Communication Technology to Disseminate Evidence-Based HIV Interventions to NGOs

利用通信技术向非政府组织传播循证艾滋病毒干预措施

• 批准号: 7229663
• 负责人: Jeffrey A Kelly
• 金额: $ 73.36万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7229663
• 关键词: Communication; Technology; Disseminate; Evidence; Based

DESCRIPTION (provided by applicant): Great advances have been made in our scientific knowledge about effective HIV prevention interventions. However, this research can help to curtail an epidemic that remains out-of-control in most of the world only when evidence-based HIV prevention interventions are moved from the research arena into the hands of frontline service providers and can be successfully used by them. New, sustainable approaches are needed to quickly, flexibly, and cost-effectively disseminate advances in HIV prevention science-whenever they occur-to providers who deliver prevention services. Advanced interactive communication technologies can potentially be used to disseminate new evidence-based interventions to service providers on a global level, but the effects of distance training programs have not been compared to more traditional provider training methods. This study will enroll a sample of 99 AIDS nongovernmental organizations (NGOs) from countries in Eastern Europe, a region with HIV incidence among the highest in the world. The study will disseminate a community-level HIV prevention intervention-the "Popular Opinion Leader" (POL) model-shown efficacious in the research literature, adaptable cross-culturally, and widely requested by NGOs in the region. In-depth baseline telephone interview assessments with NGO directors and frontline staff will measure current prevention services, as well as organizational factors and staff attitudes that may influence POL intervention adoption. NGOs will then be randomized to one of three dissemination conditions: (1) a control condition in which only intervention print manuals are distributed; (2) a traditional face-to-face workshop training condition that provides manuals, an on-site NGO staff training workshop, and followup individualized telephone consultation on intervention implementation; or (3) a distance dissemination condition that provides NGO staff training comparable to the on-site workshop but that uses interactive and Internet-based distance training methods followed by individualized distance followup consultation. At 12- and 24-month followup points, telephone interviews assess NGO adoption of the disseminated intervention, determine the fidelity of new NGO programs to core elements of the disseminated model, and identify factors mediating or moderating adoption. We hypothesize that both the traditional face-to-face workshops and distance training methods will both result in greater provider adoption than that found in the control group and that the distance method will be more cost-effective. Because the distance modality lends itself well to repeated and "refresher"' training by NGO staff, a secondary hypothesis is that this modality will produce greater adoption than one-time workshops. The overarching goal of this research is to evaluate a prototype for an Internet-based "virtual" training system infrastructure that can be used to facilitate rapid research-to-practice technology transfer of public health interventions to providers on a global scale.

描述（由申请人提供）：关于我们有关有效的HIV预防干预措施的科学知识，已经取得了巨大进步。但是，这项研究可以帮助减少世界上大多数情况下仍然无法控制的流行病，只有当基于证据的艾滋病毒预防干预措施从研究领域转移到一线服务提供商的手中，并且他们可以成功使用。需要新的，可持续的方法来快速，灵活和成本效益地传播艾滋病毒预防科学的进步 - 无论他们是为提供预防服务提供者而发生的。先进的交互式通信技术可能有可能用于在全球范围内传播基于证据的新干预措施，但远距离培训计划的影响尚未与更传统的提供者培训方法进行比较。这项研究将招募来自东欧国家的99个艾滋病非政府组织（NGOS），这是世界上最高的艾滋病毒发病率的地区。这项研究将传播社区级的艾滋病毒预防干预措施 - “流行舆论领袖”（POL）在研究文献中有效的模型，在跨文化上适应，并由该地区的非政府组织广泛要求。对非政府组织董事和前线工作人员的深入基线电话访谈评估将衡量当前的预防服务，以及可能影响POL干预措施的组织因素和员工态度。然后，非政府组织将被随机分为三个传播条件之一：（1）仅分配干预印刷手册的控制条件； （2）传统的面对面研讨会培训条件，提供手册，现场非政府组织员工培训研讨会以及有关干预实施的个性化电话咨询；或（3）距离传播条件，可提供与现场研讨会相当的非政府组织员工培训，但使用基于交互式和互联网的距离训练方法，然后是个性化的距离随访咨询。在12个月和24个月的随访点，电话访谈评估了非政府组织的采用，确定新的非政府组织计划对传播模型的核心要素的保真度，并确定介导或调节采用的因素。我们假设传统的面对面研讨会和距离训练方法都将导致比对照组中的提供者更大，并且距离方法将更具成本效益。由于距离的方式可以很好地适应非政府组织员工的重复和“复习”训练，因此次要假设是，这种方式将产生比一次性研讨会更大的采用。这项研究的总体目标是评估基于Internet的“虚拟”培训系统基础设施的原型，该基础设施可用于促进在全球范围内向提供者进行公共卫生干预措施的快速研究对实践技术转移。