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

 描述（由申请人提供）：由于许多注射毒品（PWID）的人没有得到足够的信息：艾滋病毒或丙型肝炎病毒检测和预防，或过量预防和反应培训，我们建议开发一个移动的干预工具包，从理论指导的视频内容库提供基于技术的干预。第一次迭代将解决过量预防和应对培训，以及艾滋病毒/HCV预防教育。后续的迭代将扩展内容库以包括其他主题。 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/应对列为当前的优先事项。疾病控制和预防中心同样注意到在为PWID提供服务时应对艾滋病毒和HCV的重要性。然而，项目工作人员可能并不总是对所有主题都了如指掌，也可能无法以PWID完全理解的方式解释细节。 我们提出的移动的干预工具包（MIK）将解决这一未满足的服务需求，同时为项目工作人员和管理人员创造价值。一个易于使用的菜单将使客户组织能够配置每个平板电脑，以提供简短的视频（每个约2分钟）：过量预防和应对;纳洛酮的正确使用; HIV/HCV预防;以及HIV和HCV检测过程的细节。这些视频可以单独或以任何组合提供。 在参与者查看了材料后，MIK将自动向由数字健康授权维护的场外密码保护数据库发送完成报告，SBC提交当前提案。这些报告中的去识别数据将提供给客户组织，然后客户组织可以与当前和潜在的资助者分享详细信息，以记录他们提供的服务。数字健康授权将收取使用MIK的滑动费用，并将为每份报告收取额外费用。 我们的项目团队创建了NIH资助的基于技术的干预措施，以促进药物使用报告，并增加高容量城市急诊科患者的艾滋病毒检测。患者，包括那些最初拒绝检测的患者，将我们基于技术的方法的隐私性和清晰性作为他们最终接受HIV检测和更诚实地报告药物使用的原因。我们的团队还拥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大卫Aronson博士拥有超过10年的合作开发技术产品的经验，包括基于视频的健康干预措施和其他数字内容，为非营利，商业和大学环境中的客户提供服务。我们计划在此专业知识的基础上：开发视频和软件，以促进场地适当的视频选择和演示，沿着后端系统收集数据并生成自动完成报告;并在服务PWID的程序中进行初步可行性试验（n=30）。

 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.