Adapting an EBI for HIV Sexual Risk Prevention for Homeless Women

调整 EBI 以预防无家可归妇女的艾滋病毒性风险

基本信息

批准号：
8262246
负责人：
Suzanne L Wenzel
金额：
$ 26.93万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-03-15 至 2014-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8262246
关键词：
AIDS diagnosis AIDS prevention AIDS/HIV problem Accounting Address Alcohol abuse Alcohol consumption Alcohol or Other Drugs use Behavior Therapy Behavioral Centers for Disease Control and Prevention (U.S.)Client Collaborations Communities Consensus Consult Consultations Dependence Development Drug abuse Drug usage Evidence based intervention Face Feedback Focus Groups Foundations Grant Group Meetings HIV HIV Infections HIV diagnosis Health Services Accessibility Heterosexuals Homelessness Housing Incidence Infection Intervention Interview Latina Los Angeles Low income Mediator of activation protein Modeling Outcome Peer Review Phase Population Populations at Risk Pre-Post Tests Prevention Prevention Research Prevention program Provider Public Health Randomized Controlled Trials Recommendation Research Resources Risk Risk Behaviors Risk Reduction Services Sex Characteristics Sexual Transmission Shelter facility Socioeconomic Status Solutions Structure Target Populations Testing Translating Translations Underserved Population Vulnerable Populations Woman Work base consistent condom use efficacy testing experience journal article prevent prevention service protective behavior routine practice sex sex risk

项目摘要

DESCRIPTION (provided by applicant): Homeless women need highly accessible, community-based HIV sexual risk prevention services. Homeless women face greater risk of HIV/AIDS and substance use than low-income women who are housed. Evidence-based interventions (EBIs) can reduce HIV risk among highly vulnerable populations but dissemination is limited. EBIs may need to be adapted to suit homeless women's needs and their communities. The objective of this study is to produce an adapted EBI for HIV sexual risk prevention for homeless women that holds promise of translation into routine practice. The Specific Aims are as follows: Aim 1/Phase 1: Formative phase: (a) conduct focus groups (4 groups; 7-8 providers each) with shelter providers and semi-structured interviews with 4 HIV/AIDS service providers to assess the capacity and availability of resources for shelter providers to implement an EBI for HIV prevention; (b) systematically review EBIs and develop recommendations for adaptation; (c) conduct consensus group meetings with homeless women (2 groups; 14-16 women each) and shelter providers (2 groups, 14-16 providers each) to decide which EBI should be selected for adaptation and how it should be adapted; (d) consult with topical experts and prepare the adaptation of the selected EBI, and present and obtain feedback on the adapted EBI from homeless women and shelters providers through focus groups (4 groups, 7-8 women each; 4 groups, 7-8 providers each). Aim 2/Phase 2: Preliminary testing phase: (a) conduct pre-test of the adapted EBI with homeless women through focus groups (4 groups; 7-8 women each) and modify as necessary; (b) conduct pilot test of the adapted EBI with homeless women (10 groups; 7-8 women each); (c) finalize the adapted EBI with consultation from topical experts, and shelter and HIV/AIDS service providers; (d) plan for randomized controlled trial to test efficacy of adapted EBI for HIV prevention among homeless women. PUBLIC HEALTH RELEVANCE: Evidence-based interventions (EBIs) for preventing HIV/AIDS are critical, yet interventions tend not to be translated into routine practice in communities wher they are most needed due to poor fit with client needs and provider capacity. This study will advance public health through a collaboration with homeless women and providers in the Los Angeles downtown Skid Row and Westside to adapt an EBI for HIV sexual risk reduction for homeless women.

描述（由申请人提供）：无家可归的妇女需要高度可访问的，基于社区的艾滋病毒性风险预防服务。与被住所的低收入妇女相比，无家可归的妇女面临更大的艾滋病毒/艾滋病风险。基于证据的干预措施（EBIS）可以减少高度脆弱的人群中的艾滋病毒风险，但传播是有限的。 EBIS可能需要适应适合无家可归的妇女需求及其社区。这项研究的目的是为无家可归的妇女提供适应性EBI，以预防HIV性风险，以便将其转化为常规实践。具体目的如下：目标1/阶段1：形成阶段：（a）与庇护所提供者和与4个HIV/AIDS服务提供商进行庇护提供者和半结构化访谈的行为焦点小组（每个组合7-8个提供者），以评估庇护所提供者的资源能力和可用性，以实施艾滋病毒预防EBI；（b）系统地审查EBIS并制定适应建议；（c）与无家可归的妇女（2组；每个14-16名妇女）和住所提供者（2组，14-16个提供者）进行共识小组会议，以决定选择哪种EBI进行适应以及如何适应；（d）咨询局部专家并准备所选EBI的改编，并通过焦点小组（4个组，7-8名妇女； 4个组，7-8个提供者）提供并从无家可归的妇女和庇护所提供者那里获得对EBI的反馈。 AIM 2/阶段2：初步测试阶段：（a）通过焦点小组（4个组；各个7-8名妇女）与无家可归的妇女进行改编的EBI进行预测试，并根据需要进行修改；（b）与无家可归的妇女（10组；每个7-8名妇女）对改编的EBI进行试点测试；（c）通过局部专家的咨询以及住所和艾滋病毒/艾滋病服务提供商的咨询来最终确定改编的EBI；（d）计划随机对照试验的计划，以测试适应于无家可归妇女的EBI预防HIV的功效。公共卫生相关性：预防艾滋病毒/艾滋病的基于证据的干预措施（EBIS）至关重要，但是由于满足客户需求和提供者的能力，干预措施往往不会转化为社区中最需要的常规实践。这项研究将通过与洛杉矶市区Skid Row和Westside的无家可归妇女和提供者的合作来改善公共卫生，以适应EBI，以减少无家可归妇女的HIV性风险。