Technology to connect at-risk youth to testing

将高危青少年与测试联系起来的技术

• 批准号: 8267843
• 负责人: Marguerita A. Lightfoot
• 金额: $ 25.88万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-01 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8267843
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Adolescent; Adult; African American; Anti-Retroviral Agents; Attention; Behavior; Censuses; Clinic; Clinic Visits; Clinical; Color; Communities; Confidentiality; Detection; Diagnosis; Diffuse; Diffusion; Early Diagnosis; Education and Outreach; Effectiveness; Epidemic; Exhibits; Feasibility Studies; Feedback; Friends; HIV; HIV Seropositivity; HIV/STD; Health; Health Resources; Healthcare Systems; Heterosexuals; Human immunodeficiency virus test; Individual; Infant; Intervention; Life; Marketing; Measures; Outcome; Parental Notification; Participant; Patient Appointment; Patients; Pharmaceutical Preparations; Pilot Projects; Population; Preparation; Prevention; Prevention strategy; Preventive; Protocols documentation; Provider; Public Health; Quality of life; Race; Reaction; Recruitment Activity; Reproductive Health; Risk; Risk Behaviors; Sampling; Screening procedure; Services; Sexual Health; Site; Social Network; Symptoms; Technology; Teenagers; Testing; Text; Unsafe Sex; Viral Load result; Virus; Visit; Woman; Youth; aged; cost; drug abuse prevention; health disparity; high risk; improved; inclusion criteria; innovation; medically underserved; meetings; men; outreach; peer; response; sex risk; sexually active; telehealth; theories; transmission process

DESCRIPTION (provided by applicant): Among the numerous health disparities disproportionately burdening people of color, HIV/AIDS is among the highest. In the African American community the HIV/AIDS epidemic is one of the most urgent public health issues. In order to address the health disparity in HIV/AIDS, detection of HIV in the African American community is crucial. The benefits for early detection of HIV include potentially prolonged duration and quality of life for those living with the virus. HIV testing has also been proposed as a HIV preventive strategy. Detection of HIV has a number of potential preventive benefits, including reduced transmission risk behaviors by those infected9 and reduced viral load by those taking antiretroviral medications, whereby potentially reducing transmission. The proposed study makes a significant public health impact by developing and pilot testing an innovative strategy to increase the number of high-risk adolescents receiving HIV screening. In response to PA-09-146 (Pilot and Feasibility Studies in Preparation for Drug Abuse Prevention Trials [r34]), we propose a pilot study to examine the acceptability and feasibility of a peer-driven, HIV-testing campaign. Peer education and outreach strategies have been successful at reducing sexual risk behavior and increasing the use of health resources in adolescents and other at-risk groups, including adults residing in census tracts where STI rates are high. A potential vehicle for outreach to adolescents is socially interactive technologies (e.g., text messages). The proposed study makes a scientific impact in examining the effectiveness of messaging diffused through the social network of adolescents. A total of 100 current patients at an urban adolescent health clinic serving predominately African Americans will be recruited to disseminate at least 5 text messages to friends they believe are sexually active. Youth will be provided with a brief guide to help them develop their messages. The youth generated text messages will encourage their friends to visit the clinic and get tested. The specific aims of this project are to: Aim 1: Develop protocols and a theory-informed message guide for a peer-driven text message intervention for adolescents recruited from an adolescent health clinic. Aim 2: Examine the acceptability and feasibility of sending text messages related to obtaining HIV/STI testing. We will obtain participant feedback and examine the recruitment rate, number of youth failing to meet inclusion criteria, number of youth verified to have sent text messages, and number of text messages sent. We will also obtain feedback from the clinic providers regarding impact on patient and services flow, provider reactions, and impact on clinical visit. Aim 3: Preliminarily examine the efficacy of a youth generated messaging intervention to increase the: 1) number of high-risk youth seeking services and 2) clinic volume as measured by: a) number of new patients at clinic, b) increase in rate of new patient appointments, and c) number of STI tests conducted. If successful, the proposed study will significantly contribute to the field of HI prevention by examining the acceptability, feasibility and potential impact of an innovative strategy for delivering messages to high-risk youth, which encourage connection with the healthcare system and screening for HIV. This trial will fill a critical need to improve the sexual health outcomes of high-risk African American youth and lay the groundwork for a subsequent R01 proposal with a larger sample and that would include control sites. PUBLIC HEALTH RELEVANCE: Adolescents exhibit high rates of STI/HIV, which have implications for a myriad of other sexual health issues, including reproductive health. Further, African American youth are disproportionately impacted by HIV. The proposed study will significantly contribute to the field of HIV/STI prevention by examining the impact of an innovative strategy for delivering telehealth messages to high-risk youth that encourage connection with the healthcare system and screening for HIV. This trial will fill a critical need t improve the sexual health outcomes of high-risk youth.

