Tailoring a HIV prevention intervention for college-aged black women

为大学年龄的黑人女性制定艾滋病毒预防干预措施

• 批准号: 8466578
• 负责人: Rasheeta Chandler
• 金额: $ 8.92万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-05-10 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8466578
• 关键词: 13 year old; 19 year old; AIDS diagnosis; Accounting; Acquired Immunodeficiency Syndrome; Address; Affect; African American; Age; Area; Award; Behavior; Behavioral; Categories; Communities; Data; Development Plans; Diagnosis; Discipline of Nursing; Education; Educational process of instructing; Environment; Family Nursing; Feedback; Female; Florida; Focus Groups; Fostering; Foundations; Funding; Gender; Goals; HIV; Health; Health Expenditures; Healthcare; Historically Black Colleges and Universities; Institution; Intervention; K-Series Research Career Programs; Knowledge; Manuals; Mediation; Mentors; Methodology; Morbidity - disease rate; Motivation; Nurse Practitioners; Nursing Schools; Outcome; Participant; Patients; Population; Preparation; Prevention; Preventive Intervention; Procedures; Publications; Randomized Controlled Trials; Research; Research Activity; Research Personnel; Research Project Grants; Sampling; Scientist; Sexually Transmitted Diseases; Site; Strategic Planning; Students; Testing; Training; Uninsured; United States; United States National Institutes of Health; Universities; Woman; Women' s Health; aged; burden of illness; career development; college; condoms; experience; high risk; meetings; mortality; planetary Atmosphere; prevent; professor; programs; public health relevance; safer sex; sex risk; skills; symposium; university student; young adult

DESCRIPTION (provided by applicant): The Candidate: I am an Assistant Professor of Nursing and a nationally certified family nurse practitioner. My long-term goal is to become an independent investigator, with the expertise to implement Human Immunodeficiency Virus (HIV) prevention interventions. My program of research focuses on HIV prevention in females, with an emphasis on determining the HIV knowledge, motivation, and behavioral skill needs of black college-aged females to foster HIV prevention. The intermediate goals of this career development plan focus on education and research. The educational goal is to acquire knowledge and skills essential to: tailor interventions, implement RCT methodologies, and disseminate findings. The research goal is to develop expertise as an independent investigator to tailor a previously tested intervention (HIP TEENS) and conduct a pilot RCT [HIP LADIES]. These goals are the direct result of the candidate's experiences as a family nurse practitioner. Practice as a clinician providing health care to underserved and uninsured patients predominately women since 2006 has extensively influenced my research goals. This proposed career development plan pulls together discrete areas of research that require different yet complimentary skill sets. Therefore, an interdisciplinary team of mentors and advisors, with distinct areas of expertise, has been included in this career development team. Environment: My primary institution, University of South Florida, is one of the nation's top 63 public research universities and one of only 25 public research universities nationwide with very high research activity that is designated as community engaged by the Carnegie Foundation for the Advancement of Teaching. The University of South Florida, College of Nursing is moving rapidly to establish itself as a top tier research- intensive college. USF College of Nursing has achieved its highest research ranking ever from the National Institutes of Health. In 2010, the College ranked 25th among nursing schools nationwide in NIH funding. Florida A&M University, an additional site for participant recruitment, has made impressive strides in research being awarded a total of more than $50 million in research funding. Both institutions will offer support to the PI and create an atmosphere conducive to collaborative and interprofessional teams for this award. This career development plan will be supervised by a team of experienced NIH funded, nationally recognized mentors, who provide an essential combination of expertise for the educational and research goals of this award. Research: Blacks account for the largest percentage of new cases of HIV/AIDS in all age categories, especially among people aged 13 to 24 years. Black women (12% of U.S. population of women) are disproportionately affected by HIV/AIDS, accounting for 68% of estimated HIV diagnoses among women 13 years and older. Thus, efficacious HIV prevention interventions could decrease morbidity and mortality in US black women. Few HIV prevention interventions have been tested with a population of college students and those that focus on young black females are further limited. Scientist recommend that interventions focused on the black college population should be culturally appropriate, focus on behavior skills for negotiating safer sex, and should include training on the proper use of condoms. An efficacious HIV prevention intervention developed for females 15-19 years old (HIP TEENS) will be modified for use in this population. The overarching goal of this proposal is to tailor a previously tested intervention (HIP TEENS), and conduct a pilot randomized control trial [HIP LADIES] addressing HIV prevention in black college-aged females. The research plan has four attainable goals, which include: Goal 1: Gain an enhanced knowledge of the methodologies and procedures used to conduct RCTs Goal 2: Develop skills essential to conducting RCT research through training (e.g. coursework, seminars, research meetings, and conferences). Goal 3: Tailor a previously tested intervention (HIP TEENS) and conduct a pilot RCT [HIP LADIES] Specific Aims: I. Using focus group data from black college-aged women, tailor the HIP TEENS manuals (intervention and control). II. A multi-site pilot RCT will be conducted with 72 black college females, attending a Traditional University (TU) or Historically Black College/University(HBCU) to: (a) appraise feasibility in preparation for a full RCT (b) determine what refinements in recruitment & retention strategies are necessary for a full RCT and (c) estimate effect size on theoretically-driven & behavioral outcomes. Goal 4: Disseminate pilot RCT intervention results through publications and conference presentations.

