Community Engagement to Enhance EBI Implementation in a Public Housing Community

社区参与以加强公共住房社区的 EBI 实施

• 批准号: 8921665
• 负责人: CAROL E GOLIN
• 金额: $ 22.88万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8921665
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Affect; African American; Collaborations; Communities; Consult; Data; Data Collection; Decision Making; Development; Effectiveness; Environment; Epidemic; Evidence based intervention; Focus Groups; Food; Goals; Group Interviews; HIV; Health Services Accessibility; Housing; Incidence; Individual; Intervention; Life; Location; Methods; Modeling; Needs Assessment; North Carolina; Pilot Projects; Population; Poverty; Prevention program; Preventive; Preventive Intervention; Process; Public Health; Public Housing; Qualitative Methods; Reporting; Research Design; Research Methodology; Resources; Risk; Rural; Services; Site; Testing; Time; Transportation; Woman; Work; authority; base; community based participatory research; design; evidence base; high risk; implementation science; improved; innovation; interdisciplinary collaboration; member; prevent; programs; public health relevance; tool; transmission process; trend; urban area

 DESCRIPTION (provided by applicant): For HIV prevention efforts to be most effective they must reach populations most at risk, use efficacious interventions, and be deliverable in real-world settings. While many efficacious evidence-based interventions (EBIs) for HIV prevention currently exist, community-based organizations (CBOs) often have difficulties implementing them among those most likely to benefit, with fidelity, good effect, and sustainability. Structural factors related to poverty often hinder HIV prevention delivery in communities most in need of the programs. For CBOs to successfully prevent the transmission of HIV in high risk communities, strategies to overcome the challenges of implementation are needed. Community-based participatory research (CBPR) offers one approach to work with community members to pinpoint community resources, priorities, needs, and barriers to consider in implementation. This application explores these issues among an often under-recognized group at enormously increased risk of HIV: African American women in the US South. The South is disproportionately affected by the HIV epidemic, with incidence rising over the last decade, and the largest burden on African Americans and women. HIV burden in women has also grown the past 25 years from 8% to over 25% of US AIDS cases. While African American women are only 12% of US women, they comprise 64% of newly infected women. Compounding the great need represented by these disparities, in previous studies, African American women in North Carolina reported significant structural obstacles to accessing HIV prevention programs in their communities, such as lack of transportation and childcare, food insecurity, and competing demands and suggested that program delivery in or near public housing facilities may represent a feasible way to overcome some of these barriers in locations where many people at elevated risk of HIV are concentrated. In a unique, transdisciplinary collaboration between UNC, CAARE, and the Durham Housing Authority, the central objective of this application is to design a structurally-informed implementation program plan for sustainable HIV prevention in public housing developments, using the Real AIDS Prevention Program EBI for African American women, as a test-case model in three aims. We will 1) Engage a broad range of community stakeholders to participate in the design of study methods and adaptation of RAPP for women living in public housing developments in the southern US through CBPR methods; 2) Understand perceived community resources, needs, priorities, and obstacles to the implementation of HIV prevention programs, particularly RAPP, among DHA residents and DHA and CAARE staff; 3) Create a replicable program plan for implementing RAPP within southern housing authority developments and pilot-test the implementation plan within the DHA for fidelity, feasibility, and acceptability.If successful, our next step will be to test the implementation program plan more widely at multiple southern US sites in an R01 application.

 描述（由适用提供）：为了预防艾滋病毒，他们必须最有效地达到最大风险的人群，使用有效的干预措施并在现实世界中提供。尽管目前存在许多针对艾滋病毒预防的有效基于证据的干预措施（EBI），但社区组织（CBO）通常很难在最有可能受益的人中实施它们，具有忠诚，良好的效果和可持续性。结构 与贫困相关的因素通常会阻碍大多数需要该计划的社区的艾滋病毒预防。为了使CBO成功防止高风险社区中的艾滋病毒传播，需要克服实施挑战的策略。基于社区的参与研究（CBPR）提供了一种与社区成员合作的方法，以查明社区资源，优先事项，需求和障碍，以考虑实施。该应用程序探讨了一个经常被低估的群体中的艾滋病毒风险大大增加：美国南部的非洲裔美国妇女。南方受艾滋病毒流行的影响不成比例，在过去的十年中发生了事件，对非裔美国人和妇女的烧伤最大。在过去25年中，女性的艾滋病毒燃烧也已从8％增加到美国艾滋病案件中的25％以上。尽管非洲裔美国妇女仅占美国妇女的12％，但她们占新感染妇女的64％。在先前的研究中，北卡罗来纳州的非洲裔美国妇女报告了访问其社区中艾滋病毒预防计划的重要结构对象，例如缺乏运输和育儿，粮食不安全和竞争需求，并建议在公共住房设施或附近的公共住房设施附近交付的计划可以代表许多人的位置，许多人可能会在许多地方占有一席之地。在UNC，Caare和Durham Housing Authority之间的独特，跨学科的合作中，本申请的核心目的是使用非裔美国妇女的“实际艾滋病预防” EBI设计一项结构知识的实施计划计划，以预防公共住房发展中的可持续艾滋病毒预防计划，作为三种目标的测试库模型。我们将1）参与广泛的社区利益相关者参与研究方法的设计，并通过CBPR方法适应居住在美国南部公共住房发展中的妇女的RAPP； 2）了解在DHA居民，DHA和Caare工作人员中，了解实施HIV预防计划的社区资源，需求，优先事项和障碍； 3）制定可复制的计划计划，以在南方住房管理局（Southern Housing Authority）开发中实施RAPP，并试点DHA内的实施计划，以实现忠诚度，可行性和可接受性。如果成功，我们的下一步将是在R01应用程序中在美国多个南部网站上更广泛地测试实施计划计划。