TestED!: Applying Implementation Science to improve an HIV testing strategy for Emergency Departments

TestED！：应用实施科学来改进急诊科的艾滋病毒检测策略

• 批准号: 9146974
• 负责人: Uriel Felsen
• 金额: $ 18.44万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE, INC
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-21 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9146974
• 关键词: AIDS prevention; Accident and Emergency department; Address; Adoption; Affect; Attitude; Behavioral; Caring; Consensus; Development; Development Plans; Diagnosis; Effectiveness; Elements; Epidemic; Evaluation; Evidence based intervention; Evolution; Focus Groups; Goals; HIV; Health; Health Services; Human immunodeficiency virus test; Individual; Infection; Intervention; Interview; K-Series Research Career Programs; Literature; Maintenance; Mentors; Mentorship; Methods; Modeling; Outcome; Patient Care; Patients; Persons; Prevention; Prevention strategy; Process; Process Measure; Provider; Public Health; Qualitative Methods; Reporting; Research; Research Design; Research Personnel; Research Project Grants; Resources; Risk; Series; Site; Structure; Testing; Time; Training; Translating; Translations; Underserved Population; Viral; base; career; career development; experience; health care availability; implementation science; improved; informant; method development; prevent; programs; research study; screening; service intervention; skills; therapy design; tool; transmission process; treatment strategy; uptake

 DESCRIPTION (provided by applicant): With the career goal of becoming an independent investigator, Dr. Uriel Felsen describes a mentored research project and specific career development plan which will prepare him to study the implementation of HIV treatment and prevention strategies for underserved populations. Despite a growing number of biomedical, behavioral, and structural interventions shown to be efficacious in preventing HIV transmission, important questions remain as to how to optimally implement such interventions in order to translate these advances into real-world outcomes, particularly among underserved populations that remain at greatest risk. HIV testing is a critical component of HIV treatment and prevention, and strategies for HIV testing in the Emergency Department (ED) setting can potentially impact the evolution of the domestic epidemic. This proposal aims to: 1) Identify barriers to and facilitators of implementing an expanded HIV testing strategy in the ED; 2) Use these findings to adapt an existing ED-based HIV testing strategy into a new strategy; 3) Test the process- and prevention-related outcomes of this new strategy; and 4) Develop a generalizable Implementation Science tool for implementing and evaluating an ED-based HIV testing strategy. To accomplish these aims, Dr. Felsen will pursue training in Implementation Science, qualitative methods, development of health services interventions, and the design and analysis of quasi-experimental studies. With completion of these activities, along with intensive mentorship, Dr. Felsen will be prepared to disseminate and test his tool for implementing and evaluating an ED-based HIV testing strategy across multiples sites for his career goal of becoming an independent investigator.

 Uriel Felsen博士描述了一个指导性的研究项目和具体的职业发展计划，这将使他准备研究艾滋病毒治疗和预防策略的实施，为服务不足的人群。尽管越来越多的生物医学、行为和结构性干预措施被证明在预防艾滋病毒传播方面是有效的，但重要的问题仍然是如何最佳地实施这些干预措施，以便将这些进展转化为现实世界的成果，特别是在仍然面临最大风险的服务不足人群中。艾滋病毒检测是艾滋病毒治疗和预防的一个重要组成部分，在急诊科（艾德）环境中进行艾滋病毒检测的策略可能会影响国内流行病的演变。该提案旨在：1）确定在艾德实施扩大的艾滋病毒检测策略的障碍和促进因素; 2）使用这些发现将现有的基于ED的艾滋病毒检测策略调整为新策略; 3）测试这一新策略的过程和预防相关结果;以及4）开发一个可推广的实施科学工具，用于实施和评估基于ED的艾滋病毒检测策略。为了实现这些目标，Felsen博士将继续进行实施科学，定性方法，卫生服务干预措施的开发以及准实验研究的设计和分析方面的培训。随着这些活动的完成，沿着密集的指导，Felsen博士将准备传播和测试他的工具，用于在多个地点实施和评估基于ED的HIV检测策略，以实现他成为独立研究者的职业目标。