Prevention of HIV/AIDS and STDs in Women over Fifty

五十岁以上女性艾滋病毒/艾滋病和性传播疾病的预防

• 批准号: 8647851
• 负责人: Patricia Flynn Weitzman
• 金额: $ 37.49万
• 依托单位: ENVIRONMENT AND HEALTH GROUP, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8647851
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Address; Advertisements; Affect; African American; Age; Aging; American; Awareness; Blueberries; Boston; Censuses; Centers for Disease Control and Prevention (U.S.); Collaborations; Communities; Data; Divorce; Education; Effectiveness; Elderly; Electronic Mail; Engineering; Evaluation; Focus Groups; Funding; Gender; Goals; Gray unit of radiation dose; Growth; HIV; HIV Infections; HIV risk; HIV/STD; Health; Health Benefit; Health Services; Hospitals; Housing; Incubators; Infection; Internet; Intervention; Interview; Latino; Life; Life Experience; Manufacturer Name; Market Research; Marketing; Massachusetts; Mediation; Minority; Modeling; Never Married; New England; Online Systems; Participant; Phase; Population; Pre-Post Tests; Prevention; Preventive Intervention; Primary Health Care; Privacy; Production; Psychology; Public Health; Randomized Controlled Trials; Risk; Risk Factors; Risk Reduction; Safe Sex; Self Efficacy; Services; Sexual Health; Site; Social Work; South Carolina; Staging; Target Populations; Testing; Text; Theoretical model; Universities; Unsafe Sex; Vagina; Woman; Women' s Health; authority; base; cohort; college; commercialization; computer science; condoms; contextual factors; data mining; high risk; improved; interest; member; novel; older women; public health relevance; response; risk perception; social; social stigma; technology development; trend; web site

DESCRIPTION (provided by applicant): Older adult women (age 50+) account for almost a third of the U.S. HIV/AIDS population, and infection rates among this group are increasing. The overall goal of the proposed Phase II application is to develop a culturally-sensitive, gender-specific, and age-appropriate HIV prevention intervention for older women, especially African American and Latino women who are at disproportionally high risk for HIV/STD infection. Our target population is the growing number of divorced/separated older women for whom interventions have not been developed and, due to cohort and social contextual factors, are likely unaware that they are at risk, and more likely than single (never married) women to forgo condom use. Building on Phase I and ARRA study results, our Phase II objectives are to create, test, and commercialize a positive psychology-based "SmartWeb" intervention to promote wellbeing and safe sex practices among culturally diverse older divorced or separated women who are dating or planning on dating. Specific Phase II Aims are: 1) Create the SmartWeb intervention; 2) Evaluate its effectiveness in a randomized controlled trial (RCT) of divorced/separated women over 50; and 3) Prepare marketing and commercialization plans for the SmartWeb intervention. Consistent with our Phase I objectives, i.e., developing content to address Stages 1-3 of the M-AARM theoretical model, the proposed Phase II includes new components to address M-AARM Stages 4-5. The Phase II is also responsive to Phase I evaluation findings, including the desire for mobile access, membership; video interviews with experts in women's health, positive aging, HIV/STD prevention in culturally diverse communities, safe sex negotiation strategies, and gray divorce; online community, and positive psychology- based self-efficacy and affect-boosting emails, as well as expanded versions of Phase I components to reinforce stages 1-3 of the M-ARRM theoretical model. We are supported in these efforts through our partnerships in both Boston, MA and Columbia SC, the sites for the randomized controlled trial. Participating partners include those providing commercialization support (Global Protection Corp, USC Columbia Incubator, SC Launch, Moker CPCA), recruitment and marketing support in Boston (New England Association of HIV over 50, Massachusetts Department of Public Health Statewide Consumer Advisory Board on HIV/AIDS, Brigham & Women's Hospital Women's Health Center) and in Columbia (South Carolina Lieutenant Governor's Office on Aging, South Carolina HIV/AIDS Council, AID Upstate in South Carolina, Lowcountry AIDS Services, United Way Association of South Carolina, South Carolina Primary Care Association, Columbia Housing Authority in South Carolina, Palmetto AIDS Life Support Services), and content and technology development and support (University of South Carolina College of Social Work and Department of Computer Science and Engineering, South Carolina HIV/AIDS Council, Blueberry Hill Productions).

描述（由申请人提供）：老年妇女（50岁以上）几乎占美国艾滋病毒/艾滋病人群的三分之一，并且该组中的感染率正在增加。拟议的II期应用的总体目标是为老年妇女（尤其是对HIV/STD感染的高风险高度高的非裔美国人和拉丁裔妇女）开发具有文化敏感，特定性别和适合年龄的HIV预防艾滋病毒干预措施。我们的目标人群是尚未开发干预措施的离婚/分离的老年妇女数量越来越多，由于队列和社会背景因素，他们可能没有意识到她们处于危险之中，并且比单身（从未结婚）妇女更有可能放弃避孕套。在第一阶段和ARRA研究结果的基础上，我们的第二阶段目标是创建，测试和商业化基于心理的“ SmartWeb”干预措施，以促进福祉和安全的性行为，并在文化多元化的年龄多样化的离婚或分居的妇女中约会。特定阶段的目标是：1）创建SmartWeb干预； 2）在50岁以上的离婚/分离妇女的随机对照试验（RCT）中评估其有效性； 3）为SMARTWEB干预准备营销和商业化计划。 与我们的I期目标一致，即开发内容以解决M-AARM理论模型的第1-3阶段，拟议的II阶段II包括以解决M-AARM阶段4-5的新组件。第二阶段也对I期评估结果有反应，包括对移动访问，会员资格的渴望；对妇女健康，积极衰老，艾滋病毒/性病预防专家的视频访谈，在文化多样化的社区，安全的性谈判策略和灰色离婚中进行的视频访谈；在线社区和积极的基于心理学的自我效能感和促进情感的电子邮件，以及扩展的I期组件版本，以增强M-arrm理论模型的第1-3阶段。 通过在波士顿，马萨诸塞州和哥伦比亚SC的合作伙伴关系，我们得到了这些努力的支持，即随机对照试验的站点。参加合作伙伴包括提供商业化支持的人（全球保护公司，USC Columbia孵化器，SC启动，Moker CPCA），波士顿的招聘和营销支持（新英格兰HIV超过50岁以上艾滋病，杨百翰及妇女医院妇女健康中心）和哥伦比亚（南卡罗来纳州中尉州长衰老办公室，南卡罗来纳州艾滋病毒/艾滋病委员会，南卡罗来纳州艾滋病艾滋病艾滋病，南卡罗来纳州南卡罗来纳州南卡罗来纳州南卡罗来纳州初级保健协会的Lowcountry AIDS服务协会，南卡罗来纳州哥伦比亚住房管理局，Palmetto AIDS生命支持服务）以及内容与技术开发与支持（南卡罗来纳大学社会工作学院和计算机科学与工程系，南卡罗来纳州艾滋病毒/艾滋病理事会，蓝莓山）。