A smoking cessation/medication adherence intervention for African American MSM

针对非裔美国 MSM 的戒烟/药物依从性干预

• 批准号: 8773189
• 负责人: Kyle Jones
• 金额: $ 4.27万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8773189
• 关键词: AIDS/HIV problem; Abstinence; Address; Adherence; Advocacy; Affect; African American; Alcohol consumption; Back; Behavior Therapy; Behavioral; Belief; Biochemical; Carbon Monoxide; Clinic; Clinic Visits; Clinical Skills; Communities; Data; Data Analyses; Development; Drug usage; Educational Curriculum; Elements; Evaluation; Exhalation; Focus Groups; Future; Goals; Government; HIV; HIV diagnosis; Health; Health Promotion; Health behavior; Hospitals; Individual; Individual Differences; Institution; Intervention; Interview; Knowledge; Lesbian Gay Bisexual Transgender; Measures; Mentorship; Metric; Monitor; Needs Assessment; Outcome; Participant; Patient Self-Report; Pharmaceutical Preparations; Phase; Population; Prevalence; Public Policy; Published Comment; Recruitment Activity; Reporting; Research; Research Personnel; Resources; Risk Behaviors; Risk Factors; Role; Sampling; Schedule; Self Efficacy; Smoking; Smoking Behavior; Smoking Cessation Intervention; Social support; Staging; Structure; Testing; Time; TimeLine; Tobacco use; Training; Treatment Protocols; Treatment outcome; Universities; Vulnerable Populations; Withholding Treatment; base; behavioral health; clinical practice; coping; cost; experience; follow-up; group counseling; health disparity; improved; interest; intervention effect; medication compliance; meetings; member; men; men who have sex with men; modifiable risk; motivational enhancement therapy; nicotine replacement; patient population; peer; pill; post intervention; programs; prototype; psychosocial; public health relevance; response; satisfaction; skills; smoking cessation; smoking prevalence; social stigma; therapy development; treatment adherence

DESCRIPTION (provided by applicant): The goal of the proposed training plan is to further develop the applicant's knowledge, research, and clinical skills in the development, implementation and evaluation of behavioral health-promotion interventions for HIV-infected African American men who have sex with men (MSM). The proposed project will be conducted as a dissertation study that will: 1) Increase the applicant's knowledge of the role of HIV medication non-adherence and engagement in health risk behaviors, such as smoking, in observed HIV-related health disparities among African American MSM; and 2) Develop the applicant's methodological and analytical skills in conducting behavioral health interventions with a highly vulnerable and underserved patient population; and 3) Deepen the applicant's understanding of the demographic and socio-cultural factors associated with key intervention outcomes; that is, level of adherence to HIV medications and point-prevalence quit rates. The proposed training plan includes didactic training, structured coursework, professional development, regular sponsor and consultant meetings. The knowledge and skills gained in the proposed project are necessary for the applicant's future as an independent researcher at a university, academic hospital, or government institution. The proposed project is highly consistent with the applicant's goals; facilitators of and barriers to smoking cessation and HIV medication adherence will be examined in HIV-infected African American MSM and integrated into a culturally targeted intervention addressing both health behaviors. Smoking prevalence rates and levels of HIV medication non-adherence are alarmingly high in HIV-infected African American MSM. Yet, scant research has been conducted to simultaneously intervene on these two health risk behaviors. The specific aims of this study are to: 1) Identify barriers to and facilitators of smoking cessation and HIV medication adherence among recently diagnosed HIV-infected African American MSM; 2) Develop a culturally targeted intervention that addresses HIV medication adherence and smoking cessation; 3) Conduct a pilot-test of the intervention to assess its acceptability, feasibility, and effects on smoking and treatment adherence; and 4) Examine individual and cultural variables that influence the effects of the intervention. Data will be collected from 50 HIV-infected African American MSM recruited from LGBT clinics and other community-based venues. Mentorship for this project will be provided by experts in culturally targeting health behavior interventions for the LGBT community (Dr. Alicia Matthews), HIV-medication adherence among MSM (Dr. David McKirnan), cultural competency in intervention development and recruitment of the population of interest (Dr. Sybil Hosek, Dr. Alicia Matthews, and Dr. David McKirnan), and multilevel longitudinal data analyses (Dr. David McKirnan). The proposed project will be the first to address smoking cessation and HIV-medication adherence in a single systematic intervention. The proposed plan is consistent with the applicant's goals of further increasing skills and knowledge to establish a program of research.

描述（由申请人提供）：拟议培训计划的目标是进一步发展申请人的知识、研究和临床技能，以制定、实施和评估针对感染艾滋病毒的非裔美国男性的行为健康促进干预措施与男性 (MSM)。拟议的项目将作为论文研究进行，该研究将： 1) 增加申请人对艾滋病毒药物不依从性和参与健康风险行为（例如吸烟）在观察到的非裔美国男男性接触者中与艾滋病毒相关的健康差异中的作用的了解; 2) 培养申请人对高度弱势和服务不足的患者群体进行行为健康干预的方法和分析技能； 3) 加深申请人对与关键干预结果相关的人口和社会文化因素的理解；即对艾滋病毒药物的依从程度和点流行率戒烟率。拟议的培训计划包括教学培训、结构化课程、专业发展、定期发起人和顾问会议。在拟议项目中获得的知识和技能对于申请人未来作为大学、学术医院或政府机构的独立研究人员是必要的。拟议项目与申请人的目标高度一致；将在感染艾滋病毒的非裔美国男男性接触者中检查戒烟和艾滋病毒药物依从性的促进因素和障碍，并将其纳入针对这两种健康行为的文化针对性干预措施中。在感染艾滋病毒的非裔美国男男性接触者中，吸烟率和艾滋病毒药物不依从率高得惊人。然而，同时干预这两种健康风险行为的研究却很少。本研究的具体目的是： 1) 确定最近诊断出感染艾滋病毒的非洲裔美国男男性接触者中戒烟和艾滋病毒药物依从性的障碍和促进因素； 2) 制定针对文化的干预措施，解决艾滋病毒药物依从性和戒烟问题； 3) 对干预措施进行试点测试，以评估其可接受性、可行性以及对吸烟和治疗依从性的影响； 4) 检查影响干预效果的个人和文化变量。数据会 是从 LGBT 诊所和其他社区场所招募的 50 名感染 HIV 的非裔美国 MSM 中收集的。该项目将由专家提供指导，包括 LGBT 群体的文化针对性健康行为干预措施（Alicia Matthews 博士）、MSM 的艾滋病毒药物依从性（David McKirnan 博士）、干预措施制定的文化能力以及招募人群的文化能力。兴趣（Sybil Hosek 博士、Alicia Matthews 博士和 David McKirnan 博士）和多层次纵向数据分析（David McKirnan 博士）。拟议的项目将是第一个通过单一系统干预措施解决戒烟和艾滋病毒药物依从性问题的项目。拟议的计划与申请人进一步提高技能和知识以建立研究计划的目标一致。