Video-Based Delivery of HIV Test Information for Spanish-Speaking Latinos

描述(由申请人提供)：在美国艾滋病毒流行中，拉丁裔占不成比例的比例。尽管是感染艾滋病毒的高危人群，但在美国，大约一半的拉丁裔人从未接受过艾滋病毒检测。美国拉美裔新感染艾滋病毒的一半以上是讲西班牙语的移民，这表明需要创新、有效、对文化敏感和语言适当的方法来进行艾滋病毒筛查和诊断测试。这种方法也必须对健康素养较低的人有效。在这项名为为西班牙语拉丁裔提供艾滋病毒检测信息的基于视频的R21研究中，我们将在之前成功为英语艾滋病毒检测接受者开发有效信息视频的基础上再接再厉。我们在这个项目中的目标是制作一段视频，使说西班牙语的拉丁裔，特别是那些健康素养较低的人，能够理解有关艾滋病毒和艾滋病毒检测的基本信息。该视频最终将被用来帮助简化和鼓励艾滋病毒筛查和诊断测试工作。这项R21早期形成研究将分三个连续阶段进行。在第一阶段，我们将从来自医疗保健和社区外展艾滋病毒检测环境的60名讲英语和西班牙语的艾滋病毒检测接受者和15名说英语和西班牙语的拉丁裔艾滋病毒检测提供者的全国样本中，获得关于如何在文化和语言上改编原始的英语艾滋病毒和艾滋病毒检测信息视频的意见。在第二阶段，我们将使用这些信息制作西班牙语视频，并在来自医疗保健和社区外展艾滋病毒检测环境的60名西班牙语拉丁裔艾滋病毒检测接受者和15名西班牙语拉丁裔艾滋病毒检测提供者的全国样本中对视频进行基于认知的评估。在第一和第二阶段，我们将从人口统计上不同的来自不同拉美亚文化的受访者以及那些健康素养较低的人那里寻求意见。在第三阶段，我们将进行一项随机、对照、非劣势试验，评估西班牙语艾滋病毒和艾滋病毒检测信息视频在讲西班牙语的艾滋病毒检测接受者中在医疗保健和社区外展艾滋病毒检测环境中的有效性。我们的目标是确定观看西班牙语视频的艾滋病毒检测接受者是否与那些通过艾滋病毒检测顾问的演示收到相同面对面信息的人对艾滋病毒和艾滋病毒检测的知识水平相似。我们特别感兴趣的是，对于健康素养较低的人，这段视频是否同样有效，甚至更有效。如果视频被证明是有效的，我们将向正在进行艾滋病毒筛查和诊断测试的团体免费提供西班牙语视频，供任何非商业使用。我们计划将这段视频用于未来的RO1(S)，重点是为健康素养较低的人改进艾滋病毒和艾滋病毒检测信息的传递，简化艾滋病毒检测工作，以及提高拉美裔人口中艾滋病毒检测的利用率。 与公共卫生相关：在美国的艾滋病毒流行中，拉美裔人，特别是以西班牙语为母语的人，比例过高，只有一半的美国拉丁裔人接受过艾滋病毒检测。这项研究制作的视频将为讲西班牙语的拉美裔人提供一种文化上敏感和语言上合适的手段，促进艾滋病毒筛查和诊断测试。该项目的最终目的是通过精简而有效的艾滋病毒检测方法帮助减少艾滋病毒的传播。

DESCRIPTION (provided by applicant): Latinos are disproportionately represented in the US HIV epidemic. Despite being a population at high risk for an HIV infection, approximately half of Latinos in the US have never been tested for HIV. Over half of new HIV infections among US Latinos are among Spanish-speaking immigrants, which indicates a need for innovative, effective, culturally-sensitive, and linguistically-appropriate approaches to conduct HIV screening and diagnostic testing. Such approaches also must be effective for those with lower health literacy skills. In this R21 study, Video-based delivery of HIV test information for Spanish-speaking Latinos, we will build upon our prior success in developing an effective informational video for English-speaking HIV test recipients. Our goal in this project is to produce a video that enables Spanish-speaking Latinos, particularly those with lower health literacy skills, to comprehend fundamental information about HIV and HIV testing. The video will ultimately be employed to help streamline and encourage HIV screening and diagnostic testing efforts. This R21 early-stage, formative research will proceed in three successive stages. In Stage I, we will obtain input about how to culturally and linguistically adapt the original English-language HIV and HIV test information video from a national sample of 60 English- and Spanish-speaking Latino HIV test recipients and 15 English- and Spanish-speaking Latino HIV test providers from the healthcare and the community outreach HIV testing settings. In Stage II, we will produce the Spanish-language video using this input and conduct cognitive-based assessments of the video among a national sample of 60 Spanish-speaking Latino HIV test recipients and 15 Spanish-speaking Latino HIV test providers from the healthcare and the community outreach HIV testing settings. During Stage I and II, we will seek input from a demographically diverse group of respondents from various Latino sub-cultures, as well as those who have lower health literacy skills. In Stage III, we will conduct a randomized, controlled, non-inferiority trial evaluating the effectiveness of the Spanish-language HIV and HIV test information video among Spanish-speaking HIV test recipients in the healthcare and the community outreach HIV testing settings. We aim to determine if HIV test recipients who watch the Spanish-language video have a similar level of knowledge about HIV and HIV testing as those who receive identical in-person information through a presentation from an HIV test counselor. We are specifically interested in whether the video is as or even more effective for those with lower health literacy skills. If the video is shown to be effective, we will make the Spanish-language video freely available for any non- commercial use to groups that are conducting HIV screening and diagnostic testing. We plan to use the video for a future RO1(s) on improving delivery of HIV and HIV test information for those with lower health literacy skills, streamlining HIV test efforts, and increasing utilization of HIV testing among Latino populations. PUBLIC HEALTH RELEVANCE: Latinos, particularly native Spanish-speakers, are overrepresented in the HIV epidemic in the US, and only half of US Latinos have ever been tested for HIV. The video produced from this research will provide a culturally-sensitive and linguistically-appropriate means of facilitating HIV screening and diagnostic testing for Spanish-speaking Latinos. The ultimate aim of this project is to help reduce the transmission of HIV through streamlined yet effective HIV testing approaches.