Video-Based Delivery of HIV Test Information for Spanish-Speaking Latinos

描述（由申请人提供）：拉丁美洲人在美国艾滋病毒流行中所占比例过高。尽管是艾滋病毒感染的高危人群，但美国约有一半的拉丁裔从未接受过艾滋病毒检测。在美国拉丁美洲人中，超过一半的新艾滋病毒感染者是讲西班牙语的移民，这表明需要创新、有效、文化敏感和语言适当的方法来进行艾滋病毒筛查和诊断测试。这些方法也必须对卫生知识普及技能较低的人有效。在这项R21研究中，针对讲西班牙语的拉丁美洲人的基于视频的艾滋病毒检测信息传递，我们将在之前成功开发的基础上，为讲英语的艾滋病毒检测接受者开发有效的信息视频。我们在这个项目中的目标是制作一个视频，使讲西班牙语的拉丁美洲人，特别是那些卫生知识水平较低的人，能够了解有关艾滋病毒和艾滋病毒检测的基本信息。该视频最终将用于帮助简化和鼓励艾滋病毒筛查和诊断测试工作。这个R21早期的形成性研究将分三个连续的阶段进行。在第一阶段，我们将获得关于如何在文化和语言上改编原英语艾滋病毒和艾滋病毒检测信息视频的输入，这些视频来自全国60名讲英语和西班牙语的拉丁裔艾滋病毒检测接受者和15名来自医疗保健和社区外展艾滋病毒检测机构的讲英语和西班牙语的拉丁裔艾滋病毒检测提供者。在第二阶段，我们将使用这些输入制作西班牙语视频，并在全国60名讲西班牙语的拉丁裔艾滋病毒测试接受者和15名来自医疗保健和社区外展艾滋病毒测试机构的讲西班牙语的拉丁裔艾滋病毒测试提供者中对视频进行基于认知的评估。在第一阶段和第二阶段，我们将寻求来自不同拉丁亚文化以及卫生知识技能较低的人的人口多样化的应答者群体的投入。在第三阶段，我们将进行一项随机、对照、非劣效性试验，评估西班牙语艾滋病毒和艾滋病毒检测信息视频在卫生保健和社区外展艾滋病毒检测环境中讲西班牙语的艾滋病毒检测接受者中的有效性。我们的目的是确定观看西班牙语视频的艾滋病病毒检测接受者是否与通过艾滋病病毒检测咨询师的介绍获得相同信息的人具有相似的艾滋病病毒和艾滋病病毒检测知识水平。我们特别感兴趣的是，对于那些健康素养较低的人来说，这个视频是否同样有效，甚至更有效。如果视频显示有效，我们将免费提供西班牙语视频，供进行艾滋病毒筛查和诊断测试的团体使用。我们计划在未来的RO1(s)中使用该视频，以改善向卫生知识技能较低的人提供艾滋病毒和艾滋病毒检测信息，简化艾滋病毒检测工作，并提高拉丁裔人口中艾滋病毒检测的利用率。

DESCRIPTION (provided by applicant): Latinos are disproportionately represented in the US HIV epidemic. Despite being a population at high risk for an HIV infection, approximately half of Latinos in the US have never been tested for HIV. Over half of new HIV infections among US Latinos are among Spanish-speaking immigrants, which indicates a need for innovative, effective, culturally-sensitive, and linguistically-appropriate approaches to conduct HIV screening and diagnostic testing. Such approaches also must be effective for those with lower health literacy skills. In this R21 study, Video-based delivery of HIV test information for Spanish-speaking Latinos, we will build upon our prior success in developing an effective informational video for English-speaking HIV test recipients. Our goal in this project is to produce a video that enables Spanish-speaking Latinos, particularly those with lower health literacy skills, to comprehend fundamental information about HIV and HIV testing. The video will ultimately be employed to help streamline and encourage HIV screening and diagnostic testing efforts. This R21 early-stage, formative research will proceed in three successive stages. In Stage I, we will obtain input about how to culturally and linguistically adapt the original English-language HIV and HIV test information video from a national sample of 60 English- and Spanish-speaking Latino HIV test recipients and 15 English- and Spanish-speaking Latino HIV test providers from the healthcare and the community outreach HIV testing settings. In Stage II, we will produce the Spanish-language video using this input and conduct cognitive-based assessments of the video among a national sample of 60 Spanish-speaking Latino HIV test recipients and 15 Spanish-speaking Latino HIV test providers from the healthcare and the community outreach HIV testing settings. During Stage I and II, we will seek input from a demographically diverse group of respondents from various Latino sub-cultures, as well as those who have lower health literacy skills. In Stage III, we will conduct a randomized, controlled, non-inferiority trial evaluating the effectiveness of the Spanish-language HIV and HIV test information video among Spanish-speaking HIV test recipients in the healthcare and the community outreach HIV testing settings. We aim to determine if HIV test recipients who watch the Spanish-language video have a similar level of knowledge about HIV and HIV testing as those who receive identical in-person information through a presentation from an HIV test counselor. We are specifically interested in whether the video is as or even more effective for those with lower health literacy skills. If the video is shown to be effective, we will make the Spanish-language video freely available for any non- commercial use to groups that are conducting HIV screening and diagnostic testing. We plan to use the video for a future RO1(s) on improving delivery of HIV and HIV test information for those with lower health literacy skills, streamlining HIV test efforts, and increasing utilization of HIV testing among Latino populations. PUBLIC HEALTH RELEVANCE: Latinos, particularly native Spanish-speakers, are overrepresented in the HIV epidemic in the US, and only half of US Latinos have ever been tested for HIV. The video produced from this research will provide a culturally-sensitive and linguistically-appropriate means of facilitating HIV screening and diagnostic testing for Spanish-speaking Latinos. The ultimate aim of this project is to help reduce the transmission of HIV through streamlined yet effective HIV testing approaches.