Innovative Computer Prototype for HIV Screening and Brief Intervention

用于艾滋病毒筛查和短暂干预的创新计算机原型

• 批准号: 7928526
• 负责人: Diana Howard Caldwell
• 金额: $ 11.16万
• 依托单位: RESEARCH CIRCLE ASSOCIATES, LLC
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7928526
• 关键词: AIDS prevention; Adoption; Age; Behavior; Behavioral; Clinic; Communities; Computer software; Computers; Data; Data Set; Data Sources; Development; Diffusion; Disclosure; Disease; Education; Emerging Technologies; Ensure; Environment; Epidemiology; Feedback; Future; Genetic Transcription; HIV; Health; Health Personnel; Healthcare; Healthcare Systems; Human Resources; Individual; Intervention; Interview; Mainstreaming; Medical; Methods; Participant; Patients; Penetration; Phase; Population; Preventive; Process; Provider; Public Health; Race; Recruitment Activity; Reporting; Research; Risk; Risk Behaviors; Risk Reduction; Sampling; Screening procedure; Services; Small Business Technology Transfer Research; Specific qualifier value; Structure; Suggestion; System; Systems Analysis; Tablets; Technology; Testing; Time; United States; base; brief intervention; commercialization; computerized; design; experience; health care delivery; improved; innovation; member; normative feedback; novel; personalized normative feedback; prevent; prevention service; programs; prototype; public health relevance; randomized trial; response; routine care; screening and brief intervention; sex; social; theories; touchscreen; uptake

DESCRIPTION (provided by applicant): HIV continues to be a major public health problem in the United States, but there has been limited penetration of HIV prevention services in many healthcare settings. Novel methods for seamlessly integrating HIV prevention into medical practice are needed. The proposed Phase 1 STTR project seeks to establish the feasibility of designing key components of an innovative computerized HIV risk screening and brief intervention software program that would be appropriate for use in a variety of healthcare settings. The envisioned HIV risk screening and brief intervention software will be designed for use on headphone-equipped touch screen tablet computers, a technology that is currently available and will only become more affordable and ubiquitous in the next decade. The proposed brief intervention will be informed by established social-behavioral theories and will use the promising strategies of personalized normative feedback, norms misperception correction, and targeted risk reduction education. Intervention content will be targeted specifically to each patient based on their responses to risk behavior screening questions. The envisioned product could ultimately have high potential for successful commercialization. Moreover, it could have significant public health impact by facilitating faster diffusion of HIV prevention services in healthcare settings. The proposed project will has two overarching aims, each with specified milestones. These aims include (1) Core Components Design and (2) Feasibility Testing and Refinement. The formative research in this Phase I STTR will provide critical information to guide the design of a software application that can be rigorously tested in future randomized trials. Prototype development will be guided by a Project Advisory Panel of relevant experts and service providers. Following development of a prototype, the software will be subjected to user testing, feedback, and refinement. Participants will be recruited from a community-based health clinic to test the prototype and discuss their experiences and suggestions for improvement in semi-structured qualitative interviews. PUBLIC HEALTH RELEVANCE: The proposed Phase I STTR project will complete necessary groundwork to further the development of a computerized HIV screening and brief intervention software program that can be used in a variety of medical contexts. Using a research-driven process, the project will culminate in the development and user testing of a prototype software program which can then be further refined and tested in a rigorous randomized trial as part of a Phase II STTR project. The proposed project is highly innovative in its application of emerging technology to prevent one of the most devastating diseases of our time. It also represents a novel application of normative feedback and misperception correction strategies to reduce HIV risk behaviors. Finally, it is innovative in its use of existing epidemiological data to deliver precise, demographically-tailored normative comparison information. The approach also has substantial public health potential, particularly given the front-end design considerations to ensure suitability of the ultimate product for a variety of healthcare environments. A computerized screening product with a built-in brief intervention could improve patient disclosure of risk behaviors and dramatically enhance the healthcare system's capacity to deliver HIV prevention to a broad spectrum of patients. The envisioned software would circumvent many of the persistent barriers that stymie the adoption of HIV prevention as part of routine care. It would do so without adding significantly to the time burden for healthcare staff. Hence, the envisioned software could dramatically accelerate uptake of HIV preventive services in various healthcare settings.

描述（由申请人提供）：艾滋病毒在美国仍然是一个主要的公共卫生问题，但是在许多医疗机构中，艾滋病毒预防服务的渗透率有限。需要无缝将HIV预防纳入医学实践的新方法。拟议的第一阶段STTR项目旨在建立设计创新的计算机化艾滋病毒风险筛查和简短干预软件计划的关键组成部分的可行性，该计划适合在各种医疗机构中使用。设想的HIV风险筛查和简短的干预软件将设计用于配备耳机触摸屏计算机，该技术目前可用，并且在未来十年中只会变得更加实惠和无处不在。拟议的简短干预将通过既定的社会行为理论来告知，并将使用有前途的个性化规范反馈，规范误解纠正和有针对性的降低风险教育的有前途的策略。干预内容将根据每个患者对风险行为筛查问题的回答专门针对。设想的产品最终可能具有很高的成功商业化潜力。此外，通过促进艾滋病毒预防服务在医疗机构中的更快扩散，它可能会产生重大的公共卫生影响。拟议的项目将具有两个总体目标，每个目标都有指定的里程碑。这些目的包括（1）核心组件设计以及（2）可行性测试和改进。 I阶段I STTR的形成性研究将提供关键信息，以指导软件应用程序的设计，该应用程序可以在将来的随机试验中进行严格测试。原型开发将由相关专家和服务提供商的项目咨询小组指导。在开发原型后，该软件将经过用户测试，反馈和改进。参与者将从社区的健康诊所招募，以测试原型，并讨论他们在半结构化定性访谈中改善的经验和建议。 公共卫生相关性：拟议的I阶段STTR项目将完成必要的基础工作，以进一步开发计算机化的HIV筛查和简短的干预软件程序，该计划可在各种医疗环境中使用。使用研究驱动的过程，该项目将在原型软件程序的开发和用户测试中达到顶峰，然后可以在严格的随机试验中进一步完善和测试，作为II期STTR项目的一部分。拟议的项目在应用新兴技术以防止我们时代最具破坏性的疾病之一的应用方面具有高度创新性。它还代表了规范反馈和误解校正策略的新应用，以减少艾滋病毒的风险行为。最后，它在使用现有流行病学数据以提供精确的，人口统计学的规范性比较信息方面具有创新性。该方法还具有巨大的公共卫生潜力，特别是考虑到前端设计考虑因素，以确保最终产品适合各种医疗保健环境。具有内置简短干预的计算机化筛查产品可以改善患者对风险行为的披露，并大大提高医疗保健系统为广泛患者提供HIV预防的能力。所设想的软件将避免阻碍采用HIV预防作为常规护理的一部分的许多持续障碍。它将这样做，而不会大大增加医疗保健人员的时间负担。因此，所设想的软件可以在各种医疗机构中大大加速艾滋病毒预防服务的吸收。