描述（由申请人提供）：候选人：我是护理助理教授和全国认证的家庭护士从业人员。我的长期目标是成为一名独立研究者，并具有实施人类免疫缺陷病毒（HIV）预防干预措施的专业知识。我的研究计划侧重于预防女性的艾滋病毒，重点是确定黑人大学时代女性的艾滋病毒知识，动机和行为技能需求，以促进预防艾滋病毒的艾滋病毒。该职业发展计划的中间目标集中在教育和研究上。教育目标是获取对：量身定制干预，实施RCT方法论并传播发现的知识和技能。研究目标是发展为独立研究者的专业知识，以量身定制先前测试的干预措施（HIP青少年）并进行PILOT RCT [HIP LADIES]。这些目标是候选人作为家庭护士从业者的经历的直接结果。自2006年以来，作为临床医生提供医疗保健，为服务不足和未保险的患者提供医疗保健，从而广泛影响了我的研究目标。该提议的职业发展计划将离散的研究领域汇集在一起​​，需要不同但免费的技能。因此，这个职业发展团队中包括了一个具有不同专业知识领域的导师和顾问的跨学科团队。环境：我的主要机构是南佛罗里达大学，是美国63家公共研究大学的一所，是全国仅​​有的25家公共研究大学之一，其研究活动很高，被卡内基基金会指定为教学发展的社区。南佛罗里达大学护理学院正在迅速发展，成为一所顶级研究强化学院。 USF护理学院已从美国国立卫生研究院获得了有史以来最高的研究排名。 2010年，该学院在全国NIH资金中排名第25位。佛罗里达州A＆M大学是参与者招聘的另一个网站，在研究获得了总计超过5000万美元的研究资金方面取得了令人印象深刻的进步。这两家机构将为PI提供支持，并营造一种有利于该奖项的协作和跨专业团队的氛围。该职业发展计划将由一支经验丰富的NIH资助，全国认可的导师团队进行监督，这些团队为该奖项的教育和研究目标提供了重要的专业知识组合。研究：黑人在所有年龄类别中，尤其是13至24岁的人中，黑人占新的艾滋病毒/艾滋病案例的最大百分比。黑人妇女（占美国妇女人口的12％）受艾滋病毒/艾滋病的影响不成比例，占13岁以上妇女估计艾滋病毒诊断的68％。因此，有效的HIV预防干预措施可以降低美国黑人妇女的发病率和死亡率。很少有预防艾滋病毒的干预措施与大量的大学生进行了测试，而专注于年轻的黑人女性的学生受到了进一步的限制。科学家建议，专注于黑人大学人口的干预措施应在文化上是适当的，专注于谈判更安全的行为技巧，并应包括有关适当使用避孕套的培训。为15-19岁的女性开发的有效的HIV预防干预措施将被修改以在该人群中使用。该提案的总体目标是量身定制先前测试的干预措施（髋关节青少年），并进行一项试验随机对照试验[髋关节女士]，以解决黑人大学时代女性的HIV预防。该研究计划具有四个可实现的目标，其中包括：目标1：获得对执行RCTS目标的方法和程序的增强知识2：通过培训（例如课程，研讨会，研究会议和会议）开发对RCT研究至关重要的技能。目标3：量身定制先前测试的干预措施（髋关节青少年），并进行试点RCT [髋关节女士]特定目的：I。使用来自黑人大学时代妇女的焦点小组数据，量身定制髋关节青少年手册（干预和控制）。 ii。将与72名黑人大学女性一起进行多站点的飞行员RCT，参加传统大学或历史上的黑人学院/大学（HBCU），以：（a）评估可行性以准备完整的RCT（b）确定招聘和保留策略在整个RCT和（c）全面效果上的招聘和保留策略所必需的效果，以实现效果。目标4：通过出版和会议演讲传播PILOT RCT干预结果。