Conference on Behavior Change in the Era of HIV

描述（由申请人提供）：本申请申请资助一个科学会议(组织者博士。Albarracin, del bbb, DiClemente, and Rothman)，题目为《hiv相关行为改变在个人、家庭/夫妻和社区/社会结构中的理论整合》。会议的主要目标是产生行为改变的综合理论（即，旨在为复杂现象提供必要和充分解释的一套陈述），该理论考虑到与艾滋病毒预防相关的各种系统（即，个人，家庭/夫妇，社区/更广泛的结构问题），并解决不同层面如何影响个人行为和临床结果。这种整合需要综合研究结果，并推断出可以为艾滋病毒预防干预措施的设计、实施和评估提供信息的一般原则。需要检查的相关问题包括：当前行为改变干预措施的局限性是什么？它们的影响如何更大？家庭和社区层面的干预对最终导致改变的个人层面的信念、情绪和/或行为的影响是什么？这种影响的中介和调节者是什么？个人的变化和更广泛的系统之间的相互关系是什么？我们如何解释这些相互关系呢？什么技术可以产生在不同层次上开始的变化？如何将不同层次的干预措施结合起来或设计成互补的，从而有效地促进和维持行为改变？指导这种组合的原则是什么？由40名来自基础和应用领域（包括女性、少数民族和残疾人）的一流研究人员组成的骨干团队将致力于这一整合，在会议上发表演讲，与其他科学家合作撰写报告，并在期刊上发表他们的共同贡献。组织者是社会、医学和行为科学领域的活跃研究人员，具有丰富的会议组织和理论建设经验；他们将领导会前和会后的工作，并通过期刊文章、其他会议的专题讨论会、报告和新闻稿传播理论整合。会议将持续3天，由特别成立的工作组领导的报告。一些团队将从特定的起点（例如，移民、贫困、性别和种族作为与信仰和行为变化相关的结构性条件）解决整合问题，而另一些团队将负责综合不同干预系统之间的关系。会议将通过提供拟议的理论整合来推进艾滋病毒预防科学，这可能会影响科学文献以及有效和创新的艾滋病毒行为改变干预策略。会议及时审查了先前在艾滋病毒领域的理论整合的影响以及预防和治疗艾滋病毒/艾滋病的生物方法的当前进展。鉴于目前NIMH的议程是理解结构性健康不平等，促进研究人员围绕转化研究的互动，并从不同的分析层面推进健康促进的研究，这也是及时的。会议地点在佐治亚州的亚特兰大，在项目成本、招募研究人员、社区成员和决策者等方面具有优势。在组织者团队和演讲者中有大量的少数民族代表。一个由主要研究人员组成的会议提议帮助设计一个综合理论，该理论将最大限度地发展有效和创新的干预措施，以改变艾滋病毒相关行为。将分析个人、家庭和社区的贡献，以了解如何在所有这些层面上最大限度地发挥干预措施的有利影响。强调各种临床结果，这与许多现有疾病的预防和治疗有关。

DESCRIPTION (provided by applicant): This application requests funding for a scientific conference (Organizers Drs. Albarracin, del Rio, DiClemente, and Rothman) titled Theoretical Integration of HIV-Relevant Behavior Change Across Individuals, Family/Couple, and Community/Social Structures. The main goal of the conference is to generate an integrative theory (i.e., set of statements purported to provide a necessary and sufficient explanation of a complex phenomenon) of behavior change that takes into account various systems relevant to HIV prevention (i.e., the individual, the family/couple, the community/broader structural issues) and that addresses how the different levels influence individual behavior and clinical outcomes. This integration requires synthesizing research findings and inferring general principles that can inform the design, implementation, and evaluation of HIV prevention interventions. Relevant questions to be examined include: What are the limitations of current behavior change interventions? How could their impact be larger? What is the impact of family- and community-level interventions on the individual- level beliefs, emotions, and/or behaviors that can ultimately lead to change? What are the mediators and moderators of this impact? What are the reciprocal relations between changes in the individual and the broader systems? How can we explain these reciprocal relations? What techniques can produce change initiated at different levels? How can interventions at different levels be combined or designed to be complementary so that they effectively promote and sustain behavior change? What are the principles that guide such combinations? A first-rate cadre of 40 researchers from basic and applied areas (including women, ethnic minorities, and people with disabilities) will work towards this integration, make a presentation at the conference, work collaboratively with other scientists to produce a report, and publish a journal issue reporting their joint contribution. The organizers are active researchers in the social, medical, and behavioral sciences and have extensive conference-organizing and theory-building experience; they will lead the pre- and post-conference work, as well as the dissemination of the theoretical integration via journal articles, symposia at other conferences, a report, and a press release. The conference will be 3 days filled with presentations led by specially formed workgroups. Some teams will address the integration from particular starting points (e.g., Migration, poverty, gender, and race as structural conditions linked to belief and behavior change), whereas others will be in charge of synthesizing relations across the different intervening systems. The conference will advance the science of HIV prevention by providing the proposed theoretical integration, which is documented to likely influence the scientific literature as well as efficacious and innovative HIV behavior change intervention strategies. The conference is timely given an examination of the influence of prior theoretical integrations in the area of HIV and current advances in biological methods to prevent and treat HIV/AIDS. It is also timely given the current NIMH agenda of understanding structural health inequalities, fostering researchers' interactions surrounding translational research, and advancing the study of health promotion from different levels of analysis. The conference location is Atlanta, GA, and offers advantages for the cost of the project, the recruitment of the audience of researchers, community members, and policy-makers. There is ample minority representation in the team of organizers and among the speakers. A conference with a team of leading researchers is proposed to help design an integrative theory that will maximize the development of effective and innovative interventions to change HIV-related behaviors. The contributions of the individual, the family, and the community will be analyzed to understand how to maximize the favorable impacts of interventions at all these levels. Various clinical outcomes are emphasized, which are relevant to prevention and treatment of many existing diseases.