描述（由申请人提供）：在对有色人种造成不成比例负担的众多健康差异中，艾滋病毒/艾滋病是最严重的之一。在非裔美国人社区，艾滋病毒/艾滋病流行是最紧迫的公共卫生问题之一。为了解决艾滋病毒/艾滋病方面的健康差距，在非裔美国人社区检测艾滋病毒至关重要。早期检测艾滋病毒的好处包括可能延长病毒感染者的生存时间和提高生活质量。 HIV 检测也被提议为 艾滋病毒预防策略。检测艾滋病毒具有许多潜在的预防益处，包括减少感染者的传播风险行为9以及服用抗逆转录病毒药物的人减少病毒载量，从而有可能减少传播。拟议的研究通过制定和试点测试一项创新策略来增加接受艾滋病毒筛查的高危青少年数量，从而对公共健康产生重大影响。为了响应 PA-09-146（药物滥用预防试验准备中的试点和可行性研究 [r34]），我们提出一项试点研究，以检验同行驱动的 HIV 检测活动的可接受性和可行性。同伴教育和推广策略已成功地减少了青少年和其他高危群体（包括居住在性传播感染率较高的人口普查区的成年人）的性危险行为并增加了卫生资源的使用。社交互动技术（例如短信）是接触青少年的潜在工具。拟议的研究对于检查通过青少年社交网络传播的信息的有效性产生了科学影响。城市青少年健康诊所的现有患者总共 100 名，主要服务对象是非裔美国人，他们将被招募向他们认为性活跃的朋友传播至少 5 条短信。将为青少年提供简要指南，帮助他们发展自己的信息。青少年生成的短信将鼓励他们的朋友去诊所接受检查。本次活动的具体目标 该项目的目标是： 目标 1：为从青少年健康诊所招募的青少年进行同伴驱动的短信干预，制定协议和基于理论的消息指南。目标 2：检查发送与获得 HIV/STI 检测相关的短信的可接受性和可行性。我们将收集参与者的反馈并检查招募率、不符合纳入标准的青少年人数、经核实发送短信的青少年人数以及发送的短信数量。我们还将从诊所提供者那里获得有关对患者和服务流程的影响、提供者的反应以及对临床就诊的影响的反馈。目标 3：初步检验青年生成的消息传递干预措施的有效性，以增加：1) 寻求服务的高风险青年数量和 2) 诊所数量（通过以下指标衡量）：a) 诊所新患者数量，b) 比率增加新患者预约的数量，以及 c) 进行的性传播感染检测的数量。如果成功，拟议的研究将通过检查向高危青少年传递信息的创新策略的可接受性、可行性和潜在影响，鼓励与医疗保健系统的联系和艾滋病毒筛查，为艾滋病毒预防领域做出重大贡献。这项试验将满足改善性能力的关键需求 高风险非裔美国青年的健康结果，并为随后的 R01 提案奠定基础，该提案具有更大的样本，其中将包括控制点。 公共卫生相关性：青少年性传播感染/艾滋病毒感染率很高，这对许多其他性健康问题（包括生殖健康）有影响。此外，非裔美国青年受到艾滋病毒的影响尤为严重。拟议的研究将通过研究向高危青少年提供远程医疗信息、鼓励与医疗保健系统联系和艾滋病毒筛查的创新战略的影响，为艾滋病毒/性传播感染预防领域做出重大贡献。这项试验将满足改善高危青少年性健康结果的关键需求。