Reducing HIV Disparities among Latinos: Disseminating An Effective Intervention

描述（由申请人提供）：我们建议进行一项为期3年的研究（R24），以促进HoMBReS: Por UN Cambio干预措施的传播、吸收和可持续性，HoMBReS: Por UN Cambio干预措施是一种非专业健康顾问（LHA）干预措施，被发现可有效降低东南地区拉丁裔移民男性的艾滋病毒风险。根据拉丁裔移民男性的生活经历、组织代表的观点以及社会认知和赋权理论，这种干预措施是由长期的社区-大学合作伙伴关系开发和测试的，该合作伙伴关系在研究过程的所有阶段都使用并将继续使用基于社区的参与性研究（CBPR）原则。在拟议的研究中，代表典型的社区一级艾滋病毒和性病预防干预提供者的3个社区组织（即，一个艾滋病服务组织、一个拉丁裔服务组织和一个县公共卫生部门）将与我们现有的CBPR伙伴关系合作，开发一个综合工具包来指导实施；实施和评估实施情况；并通过多种渠道传播成果和资料。每个CBO将雇用1名兼职项目协调员来招募、培训和支持8名非专业健康顾问（称为“导航员”）。这24名“导航者”将在12个月的时间里，在他们以足球队为基础的社交网络成员中宣传性健康。基线和后续数据将从社会网络成员收集，以评估影响。结合定量和定性方法，我们将探讨这些不同的cbo干预实施的促进因素和障碍，保真度和潜在的可持续性。在实施前后，我们将对CBO代表进行个别深入访谈。实施后，我们还将在每个CBO与Navigates进行焦点小组讨论。我们将使用规模扩大和传播，这是一个以扩散和社会规范理论为基础的框架，来指导本研究。我们还将通过与合作伙伴的深入访谈、直接观察伙伴关系会议和研究实施情况以及审查伙伴关系文件，对CBPR进程进行评估。

DESCRIPTION (provided by applicant): We propose a 3-year study (R24) to facilitate dissemination, uptake, and sustainability of the HoMBReS: Por UN Cambio intervention, a lay health advisor (LHA) intervention found to be efficacious in reducing the HIV risk among immigrant Latino men in the Southeast. Informed by the lived experiences of immigrant Latino men, perspectives of organizational representatives, and social cognitive and empowerment theories, this intervention was developed and tested by a long-term community-university partnership that has used and will continue to use community-based participatory research (CBPR) principles throughout all phases of the research process. In the proposed study, 3 community-based organizations (CBOs) that represent typical community-level providers of HIV and STD prevention interventions (i.e., an AIDS service organization, a Latino-serving organization, and a county public health department) will work with our existing CBPR partnership to develop a comprehensive toolkit to guide implementation; implement and evaluate implementation; and disseminate results and materials through multiple channels. Each CBO will hire 1 part-time project coordinator to recruit, train, and support 8 lay health advisors (known as "Navigates"). These 24 Navigates will promote sexual health among members of their soccer team-based social networks for 12 months. Baseline and follow-up data will be collected from social network members to evaluate impact. Blending both quantitative and qualitative methods, we will explore facilitators and barriers to intervention implementation, fidelity, and potential sustainability by these diverse CBOs. Pre and post-implementation, we will conduct individual in-depth interviews with CBO representatives. Post-implementation, we also will conduct focus groups with Navigates at each CBO. We will use scale-up and spread, a framework informed by diffusion and social normative theories, to guide this study. We also will evaluate the CBPR process, using in-depth interviews with partners, direct observation of partnership meetings and study implementation, and partnership document review.