A Web-Based HIV Workplace Prevention and Policy Development Program

描述（由申请人提供）：感染艾滋病毒的人是美国劳动力的重要组成部分，他们的数量正在增长。事实上，调查显示，工作的成年人担心感染艾滋病毒，认为他们的雇主是艾滋病毒/艾滋病相关信息的可靠来源，并希望在工作场所提供艾滋病毒预防项目。在工作场所实施艾滋病教育和预防项目也有很多合理的商业理由。治疗艾滋病毒费用昂贵，导致医疗保险费更高。没有任何一种疾病导致的工作场所诉讼比艾滋病毒/艾滋病更多。关于传播的常见误解会导致同事的恐惧，降低工作效率。尽管如此，只有15%的工作场所提供艾滋病毒/艾滋病教育项目，大多数只关注职业暴露问题。工地项目的缺乏主要是由于目前可用资源的不足。它们需要大量的时间来实现，不依赖于公认的行为改变原则，并且不能被裁剪以适应个别工作场所及其员工的独特需求。ISA小组建议通过为雇主及其雇员制定基于网络的艾滋病毒工作场所预防和政策制定计划来填补这一空白。这个多媒体课程将指导高级管理层逐步制定工作场所政策。如果一项政策已经到位，或被纳入更普遍的危及生命的疾病和残疾政策，则交互式工具将评估其与艾滋病毒/艾滋病问题相关的充分性（例如，遵守联邦、州和地方法律；保密；工作场所歧视等）。这项政策将成为所有工作场所预防艾滋病毒工作的基础。对于主管来说，该项目将提高他们对工作场所艾滋病毒政策的理解，培养他们有效应对感染艾滋病毒/艾滋病的员工的技能，并帮助他们培养积极的工作场所艾滋病毒预防教育规范。该项目将为员工及其家属提供经验验证的艾滋病预防技术培训。在第一阶段，开发了一个程序原型，并对27个潜在用户进行了测试。达到并超过了进入第二阶段的数量基准。在第二阶段，我们建议完成WorkWell计划的开发，并在两部分研究中测试其有效性。首先，在尚未实施艾滋病毒工作场所政策的美国公司中招募25名政策制定者，评估他们对艾滋病毒工作场所政策的了解程度以及在审查政策制定模块之前和之后实施该政策的意图。其次，随机分配600名在职成年人来审查WorkWell计划或基于CDC BRTA计划的打印材料。主管培训、预防艾滋病毒和家庭教育模块的影响将在项目审查后1个月和4个月对主要和次要结果指标进行评估。

DESCRIPTION (provided by applicant): People infected with HIV are a significant part of the U.S. workforce and they are growing in numbers. Indeed, surveys suggest that working adults are concerned about contracting HIV, consider their employer a credible source of HIV/AIDS-related information, and want HIV prevention programs offered at the workplace. There are also many sound business reasons to implement workplace HIV education and prevention programs. Treating HIV is expensive, leading to higher health insurance premiums. No single disease has resulted in more workplace lawsuits than HIV/AIDS. And common misperceptions regarding transmission can lead to co-worker fear and reduced on-the-job productivity. Despite this, only 15% of worksites offer HIV/AIDS education programs with most focusing exclusively on occupational exposure issues. This dearth of worksite programs is primarily due to the inadequacy of currently available resources. They are time-intensive to implement, do not rely on accepted behavior change principles, and cannot be tailored to fit the unique needs of individual worksites and their employees. The ISA Group proposes to fill this void by developing a web-based HIV workplace prevention and policy development program for employers and their employees. This multi-media program will guide senior management through a step-by-step workplace policy development process. If a policy is already in place, or is subsumed under a more general life-threatening illness and disability policy, an interactive tool will assess its adequacy as it relates to HIV/AIDS issues (e.g., compliance with federal, state, and local laws; confidentiality; workplace discrimination; etc). This policy will then serve as the foundation for all workplace HIV prevention efforts. For supervisors, the program will increase their understanding of the HIV workplace policy, develop their skills to effectively respond to an employee infected with HIV/AIDS, and help them foster positive workplace norms for HIV prevention education. For employees and their families, the program will provide training in empirically validated HIV prevention techniques. In Phase I, a prototype of the program was developed and tested with 27 potential users. Quantitative benchmarks to proceed to Phase II were met and exceeded. In Phase II, we propose completing development of the WorkWell program and testing its effectiveness in a two-part study. First, recruit 25 policymakers at US companies who have not yet implemented an HIV workplace policy and assess their knowledge of HIV workplace policy and their intentions to implement such a policy before and after reviewing the Policy Development module. Second, randomly assign 600 working adults to review either the WorkWell program or the print-based CDC BRTA program materials. The impact of the Supervisor Training, Preventing HIV, and Family Education modules will be assessed one- and four-months after program review on both primary and secondary outcome measures. PUBLIC HEALTH RELEVANCE: This project aims to develop a web-based HIV workplace prevention and policy development program. For businesses this will allow them to realize gains in worker productivity, reduce the likelihood of lawsuits, and reduce their health care costs. For employees and their families, the skills contained in this program will help them reduce risk behaviors and, ultimately, prevent the spread of HIV/STDs.