) across New York State. Eighty participating CBOs providing HIV prevention services will be randomized to receive either the Traditional or Multimedia intervention and training packages. All agencies will receive two days of on-site training and two planned technical assistance conference calls by study investigative staff in the first two months following training. Telephone assessments completed by up to 6 staff at each agency (total of 480 participants) will measure primary outcomes, mediating, moderating and process measure variables at baseline, 6-, 12- and 18-months post-technology transfer. The primary outcome of the study is adoptions of the Connect intervention. The unit of analysis is the CBO. The proposed study will be conducted by Dr. Susan Witte, Dr. Nabila EI-Bassel, and the investigative team at the Social Intervention Group at the Columbia University School of Social Work, in collaboration with Dr. Robert Remien, of the HIV Center for Behavioral Research and Dr. Frank Moretti, Executive Director of the Columbia Center for New Media Teaching and Learning (CCNMTL).

描述（由申请人提供）：尽管二十年的研究证明了以科学为基础的干预措施对减少风险行为的有效性，但艾滋病毒预防传播的科学仍处于早期阶段。艾滋病毒感染在全世界继续上升，异性性接触仍然是主要和不断升级的传播途径。迫切需要提高艾滋病毒预防干预措施传播办法的能力、规模和速度，例如在教育和医疗领域越来越多地采用多媒体和因特网办法。这项修订后的申请提出了一项技术转让研究，将通过测试是否采用多媒体和基于互联网的技术实施以证据为基础的夫妇层面的艾滋病毒预防干预措施，提高采用现有传播战略的成果，推进艾滋病毒预防传播研究的科学。建议进行一项随机临床试验，以比较向纽约州社区组织（CBO）的客户传播传统的、手动化的Project Connect（传统）（针对艾滋病毒/性传播感染高风险的异性恋夫妇的6次会议、基于关系的艾滋病毒/性传播感染预防干预）与多媒体的、基于互联网的Project Connect（多媒体）版本的有效性。80个提供艾滋病毒预防服务的社区组织将随机接受传统或多媒体干预和培训包。所有机构将在培训后的前两个月内接受为期两天的现场培训，并由研究调查人员参加两次计划中的技术援助电话会议。每个机构最多6名工作人员（共480名参与者）完成的电话评估将衡量基线、技术转让后6个月、12个月和18个月的主要成果、中介变量、调节变量和过程衡量变量。该研究的主要结果是采用Connect干预。分析的单位是CBO。拟议的研究将由Susan Witte博士、Nabila EI-Bassel博士和哥伦比亚大学社会工作学院社会干预小组的调查小组与艾滋病行为研究中心的Robert Remien博士和哥伦比亚新媒体教学中心（CCNMTL）执行主任Frank Moretti博士合作进行。