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: 8660349
• 负责人: Rasheeta Chandler
• 金额: $ 8.95万
• 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/8660349
• 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：我是护理学助理教授和国家认证的家庭护士执业者。我的长期目标是成为一名独立调查员，拥有实施人类免疫缺陷病毒 (HIV) 预防干预措施的专业知识。我的研究项目侧重于女性艾滋病毒预防，重点是确定黑人大学年龄女性的艾滋病毒知识、动机和行为技能需求，以促进艾滋病毒预防。该职业发展计划的中期目标侧重于教育和研究。教育目标是获得以下方面所必需的知识和技能：定制干预措施、实施随机对照试验方法和传播研究结果。研究目标是发展作为独立研究者的专业知识，以定制先前测试过的干预措施（HIP TEENS）并进行试点随机对照试验 [HIP LADIES]。这些目标是候选人作为家庭护士执业经验的直接结果。自 2006 年以来，作为一名临床医生，为服务不足和未投保的患者（主要是女性）提供医疗保健，这对我的研究目标产生了广泛影响。这个拟议的职业发展计划汇集了需要不同但互补的技能组合的离散研究领域。因此，这个职业发展团队中包含了一支由具有不同专业领域的导师和顾问组成的跨学科团队。环境：我的主要院校南佛罗里达大学是全国排名前 63 的公立研究型大学之一，也是全国仅有的 25 所具有非常高研究活动的公立研究型大学之一，被卡内基教学促进基金会指定为社区。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密集型学院。南佛罗里达大学护理学院获得了美国国立卫生研究院有史以来的最高研究排名。 2010年，该学院在NIH资助方面在全国护士学校中排名第25位。佛罗里达农工大学是另一个招募参与者的网站，该大学在研究方面取得了令人印象深刻的进步，获得了总计超过 5000 万美元的研究经费。两家机构都将为 PI 提供支持，并营造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经验丰富的 NIH 资助、国家认可的导师团队监督，他们为该奖项的教育和研究目标提供必要的专业知识组合。研究：在所有年龄段的艾滋病毒/艾滋病新发病例中，黑人所占比例最大，尤其是 13 至 24 岁人群中。黑人女性（占美国女性人口的 12%）受到艾滋病毒/艾滋病的影响尤为严重，占 13 岁及以上女性艾滋病毒诊断估计数的 68%。因此，有效的艾滋病毒预防干预措施可以降低美国黑人妇女的发病率和死亡率。很少有艾滋病毒预防干预措施在大学生群体中进行过测试，而针对年轻黑人女性的干预措施则进一步受到限制。科学家建议，针对黑人大学生群体的干预措施应在文化上适当，重点关注谈判安全性行为的行为技能，并应包括正确使用安全套的培训。针对 15-19 岁女性（HIP TEENS）开发的有效艾滋病毒预防干预措施将进行修改，以供该人群使用。该提案的总体目标是定制先前测试过的干预措施（HIP TEENS），并进行一项试点随机对照试验 [HIP LADIES]，以解决黑人大学年龄女性的艾滋病毒预防问题。该研究计划有四个可实现的目标，其中包括： 目标 1：加深对用于开展 RCT 的方法和程序的了解 目标 2：通过培训（例如课程、研讨会、研究会议和会议）培养开展 RCT 研究所必需的技能）。目标 3：定制先前测试的干预措施（HIP TEENS）并进行试点 RCT [HIP LADIES] 具体目标： I. 使用来自黑人大学年龄女性的焦点小组数据，定制 HIP TEENS 手册（干预和控制）。二.将对 72 名就读传统大学 (TU) 或传统黑人学院/大学 (HBCU) 的 72 名黑人女大学生进行多地点试点随机对照试验，目的是： (a) 评估准备全面随机对照试验的可行性 (b) 确定哪些改进招聘和保留策略对于完整的随机对照试验是必要的，并且（c）估计对理论驱动和行为结果的影响大小。目标 4：通过出版物和会议演讲传播随机对照试验干预试点结果。