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.

 描述（由适用提供）：乌里尔·菲尔森（Uriel Felsen）博士描述了成为独立研究者的职业目标，描述了研究项目和特定职业发展计划的问题，这将使他为研究较不服务人群的艾滋病毒治疗和预防策略的实施做好准备。尽管越来越多的生物医学，行为和结构性干预措施有效地预防艾滋病毒传播，但对于如何最佳地实施这种干预措施以将这些进步转化为现实世界中的结果，仍然存在重要的问题，尤其是在仍然处于极大风险的不足者中。艾滋病毒测试是艾滋病毒治疗和预防的关键组成部分，急诊科（ED）设置的艾滋病毒测试策略可能会影响国内流行的发展。该提案的目的是：1）确定在ED中实施扩展的HIV测试策略的障碍和促进者； 2）使用这些发现将现有的基于ED的HIV测试策略调整为新策略； 3）测试这种新策略的过程和预防相关的结果； 4）开发一种可推广的实施科学工具，用于实施和评估基于ED的HIV测试策略。为了实现这些目标，费尔森博士将在实施科学，定性方法，卫生服务干预措施以及准实验研究的设计和分析方面进行培训。随着这些活动的完成以及密集的心态，Felsen博士将准备传播和测试他的工具，以实施和评估跨多个地点的基于ED的HIV测试策略，以实现他成为独立研究者的职业目标。