Using Multimedia Technologies to Disseminate an HIV Prevention Intervention

描述(申请人提供)：尽管二十年来的研究证明了以科学为基础的干预措施对减少危险行为的有效性，但艾滋病毒预防传播的科学仍处于早期阶段。艾滋病毒感染在全球范围内继续上升，异性接触仍然是主要的和不断上升的传播途径。迫切需要提高艾滋病毒预防干预传播方法的能力、规模和速度，例如在教育和医疗领域越来越多地采用多媒体和基于互联网的方法。这项修订后的申请提出了一项技术转让研究，将通过测试使用多媒体和基于互联网的技术来实施基于证据的夫妇水平的艾滋病毒预防干预措施是否改善了现有传播战略之外的采用结果，从而推动艾滋病毒预防传播研究的科学发展。建议进行一项随机临床试验，以比较向纽约州各地社区组织(CBO)的客户传播传统的、手动的Project Connect(传统)与基于多媒体的基于互联网的Project Connect(多媒体)的有效性。Project Connect是一种针对艾滋病毒/STI传播高危异性夫妇的6节会议、基于关系的预防干预措施。提供艾滋病毒预防服务的80个参与社区组织将随机接受传统或多媒体干预和培训包。所有机构都将在培训后的头两个月接受为期两天的现场培训，并接受研究调查人员计划召开的两次技术援助电话会议。由每个机构最多6名工作人员(共480名参与者)完成的电话评估将衡量技术转让后6个月、12个月和18个月的基准、调解、调节和过程衡量变量。这项研究的主要结果是采用了Connect干预。分析的单位是国会预算办公室。这项拟议的研究将由Susan Witte博士、Nabila Ei-Bassel博士和哥伦比亚大学社会工作学院社会干预小组的调查小组与艾滋病毒行为研究中心的Robert Rymen博士和哥伦比亚新媒体教学中心(CCNMTL)的执行主任Frank Moretti博士合作进行。

DESCRIPTION (provided by applicant): Despite two decades of research demonstrating the efficacy of science-based interventions to reduce risk behaviors, the science of HIV prevention dissemination is still in its early stages. HIV infections continue to rise worldwide, and heterosexual contact remains the primary and escalating route of transmission. There is a critical need for increased capacity, scale and speed for HIV prevention intervention dissemination approaches, such as those increasingly implemented in educational and medical arenas, which use multimedia and internet-based approaches. This revised application proposes a technology transfer study that will advance the science of HIV prevention dissemination research by testing whether employing multimedia and internet-based technology for implementation of an evidence-based, couple-level HIV prevention intervention improves adoption outcomes beyond existing dissemination strategies. Proposed is a randomized clinical trial to compare the effectiveness of disseminating a traditional, manualized package of Project Connect (Traditional), a 6-session, relationship-based HIV/STI prevention intervention for heterosexual couples at high risk for HIV/STI transmission, versus a multimedia, internet-based version of Project Connect (Multimedia) to clients at community-based organizations (CBOs) across New York State. Eighty participating CBOs providing HIV prevention services will be randomized to receive either the Traditional or Multimedia intervention and training packages. All agencies will receive two days of on-site training and two planned technical assistance conference calls by study investigative staff in the first two months following training. Telephone assessments completed by up to 6 staff at each agency (total of 480 participants) will measure primary outcomes, mediating, moderating and process measure variables at baseline, 6-, 12- and 18-months post-technology transfer. The primary outcome of the study is adoptions of the Connect intervention. The unit of analysis is the CBO. The proposed study will be conducted by Dr. Susan Witte, Dr. Nabila EI-Bassel, and the investigative team at the Social Intervention Group at the Columbia University School of Social Work, in collaboration with Dr. Robert Remien, of the HIV Center for Behavioral Research and Dr. Frank Moretti, Executive Director of the Columbia Center for New Media Teaching and Learning (CCNMTL).