Mobile Intervention Kit to Increase HIV/HCV Testing and Overdose Prevention Training

移动干预套件可加强 HIV/HCV 检测和过量预防培训

• 批准号: 9064304
• 负责人: Ian David Aronson
• 金额: $ 15.28万
• 依托单位: DIGITAL HEALTH EMPOWERMENT, INC.
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-05-15 至 2017-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9064304
• 关键词: Accident and Emergency department; Address; Administrator; Alcohol or Other Drugs use; Centers for Disease Control and Prevention (U.S.); Charge; Client; Clinical; Computer software; Contracts; Data; Data Collection; Data Reporting; Databases; Doctor of Philosophy; Fees; Fright; Funding; HIV; HIV/HCV; Health; Health Knowledge, Attitudes, Practice; Health Services Accessibility; Hepatitis C; Hepatitis C virus; Hospitals; Human immunodeficiency virus test; Infection; Injecting drug user; Intervention; Libraries; Naloxone; Needle-Exchange Programs; New York City; Overdose; Participant; Patients; Population; Prevention; Prevention education; Privacy; Process; Public Health; Reporting; Risk; Risk Factors; Running; Services; Site; Slide; Symptoms; Syringes; System; Tablet Computer; Tablets; Technology; Testing; Time; Training; United States; United States National Institutes of Health; United States Substance Abuse and Mental Health Services Administration; Universities; base; cost; design; digital; disorder prevention; experience; flexibility; health empowerment; improved; injection drug use; instrument; meetings; methadone maintenance; outreach; overdose death; overdose prevention; prevent; prevention service; programs; public health relevance; response; social stigma; theories; tool

 DESCRIPTION (provided by applicant): Because many people who inject drugs (PWID) do not receive adequate information about: HIV or HCV testing and prevention, or overdose prevention and response training, we propose to develop a Mobile Intervention Kit to deliver technology-based interventions from a library of theory-guided video content. The first iteration will address overdose prevention and response training, as well as HIV/HCV prevention education. Subsequent iterations will expand the content library to include additional subjects. The Substance Abuse and Mental Health Services Administration lists HIV, HCV, and overdose prevention/response as current priorities. The Centers for Disease Control and Prevention similarly note the importance of addressing HIV and HCV when providing services to PWID. However, program staff may not always be fully knowledgeable about all topics, and may not explain details in ways PWID can fully understand. Our proposed Mobile Intervention Kit (MIK) will address this unmet need for services, while creating value for program staff and administrators. An easy to use menu will enable client organizations to configure each tablet to present brief videos (approximately 2 minutes each) on: overdose prevention and response; the proper use of naloxone; HIV/HCV prevention; and the specifics of HIV and HCV test processes. These videos can be offered individually or in any combination. After a participant has viewed the materials, the MIK will automatically send a completion report to an off- site, password protected database maintained by Digital Health Empowerment, the SBC submitting the current proposal. De-identified data from these reports will be provided to client organizations, which can then share details with current and potential funders to document the services they provide. Digital Health Empowerment will charge a sliding fee to use the MIK, and will collect additional fees for each report. Our project team has created NIH-funded technology-based interventions to facilitate substance use reporting and increase HIV testing among patients in high volume, urban emergency departments. Patients, including those who initially declined testing, cited the privacy and clarity of our technology-based approach as reasons they ultimately accepted HIV testing and more honestly reported substance use. Our team also has experience delivering services to high-need PWID in various clinical and non-clinical outreach settings. Additionally, Digital Health Empowerment principals So-Young Oh and Ian David Aronson, Ph.D. have more than 10 years experience collaboratively developing technology products, including video-based health interventions and other digital content, for clients in non-profit, commercial, and universiy settings. We plan to build upon this expertise to: develop videos and software to facilitate venue appropriate video selection and presentation, along with a backend system to collect data and generate automated completion reports; and conduct a preliminary feasibility trial (n=30) at a program serving PWID.

 描述（由应用程序提供）：由于许多注入药物（PWID）的人没有收到有关以下情况的足够信息：HIV或HCV测试和预防，或者预防和反应培训过量，所以我们建议开发一种移动干预套件来提供基于技术的理论引导视频内容的基于技术的干预措施。第一次迭代将解决预防和反应培训，以及艾滋病毒/HCV预防教育。随后的迭代将扩展内容库，包括其他主题。药物滥用和精神卫生服务管理局将艾滋病毒，HCV和过量预防/反应列为当前优先事项。疾病控制和预防中心同样地指出了在向PWID提供服务时解决艾滋病毒和HCV的重要性。但是，计划人员可能并不总是完全了解所有主题，并且可能不会以PWID完全理解的方式来解释细节。我们提出的移动干预套件（MIK）将满足对服务人员和管理员的价值的未满足需求。易于使用的菜单将使客户端组织能够配置每个平板电脑，以在以下方式上介绍简短的视频（大约2分钟）：预防和响应过量；适当使用纳洛酮； HIV/HCV预防；以及HIV和HCV测试过程的细节。这些视频可以单独或任何组合提供。参与者查看材料后，MIK将自动将完成报告发送给由密码保护的数据库，该数据库由数字健康授权维护，SBC提交了当前的建议。从这些报告中取消确定的数据将提供给客户组织，然后可以与当前和潜在的资金共享详细信息，以记录其提供的服务。数字健康授权将收取使用MIK的滑动费，并将为每个报告收取额外费用。我们的项目团队已经创建了基于NIH资助的技术干预措施，以促进大量城市急诊室患者的艾滋病毒报告并增加艾滋病毒测试。患者，包括最初拒绝测试的患者，将我们基于技术的方法的隐私和清晰度作为他们最终接受HIV测试的原因，并更诚实地报告了药物使用。我们的团队还具有在各种临床和非临床外展环境中为高需求的PWID提供服务的经验。此外，数字健康授权校长So Young OH和Ian David Aronson博士。拥有十多年的经验，可以为非营利，商业和普遍环境的客户提供协作开发技术产品，包括基于视频的健康干预措施和其他数字内容。我们计划以这些专业知识为基础：开发视频和软件，以促进场地适当的视频选择和演示文稿，以及收集数据并生成自动完成报告的后端系统；并在服务PWID的程序上进行初步可行性试验（n = 30）。