Routine HIV Testing in Primary Care Practices

初级保健实践中的常规艾滋病毒检测

• 批准号: 7167868
• 负责人: EMMA M SIMMONS
• 金额: $ 18.14万
• 依托单位: MEMORIAL HOSPITAL OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-11 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7167868
• 关键词: AIDS /HIV test; AIDS education /prevention; African American; HIV infections; Hispanic Americans; attitude; audiotape; behavior therapy; behavioral /social science research tag; clinical research; early diagnosis; human subject; interview; longitudinal human study; low socioeconomic status; medically underserved population; outcomes research; patient oriented research; primary care physician; questionnaires; racial /ethnic difference; therapy compliance; training

DESCRIPTION (provided by applicant): The NIMH Mentored Patient-Oriented Research Career Development Award (K23) will allow me the protected time necessary to acquire skills to become a successful independent investigator in patient- oriented research. My primary goal will be to evaluate routine HIV testing in primary care patients as a method of eradicating Acquired Immunodeficiency Syndrome. This award would allow me to obtain additional experience in clinical research methodology essential for me to become an independent investigator in HIV prevention and treatment in the primary care setting. This proposal seeks to develop and pilot test an intervention that will promote routine HIV testing and evaluate its acceptance by primary care providers (PCPs), office staff and patients in community health centers that serve disadvantaged minority communities (Blacks and Latinos). Minorities are disproportionately affected by this epidemic. Most HIV tests are done in out-patient settings. The proposed research study will compare an office systems-based approach to the offering of routine HIV testing with a standard education-based intervention. The comprehensive systems-based intervention arm will be composed of an educational session, academic detailing, patient activation through posters and brochures and an HIV vitals stamp. The standard education group intervention will be composed of the education session as well as patient activation through waiting room posters and brochures. This group will not receive team building training, academic detailing or the expanded vitals sign stamp. The outcomes will be assessed by the change in the number of HIV tests offered by the primary care providers in their office setting and accepted by their young to middle aged patients. The goals for the proposed study will be accomplished through (1) mentorship from experienced researchers in Infectious Disease, Behavioral Medicine, Statistics and Primary Care Translational Research with Drs. Timothy Flanigan, Charles Eaton, Michael Goldstein, Charles Carpenter, Susan Cu-Uvin, Larry Brown, Grace Macalino and Joseph Hogan (2) available resources from Brown University, Centers for AIDS Research at Lifespan/Tufts/Brown, Centers for Primary Care and Prevention, Memorial Hospital of RI and Miriam Hospital (3) structured coursework from Brown University as well as relevant directed readings (4) additional training in HIV and AIDS and (5) conducting the proposed multi-site clinical research project. This project would be the first step in eradicating AIDS through earlier diagnosis and linkage to appropriate primary medical care by the routine offering and acceptance of HIV test in the primary care setting.

描述（由申请人提供）：NIMH指导的以患者为导向的研究职业发展奖（K23）将使我获得获得技能的必要时间，以成为成功的独立研究者，以患者为导向的研究。我的主要目标是评估初级保健患者的常规HIV测试，以消除可获得的免疫缺陷综合征。该奖项将使我能够获得临床研究方法的额外经验，这对于我成为初级保健环境中的艾滋病毒预防和治疗的独立研究者至关重要。该建议旨在开发和试点测试一项干预措施，将促进常规的艾滋病毒测试，并评估初级保健提供者（PCP），办公室工作人员和社区卫生中心的患者的接受，这些中心为弱势少数群体（黑人和拉丁裔）提供服务。少数民族受这种流行的影响不成比例。大多数HIV测试都是在门诊设置中进行的。拟议的研究将将基于办公室的系统的方法与基于标准的基于教育的干预措施进行比较。全面的基于系统的干预部门将由教育课程，学术细节，通过海报和小册子的患者激活以及HIV VITALS邮票组成。标准教育小组干预将由教育课程以及通过候诊室和小册子的患者激活组成。该小组将不会接受团队建设培训，学术细节或扩展的生命标志邮票。结果将通过在其办公室环境中的初级保健提供者提供的艾滋病毒测试数量的变化来评估，并被年轻的中年患者接受。拟议研究的目标将通过（1）经验丰富的传染病，行为医学，统计和初级保健转化研究的指导来实现。蒂莫西·弗兰尼根（Timothy Flanigan），查尔斯·伊顿（Charles Eaton），迈克尔·戈德斯坦（Michael Goldstein），查尔斯·卡彭特（Charles Carpenter），苏珊·库文（Susan Cu-uvin），拉里·布朗（Larry Brown），拉里·布朗（Larry Brown），格蕾丝·麦卡利诺（Grace Macalino）和约瑟夫·霍根（Grace Macalino）和约瑟夫·霍根（Joseph Hogan）（2）可从布朗大学获得资源艾滋病毒和艾滋病以及（5）进行拟议的多站点临床研究项目。该项目将是通过在初级保健环境中的常规发表和接受HIV检验的早期诊断和与适当的初级医疗保健联系来消除辅助工具的第一步。