An Integrated Risk Reduction Intervention for Abused African Caribbean Women

项目总结(见说明)： 本分项目是根据NIMHD探索英才中心(P20)，RFA-MD-11-002，维尔京群岛加勒比探索研究中心大学(UVI)的续展申请提交的。该项目是一项随机临床试验(RCT)，旨在测试一种旨在降低美属维尔京群岛非洲加勒比妇女的亲密伴侣暴力风险和相关的性传播感染(STI)风险(包括艾滋病毒感染)的干预措施。具体目标是1)将亲密伴侣的暴力赋权与艾滋病毒预防结合起来并加以调整 干预措施2)建立治疗保真程序，3)对美属维尔京群岛的妇女进行联合干预的初步测试。这项拟议的干预研究是基于一项正在进行的关于亲密伴侣暴力(IPV)的研究，该研究是由UVI加勒比海探索研究中心的研究人员与中国大陆几所主要大学的研究人员合作开展的。正在进行的这项研究题为《非裔美国人和非裔加勒比妇女的虐待状况和健康后果》。这是一项关于生活在美属维尔京群岛的妇女与居住在美国维京群岛的妇女的病例对照比较 大陆(美国巴尔的摩)正在寻求医疗保健的人。这项正在进行的研究是在美属维尔京群岛进行的第一次此类研究。亲密伴侣暴力(IPV)包括亲密伴侣(现任或前任配偶、约会或其他伴侣)的身体和/或性侵犯或威胁。调查人员将在我们关于美属维尔京群岛亲密伴侣暴力(IPV)及其对被虐待妇女感染艾滋病毒和其他性传播疾病的风险增加的工作的基础上，开发和进行基于文化定制的医疗保健系统干预的初步测试。研究设计将首先将受虐妇女、卫生保健专业人员和家庭暴力项目工作人员(生活在和/或土著维尔京岛民)纳入焦点小组，以帮助调查人员适应和整合为这一人群量身定做的文化和语言上适当的干预措施。然后，我们将在随机临床试验中对干预进行初步测试。

PROJECT SUMMARY (See instructions): This subproject is submitted with the renewal application of the Caribbean Exploratory Research Center University of the Virgin Islands (UVI)in response to the NIMHD Exploratory Centers of Excellence (P20),RFA-MD-11-002. This project is a randomized clinical trial (RCT) to test an intervention designed to reduce the risk of intimate partner violence and associated risks of sexually transmitted infections (STIs) including HIV infection in African Caribbean women in the US Virgin Islands. The specific aims are to 1) combine and adapt an intimate partner violence empowerment ilntervention with an HIV prevention intervention 2) establish treatment fidelity procedures and 3) conduct a preliminary test of the combined intervention with women in the US Virgin Islands. The proposed intervention study builds on an ongoing study of intimate partner violence (IPV) being conducted as a collaborative project by investigators at the Caribbean ExploratoryResearch Center, UVI with researchers at several major mainland universities. The study in progress is titled Abuse Status and Health Consequences for African American and African Caribbean Women. It is a case control comparison of women living in the US Virgin Islands with women on the mainland (Baltimore, USA) who are seeking health care. The ongoing study is the first of its kind conducted in the US Virgin Islands. Intimate partner violence (IPV) includes physical, and/or sexual assault or threats by an intimate partner (current or former spouse, dating or other partner). The investigators will build on our work on intimate partner violence (IPV) in the US Virgin Islands and the increased risk it poses for abused women for HIV and other sexually transmitted infections by developing and conducting a preliminary test of a culturally tailored health care system based intervention. The research design will first engage abused women, health care professionals and domestic violence program workers (living in and/or native Virgin Islanders) in focus groups to help the investigators with the adaptation and integration of a cultural and linguistically appropriate intervention tailored for this population. We will then conduct a preliminary test of the intervention in a randomized clinical trial.