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）：尽管研究了二十年，证明了基于科学的干预措施减少风险行为的功效，但HIV预防传播科学仍处于早期阶段。艾滋病毒感染在全球范围内继续增加，异性恋接触仍然是传播的主要和不断升级的途径。对于艾滋病毒预防干预传播方法的产能，规模和速度的提高至关重要，例如在教育和医疗领域越来越实施的方法，这些方法采用了多媒体和基于互联网的方法。该修订后的应用程序提出了一项技术转移研究，该研究将通过测试使用多媒体和基于互联网的技术来实施基于证据的，夫妇级的艾滋病毒预防干预措施是否可以改善现有传播策略的采用结果来推动艾滋病毒预防传播研究的科学。提议的是一项随机临床试验，旨在比较传统的，手动的项目连接（传统），基于关系的6条，基于关系的HIV/STI预防预防干预，用于异性恋夫妇的HIV/STI传播高风险，与Multimedia，Internet基于Internet的项目Connect（Multimedia）与Communital Intation Complate Communital Intectisations的互联网（Internet Mytimedia）相互访问（COBS）。提供HIV预防服务的八十名参与CBO将被随机分配，以接收传统或多媒体干预和培训套餐。在培训后的头两个月，所有机构将接受两天的现场培训和两个计划调查人员的计划辅助电话会议。每个代理机构最多可完成的电话评估（总共480名参与者）将衡量基线，6个，12个月和18个月后技术转移时的主要结果，调解，调节和过程测量变量。该研究的主要结果是采用连接干预措施。分析单位是CBO。拟议的研究将由Susan Witte博士，Nabila Ei-Bassel博士以及哥伦比亚大学社会工作学院的社会干预小组的调查小组与HIV行为研究中心的Robert Remien合作，以及哥伦比亚新​​媒体教学和学习新媒体教学和学习（CCNMTL）的Robert Remien。