Telehealth Assessment of Risk Behaviors in Rural HIV+ Substance Users

农村艾滋病毒药物使用者风险行为的远程医疗评估

基本信息

批准号：
7295813
负责人：
JALIE A TUCKER
金额：
$ 21.19万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-20 至 2009-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7295813
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address African American Alabama Alcohol consumption Alcohol or Other Drugs use Area Behavior Behavioral Behavioral Research Caring Cities Clinic Clinic Visits Collection Communities Counseling County Daily Data Data Quality Data Sources Development Doctor of Medicine Echocardiography Economics Education Education and Outreach Effectiveness Evaluation Future HIV HIV Infections Health Personnel Health Services Health Services Accessibility Hepatitis Highly Active Antiretroviral Therapy Hispanics Incidence Insurance Coverage Internet Intervention Interview Knowledge Measurement Measures Medical Medical Records Mental Health Minority Monitor Numbers Participant Patient Monitoring Patients Pattern Pharmaceutical Preparations Physician Executives Pilot Projects Population Population Group Population Programs Poverty Prevalence Prevention Prevention program Preventive Procedures Provider Questionnaires Recruitment Activity Reporting Research Resources Risk Risk Behaviors Risk Factors Risk Reduction Rural Series Services Sex Behavior Social Network Standards of Weights and Measures Structure Substance Abuse, Other Substance abuse problem Support of Research System Telephone Testing Time Training Transportation Ultrasonography Underserved Population Visit Voice Week Woman base behavioral health computerized day density emotional abuse innovation intervention program literacy musculoskeletal ultrasound prevention service programs prospective response rural area social telehealth theories therapy development tool

项目摘要

DESCRIPTION (provided by applicant): HIV infection patterns have shifted toward rural minorities, but little is known about relevant risk factors and behavior patterns, including substance use, which is essential for developing population sensitive and specific interventions. Sound measurement of risk behaviors is fundamental to this initiative, and this 2-year R21 application proposes to adapt and evaluate the utility of an innovative telephone-based Interactive Voice Response (IVR) self-monitoring system for use with poor rural HIV+ substance users. The proposed measurement development study is guided by behavioral economics, which is concerned with patterns of choice over different timeframes. The study is an important first step that will support research on risk factors and patterns among rural HIV+ substance users and their social networks and will guide the development of interventions aimed at risk reduction, including telehealth services. Telehealth services have much potential to extend the reach and effectiveness of health-related interventions in rural areas. Following a pilot study to finalize procedures, participants (N = 50) will be recruited from HIV+ patients at a rural Alabama HIV medical clinic who report drug or alcohol use and sexual activity involving a partner during the past 90 days. After assessment and training, participants will self-monitor their substance use, sexual practices, and social and economic variables relevant to HIV-risk exposure opportunities for 10 weeks using the IVR system. Structured reliability interviews will be conducted at the end of Weeks 5 and 10 to assess data quality through comparisons with key IVR variables reported during the same real time periods. Data quality also will be assessed for select variables amenable to comparisons with medical records (e.g., medical care visits) and with summary measures of substance use and sexual practices prior to the start of self-monitoring. Successful adapation of the IVR system will allow collection of prospective time series data that support detailed analysis of risk patterns, including longitudinal sequences involving substance use, risky sexual practices, and social and economic contextual variables. In addition to providing a high quality measurement tool for behavioral research, the IVR system can be used for long-term remote ambulatory monitoring of patient status and can support precisely targeted risk reduction interventions that can be individually tailored.

描述（由申请人提供）：艾滋病毒感染模式已转向农村少数民族，但人们对相关风险因素和行为模式知之甚少，包括物质使用，这对于制定人口敏感和具体的干预措施至关重要。对风险行为的合理衡量是这一举措的基础，这项为期 2 年的 R21 应用建议调整和评估基于电话的创新型交互式语音应答 (IVR) 自我监控系统的效用，以供贫困农村 HIV+ 药物使用者使用。拟议的衡量发展研究以行为经济学为指导，涉及不同时间范围内的选择模式。这项研究是重要的第一步，将支持对农村艾滋病毒+药物使用者及其社交网络的风险因素和模式的研究，并将指导旨在降低风险的干预措施的制定，包括远程医疗服务。远程医疗服务在扩大农村地区健康相关干预措施的覆盖范围和有效性方面具有巨大潜力。在一项最终确定程序的试点研究之后，将从阿拉巴马州乡村艾滋病毒医疗诊所的艾滋病毒+患者中招募参与者（N = 50），这些患者报告在过去 90 天内吸毒或酗酒以及涉及伴侣的性活动。经过评估和培训后，参与者将使用 IVR 系统自我监测其药物使用、性行为以及与 HIV 风险暴露机会相关的社会和经济变量，为期 10 周。结构化可靠性访谈将在第 5 周和第 10 周结束时进行，通过与同一实时期间报告的关键 IVR 变量进行比较来评估数据质量。数据质量还将针对适合与医疗记录（例如医疗护理就诊）以及开始自我监测之前的物质使用和性行为的汇总测量进行比较的选定变量进行评估。 IVR 系统的成功改造将允许收集前瞻性时间序列数据，以支持风险模式的详细分析，包括涉及药物使用、危险性行为以及社会和经济背景变量的纵向序列。除了为行为研究提供高质量的测量工具外，IVR 系统还可用于长期远程动态监测患者状态，并支持可个性化定制的精确目标风险降低干预措施。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Interactive voice response self-monitoring to assess risk behaviors in rural substance users living with HIV/AIDS.

DOI：
10.1007/s10461-011-9889-y
发表时间：
2012-02
期刊：
AIDS AND BEHAVIOR
影响因子：
4.4
作者：
Tucker, Jalie A.;Blum, Elizabeth R.;Xie, Lili;Roth, David L.;Simpson, Cathy A.
通讯作者：
Simpson, Cathy A.

Utility of an interactive voice response system to assess antiretroviral pharmacotherapy adherence among substance users living with HIV/AIDS in the rural South.

利用交互式语音应答系统评估南方农村地区艾滋病毒/艾滋病药物使用者的抗逆转录病毒药物治疗依从性。