Testing scalable, IVR-supported cancer prevention interventions for SGM in the rural Alabama Black Belt

这项拟议的研究与特别关注通知NOT-OD-22-032一致。本行政 补充，我们将建立在我们正在进行的R 01家长补助金的基础设施[ ] - 专注于 增加一般人群的身体活动[1]。根据《科学与技术》中列出的具体研究领域， 特别关注的通知，我们将使用“方法和战略创新，以改善招聘和 在任何研究活动中保留性和性别少数（SGM）个人。 NCT 03903874深度 南方交互式语音应答（IVR）支持的积极生活方式（DIAL）干预-即 这项研究很重要 因为研究表明，SGM中与不活动相关的慢性病的发病率甚至更高， 与异性恋者相比。造成这种差异的原因是特定于SGM的 身体活动的障碍（例如，害怕更衣室里的歧视性互动） 普通大众的经验（例如，有限的时间，承诺）。这些障碍进一步加剧 南方腹地的SGM社区所经历的普遍耻辱和歧视。的状态 亚拉巴马继续有歧视性的法律（例如，艾滋病毒/艾滋病刑事定罪，缺乏LGBTQ主题， 学校、收养和寄养中排除LGBTQ父母），这导致了大规模的心理问题 和身体健康负担。鉴于有可能解决一系列重大健康问题， 因此，我们迫切需要新的动态方法， 建议在当前的母公司奖励基础上：第1阶段（6个月）-与20名SGM进行电话访谈 成年人生活在农村黑带县的亚拉巴马，以确定哪些方面的当前招聘 和保留战略，以及干预内容，应加以调整。第二阶段（6个月）- 与我们的社区合作伙伴、学术专家和IVR合作完成DIAL干预 采访中的见解将提交给我们的 利益攸关方参加虚拟研讨会，以获得反馈，并进一步为干预措施的调整提供信息 程序和内容。研讨会后，您的IVR开发人员从家长赠款将与他的 编程团队来模拟 开发人员和编程团队进行实施。 O 经过调整的干预内容的测试版，供 随后的研讨会。反馈将用于最终确定干预内容变更，以便实施。 在完成12个月的行政补充后，我们将定位为R34应用程序， 对新调整的体力活动干预措施进行最终可用性测试和试点试验，以解决 南方腹地农村SGM人群的健康差距。

This proposed research is consistent with the Notice of Special Interest NOT-OD-22-032. In this administrative supplement, we will build on the infrastructure of our ongoing R01 parent grant [ ] – the focused on increasing physical activity among the general population [1]. Per the specific areas of research listed in the Notice of Special Interest, we will use “methodological and strategic innovations to improve the recruitment and retention of sexual and gender minority (SGM) individuals in any research activity.” NCT03903874 Deep South Interactive Voice Response (IVR)-supported Active Lifestyle (DIAL) intervention - that is This research is important because studies have shown that rates of inactivity-related chronic conditions are even higher among SGM populations compared to their heterosexual counterparts. Contributing to this disparity are SGM-specific barriers to physical activity (e.g., fear of discriminatory interaction in locker rooms) in addition to barriers experience by the general population (e.g., limited time, commitment). These barriers are further exacerbated by pervasive stigma and discrimination experienced by SGM communities in the Deep South. The state of Alabama continues to have discriminatory laws (e.g., HIV/AIDS criminalization, lack of LGBTQ topics in schools, exclusions of LGBTQ parents in adoption and foster placement) which contribute to massive mental and physical health burdens among SGM adults. Given the potential to address a range of critical health outcomes by increasing physical activity, new dynamic approaches are urgently needed, and we therefore propose building on the current parent award to: Phase 1 (6 months) - Conduct phone interviews with 20 SGM adults living in the rural Black Belt counties of Alabama to determine what aspects of the current recruitment and retention strategies, as well as intervention content, should be adapted. Phase 2 (6 months) - Finalize the DIAL intervention in collaboration with our community partners, academic experts, and IVR The insights from the interviews will be presented to our stakeholders in a virtual workshop to receive feedback and further inform the adaptation of intervention procedures and content. Following the workshop, ur IVR developer from the parent grant will work with his programming team to mock-up the developer and programming team for implementation. o beta version of adapted intervention content for review and feedback at a subsequent workshop. Feedback will be used to finalize intervention content changes for implementation. Upon completion of the 12-month administrative supplement, we will be positioned for an R34 application to conduct final usability testing and a pilot trial of the newly adapted physical activity intervention to address health disparities amongst rural SGM populations in Deep South.