Psychiatric & Psychosocial Conditions of HIV/AIDS Patients: An e-Learning Course

描述（由申请人提供）：美国农村地区的艾滋病毒/艾滋病感染率高于城市地区。不幸的是，在农村社区执业的行为健康提供者的数量少得不成比例。此外，这些农村保健提供者往往没有得到充分培训，无法满足艾滋病毒/艾滋病患者的需要。拟议研究的目标是开发一个远程教育课程，题为“艾滋病毒/艾滋病患者的精神和心理社会状况：农村行为保健提供者电子学习课程”，将为农村从业人员提供一个方便的在线方法，以获得关于艾滋病毒/艾滋病关键主题的基础教育。该课程将包括以下具体信息：a）坚持预防和治疗的重要性，B）同时发生的精神健康和神经系统疾病的识别和治疗，c）农村社区的独特挑战，如更严重的污名化，d）解决与艾滋病毒/艾滋病有关的情感问题，e）理解伦理问题，以及f）帮助艾滋病毒/艾滋病患者及其家人、伴侣、朋友的战略，和照顾者来应对这一令人痛苦的诊断。拟议的课程直接解决艾滋病和健康与行为研究的NIMH司的优先事项，通过提供从业人员培训，提供知识，工具和策略，以帮助防止进一步的艾滋病毒/艾滋病传播，促进对与艾滋病毒/艾滋病感染有关的神经精神后果的理解，并减少精神疾病的负担，医疗共病，不坚持治疗，耻辱和健康差距。艾滋病毒/艾滋病患者的精神和心理社会状况课程将通过Terra Nova电子学习中心提供，这是一个现有的多功能网络培训环境。该课程将为从业者提供CME/CEU学分的机会，也将适合行为健康学科的硕士和研究生水平的学生的二级观众。在第一阶段，Terra Nova将研究和概述艾滋病毒/艾滋病患者的整个精神和心理社会状况课程，并开发一个基于网络的原型模块，为最终的第二阶段最终产品建立概念验证。Terra Nova还将制作一份样本患者手册，这是最终一系列信息和外展材料中的一份，供提供者直接向患者分发。原型模块和终极课程都将包括经过严格研究和测试的内容，评估工具，令人信服的案例，从业者的个人反思以及创新的多媒体组件。该项目的资金正在通过NIH SBIR计划寻求。 公共卫生相关性农村行为健康服务提供者普遍对艾滋病毒/艾滋病缺乏足够的了解，他们发现不仅要治疗艾滋病毒阳性患者，而且要接受培训以提高他们对这种复杂疾病的理解，这是一项挑战。艾滋病毒/艾滋病患者的精神和心理社会条件：农村行为健康提供者的电子学习课程将为精神科医生，心理学家，社会工作者，护士，替代/补充医学从业人员和咨询师提供各种急需的知识。该课程将提供心理健康专业人员可以实施的实用策略和技能：a）帮助预防艾滋病毒感染在其社区的蔓延，B）协助他们查明和治疗与艾滋病毒/艾滋病同时存在的与精神健康有关的病症，c）帮助患者及其家人处理艾滋病毒/艾滋病诊断所固有的耻辱感和许多情感问题，以及e）帮助解决农村环境中存在的独特的健康差距。

DESCRIPTION (provided by applicant): The rate of HIV/AIDS infection is higher in rural America than in urban areas. Unfortunately, the number of behavioral health providers who practice in rural communities is disproportionately small. Moreover, these rural health care providers are often not adequately trained to address the needs of their HIV/AIDS patients. The goal of the proposed research is to develop a distance education course titled Psychiatric & Psychosocial Conditions of HIV/AIDS Patients: An e-Learning Course for Rural Behavioral Health Providers that will provide rural practitioners with a convenient, online method to acquire basic education on the critical topic of HIV/AIDS. The course will include specific information on: a) the importance of prevention and treatment adherence, b) identification and treatment of co-occurring mental health and neurological disorders, c) unique challenges within rural communities, such as heightened stigmatization, d) addressing HIV/AIDS-related emotional issues, e) understanding ethical issues, and f) strategies for assisting HIV/AIDS patients and their families, partners, friends, and caregivers in coping with this distressing diagnosis. The proposed course directly addresses the priorities of the NIMH Division of AIDS and Health and Behavior Research by providing practitioner training that offers knowledge, tools, and strategies to help prevent further HIV/AIDS transmission, promote understanding of neuropsychiatric consequences related to HIV/AIDS infection, and reduce the burden of mental illness from medical co-morbidities, non- adherence to treatment, stigma, and health disparities. The Psychiatric & Psychosocial Conditions of HIV/AIDS Patients course will be delivered through the Terra Nova e-Learning Center, an existing, multifeatured, web-based training environment. The course will provide practitioners with CME/CEU credit opportunities, and will also be suitable for a secondary audience of masters- and graduate-level students of behavioral health disciplines. During Phase I, Terra Nova will research and outline the entire Psychiatric & Psychosocial Conditions of HIV/AIDS Patients course and develop a single web-based Prototype Module to establish proof-of- concept for the final Phase II end-product. Terra Nova will also produce a Sample Patient Brochure, one in an eventual series of informational, outreach materials for providers to disburse directly to patients. Both the Prototype Module and ultimate course will include rigorously researched and tested content, assessment instruments, compelling case examples, personal reflections from practitioners, and innovative multimedia components. Funding for this project is being sought through the NIH SBIR program. PUBLIC HEALTH RELEVANCE Rural behavioral health providers generally have insufficient knowledge about HIV/AIDS, and find it challenging not only to treat their HIV+ patients but also to acquire training to improve their understanding of this complicated disease. Psychiatric & Psychosocial Conditions of HIV/AIDS Patients: An e-Learning Course for Rural Behavioral Health Providers will provide psychiatrists, psychologists, social workers, nurses, alternative/complementary medicine practitioners, and counselors with much-needed knowledge on a variety of critical HIV/AIDS topics in a convenient, distance learning format. The course will offer practical strategies and skills that mental health professionals can implement to: a) help prevent spread of HIV infection in their communities, b) assist in their identification and treatment of mental health-related conditions that co-exist with HIV/AIDS, c) help patients and their families deal with stigma and many emotional issues inherent with the HIV/AIDS diagnosis, and e) help address the unique health disparities that exist in rural environments.