Elimination of Health Disparities through Translation Research

描述(由申请人提供)：这项拟议的研究在埃默里大学罗林斯公共卫生学院和佐治亚州亚特兰大市的新生传教浸信教会之间建立了联系。这项研究的目的是：(1)通过应用Adapt-ITT模式，使循证艾滋病干预措施适用于非裔美国妇女，以开发改编的基于信仰的艾滋病毒干预措施；(2)通过对社区咨询委员会和试点服务人员进行可接受性调查，评估调整后的基于信仰的艾滋病毒干预措施的可接受性；(3)通过展示在6个月的随访期内，与年轻成年女性一样，无保护的性行为和安全性行为的调解者的减少，评估基于信仰的改编艾滋病毒干预措施的有效性；(4)加强采用基于信仰的适应性艾滋病毒干预措施，对六个新生教会各18-29岁的非裔美国女性(共50名妇女)进行培训，以实施基于信仰的适应性艾滋病毒干预措施；(5)通过让50名培训者每人向参加新生教会的目标人口中的5至10名妇女实施干预措施，加强基于信仰的适应性艾滋病毒干预措施的传播；(6)评估50名培训员对基于信仰的适应性艾滋病毒干预措施的忠诚度，让他们在每次举办的讲习班后填写一份课程遵从表，以及(7)通过评估实施这种干预措施的成本，确定实施基于信仰的适应性艾滋病毒干预措施的经济可行性。

DESCRIPTION (provided by applicant): The proposed study forges a link between Emory University Rollins School of Public Health and New Birth Missionary Baptist Church in metropolitan Atlanta, Georgia. The study aims are: (1) to adapt the evidence-based SISTA HIV intervention for African-American women by applying the ADAPT-ITT model to develop an adapted faith-based HIV intervention; (2) to assess the acceptability of the adapted faith-based HIV intervention by administering an acceptability survey to the community advisory board and pilot attendants; (3) to assess the efficacy of the faith-based adapted HIV intervention by demonstrating a reduction in unprotected sexual intercourse and mediators of safer sex over the 6-month follow-up period comparable to young adult women in the original SiSTA HIV intervention; (4) to enhance adoption of the faith-based adapted HIV intervention by training African-American females, 18 - 29 years of age from each of the six New Birth Affiliate Churches (N = 50 women total) to implement the faith-based adapted SISTA HIV Intervention; (5) to enhance diffusion of the faith-based adapted HIV intervention by having each of the 50 trainers implement the intervention to five to ten women in the target population attending New Birth Affiliate Churches; (6) to assess fidelity to the faith-base adapted HIV intervention among the 50 trainers by having them complete a Session Adherence form after every workshop administered and (7) to determine the economic feasibility of implementing the faith-based adapted HIV intervention by assessing the cost to implement this intervention.