Computer-Based HIV Prevention for African-American Women

针对非裔美国妇女的基于计算机的艾滋病毒预防

• 批准号: 6992434
• 负责人: Josefina Jayme Card
• 金额: $ 26.79万
• 依托单位: SOCIOMETRICS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-02 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6992434
• 关键词: AIDS education /prevention; African American; DVD /CD ROM; Internet; clinical research; computer assisted instruction; computer human interaction; condoms; education evaluation /planning; educational resource design /development; female; high risk behavior /lifestyle; human subject; safe sex /sex abstinence; sex behavior; women' s health; young adult human (21-34)

PROJECT SUMMARY: While the overall HIV infection rates in the US have been remained relatively constant, disparities in rates between Whites and members of other racial/ethnic groups continue to grow. Several behavioral prevention interventions tailored for African-Americans have shown efficacy in reducing sexual risk behaviors. However, their successful replication has been hampered by cost, implementation difficulties, and participant retention issues. The proposed project seeks to address these barriers to reducing HIV/AIDS rates by developing and empirically validating research-based, computerized versions of efficacious in-person HIV programs for African-American females, and making these computerized programs accessible to service provision agencies at low cost via CD-ROM and the Internet. Specific objectives include: (1) to increase service agencies' ability to implement efficacious HIV interventions with fidelity; (2) to increase African-American females' participation in efficacious HIV interventions; and (3) to ultimately, to reduce sexual risk behaviors and HIV infection rates among African-American females. In Phase I we will: (a) develop a computer-based version of SiSTA, an in-person, group-administered HIV prevention program for young African-American women that has demonstrated efficacy in reducing sexual risk behavior; and (b) validate computer-based SiSTA ("Digitized SiSTA") through a randomized controlled trial in which Digitized SiSTA's effects are compared to those of group-administered SiSTA ("Group SiSTA"). Digitized SiSTA will be developed in collaboration with Group SiSTA's developers, who will be project Co-Investigators, and it will be informed by focus groups and pilot testing with the target population. If Phase I is successful, in Phase II we will develop and validate computer-based versions of other efficacious group programs for African-American females. RELEVANCE: The proposed research will make proven-effective HIV prevention programs for African-American women available to health service organizations at low cost and will facilitate their cost-effective implementation. It will also promote community members' participation in the interventios by permitting sensitive topics to be addressed privately (i.e., one-on-one with the computer) and according to a flexible schedule. Ultimately, it will help to reduce sexual risk-taking behavior and HIV infection rates among African-American girls and women, who are disproportionately affected by the HIV/AIDS epidemic.

项目摘要：虽然美国的总体艾滋病毒感染率一直保持相对恒定，但白人与其他种族/族裔群体成员之间的比率差异仍在不断增长。 针对非裔美国人量身定制的几种行为预防干预措施已显示出减少性风险行为的功效。但是，他们的成功复制受到成本，实施困难和参与者保留问题的阻碍。拟议的项目旨在通过开发和经验验证基于研究的，计算机化的计算机版本来降低艾滋病毒/艾滋病率的障碍，用于非裔美国女性的有效人物艾滋病毒计划，并使这些计算机化计划可通过CD-ROM和Internet以低成本和互联网和互联网和互联网和互联网而访问服务提供机构。特定目标 包括：（1）提高服务机构以忠诚实施有效的艾滋病毒干预措施的能力； （2）增加非裔美国女性参与有效的HIV干预措施； （3）最终减少非裔美国女性的性风险行为和艾滋病毒感染率。在第一阶段我们将：（a）开发基于计算机的版本Sista，这是针对非裔美国妇女的面对面，由小组管理的艾滋病毒预防计划，该计划在降低性风险行为方面表现出了功效； （b）通过一项随机对照试验验证基于计算机的SISTA（“数字化的SISTA”），在该试验中，将数字化的SISTA的效果与群体管理的SISTA（“组SISTA”）进行了比较。数字化的SISTA将与Sista集团的开发人员合作开发，后者将成为项目共同评估者，并将通过焦点小组和与目标人群进行试点测试来告知它。如果第一阶段成功，那么在第二阶段，我们将开发并验证针对非裔美国女性的其他有效小组计划的基于计算机的版本。相关性：拟议的研究将使卫生服务组织以低成本为非裔美国妇女提供可靠的有效的HIV预防计划，并将促进其具有成本效益的实施。它还将通过允许私人解决敏感主题（即与计算机一对一）进行促进社区成员的参与，并根据灵活的时间表。最终，这将有助于降低非洲裔美国妇女和妇女的性冒险行为和艾滋病毒感染率，这受HIV/艾滋病流行的影响不成比例。