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: 7437263
• 负责人: EMMA M SIMMONS
• 金额: $ 17.87万
• 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/7437263
• 关键词: AIDS diagnosis; AIDS prevention; AIDS/HIV problem; Academic Detailing; Academic Training; Acquired Immunodeficiency Syndrome; Affect; Award; Behavioral Medicine; Caring; Centers for Disease Control and Prevention (U.S.); Classification; Clinical; Clinical Research; Communicable Diseases; Communities; Community Health Centers; Comprehensive Health Care; Data; Disadvantaged; Disease; Early Diagnosis; Early treatment; Education; Epidemic; Ethnic Origin; Fright; Goals; Guidelines; HIV; HIV Infections; Health education; Hispanics; Hospitals; Human immunodeficiency virus test; Individual; Intervention; Knowledge; Latino; Lead; Link; Longevity; Low Prevalence; Medical; Medical Care Team; Medical Staff; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methodology; Methods; Minority; National Institute of Mental Health; Numbers; Outcome; Outpatients; Pamphlets; Patients; Perception; Persons; Play; Positive Test Result; Prevention; Primary Health Care; Prophylactic treatment; Provider; Publishing; Purpose; Race; Rate; Reading; Recording of previous events; Research; Research Personnel; Research Project Grants; Resources; Risk; Role; Sex Orientation; Site; Standards of Weights and Measures; Stigmata; Structure; System; Testing; Time; Training; Translational Research; Universities; Upper arm; Vaccination; Woman; base; cost effective; disease transmission; experience; high risk sexual behavior; improved; men; mental health counseling; middle age; mortality; patient oriented research; posters; prevent; programs; research study; skills; social stigma; statistics; transmission process; willingness

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) 将为我提供必要的受保护时间，以获取技能，成为一名成功的以患者为导向的研究独立研究者。我的主要目标是评估初级保健患者的常规艾滋病毒检测作为根除获得性免疫缺陷综合症的方法。该奖项将使我能够获得临床研究方法方面的额外经验，这对于我成为初级保健机构中艾滋病毒预防和治疗的独立研究者至关重要。该提案旨在开发和试点测试一种干预措施，以促进常规艾滋病毒检测，并评估为弱势少数群体（黑人和拉丁裔）提供服务的初级保健提供者（PCP）、办公室工作人员和社区卫生中心患者的接受程度。少数族裔受到这种流行病的影响尤为严重。大多数艾滋病毒检测都是在门诊进行的。拟议的研究将比较基于办公系统的常规艾滋病毒检测方法与基于标准教育的干预措施。基于系统的综合干预部门将包括教育课程、学术详细介绍、通过海报和小册子以及艾滋病毒生命体征邮票进行的患者激活。标准教育小组干预将包括教育课程以及通过候诊室海报和小册子激活患者。该小组不会接受团队建设培训、学术细节或扩展生命体征标志印章。结果将根据初级保健提供者在其办公室环境中提供并被年轻至中年患者接受的艾滋病毒检测数量的变化来评估。拟议研究的目标将通过以下方式实现：(1) 传染病、行为医学、统计学和初级保健转化研究领域经验丰富的研究人员与 Drs. 的指导。 Timothy Flanigan、Charles Eaton、Michael Goldstein、Charles Carpenter、Susan Cu-Uvin、Larry Brown、Grace Macalino 和 Joseph Hogan (2) 来自布朗大学、Lifespan/Tufts/Brown 艾滋病研究中心、初级保健中心和预防、罗德岛纪念医院和米里亚姆医院 (3) 布朗大学的结构化课程以及相关的定向阅读材料 (4) 艾滋病毒和艾滋病方面的额外培训以及 (5) 开展拟议的多地点临床研究项目。该项目将是通过早期诊断和通过在初级保健机构中常规提供和接受艾滋病毒检测与适当的初级医疗保健联系起来消除艾滋病的第一步。