Faith in Sustaining SISTA

描述(由申请人提供)：该研究小组在开发疾控中心定义的循证干预(EBI)以降低非裔美国女性的艾滋病毒风险方面有着悠久的历史。到目前为止，该团队已经开发了六个疾控中心定义的艾滋病毒预防EBI。他们传播和采用最广泛的EBI是SISTA，这是一种针对非裔美国女性的艾滋病毒干预措施。在过去的5年里，研究小组获得了疾病控制与预防中心的赠款，以便与教会非信徒领袖和教会事工的领导人合作，修改称为SISTA的EBI，以创建一个基于信仰的SISTA。历史上的黑人信仰机构参与实施以证据为基础的艾滋病毒干预措施，有可能加强非裔美国人预防工作的可持续性。本研究试图在亚特兰大24家历史上有黑人信仰的机构中进行一项三臂随机对照试验，通过比较三种实施策略来检验忠诚度和参与者REACH在12个月的随访中的实施结果。信仰机构随机接受：(1)艾滋病毒101教育和SISTA课程(N=8个信仰机构)；或(2)艾滋病毒101教育和SISTA课程，外加互动培训视频(N=8个信仰机构)；或(3)艾滋病毒101教育和SISTA课程，外加互动培训视频以及每月两次的个人反馈(N=8个宗教机构)。本研究的目的是：(1)评估24个信仰机构对基于信仰的SISTA的制度性采纳；(2)评估来自信仰机构的120名培训者对基于信仰的SISTA的接受者；(3)比较三个军种的培训者对基于信仰的SISTA的实施忠诚度水平；(4)比较三个军种的培训者中通过基于信仰的SISTA干预达到的参与者数量；以及(5)评估培训者因素是否影响实施忠诚度。拟议中的申请是一次令人兴奋的跨机构合作，涉及学术机构(埃默里大学、罗林斯公共卫生学院和教派间神学中心)、美国东南部最大的艾滋病毒教育服务提供商(AID亚特兰大)、位于低收入社区中心的社区机构(治愈我们的社区)和24家历史上的黑人信仰机构。

DESCRIPTION (provided by the applicant): The study team has a long history of developing CDC-defined evidence-based interventions (EBIs) to reduce HIV risk among African American women. To date the team has developed six CDC-defined HIV prevention EBIs. Their most widely disseminated and adopted EBI is SISTA, an HIV intervention for African American women. During the past 5 years the study team has been awarded a CDC grant to collaborate with church lay leaders and with leaders of church ministries to adapt the EBI known as SISTA to create a faith-based SISTA. The involvement of historically black faith institutions in implementing evidence-based HIV Interventions has the potential to enhance sustainability of prevention efforts among African Americans. The study seeks to conduct a three-arm randomized controlled trial among 24 historically black faith institutions in Atlanta to examine th implementation outcomes of fidelity and participant reach at 12-months follow-up by comparing three implementation strategies. Faith institutions are randomized to receive either: (1) HIV 101 Education and the SISTA curriculum (N = 8 faith institutions); or (2) HIV 101 Education and the SISTA curriculum, plus an interactive training video (N= 8 faith institutions); or (3) HIV 101 Education and the SISTA curriculum, plus an interactive training video as well as, personal feedback twice a month (N=8 faith institutions). The study aims are: (1) To assess institutional adoption of faith-based SISTA among 24 faith institutions; (2) To assess provider adoption of faith-based SISTA among the 120 trainers from the faith institutions; (3) To compare level of implementation fidelity to faith-based SISTA among trainers in three arms; (4) To compare number of participants reached with faith-based SISTA intervention among trainers in the three arms and, (5) To assess whether Trainer factors moderate implementation fidelity. The proposed application is an exciting trans-institutional collaboration involving academic institutions (Emory University, Rollins School of Public Health and Interdenominational Theological Center), the largest provider of HIV educational services in the Southeastern United States (AID Atlanta), a community based agency located in the heart of low-income communities (Healing Our Communities) and 24 historically black faith institutions.