Testing scalable, IVR-supported cancer prevention interventions for SGM in the rural Alabama Black Belt

在阿拉巴马州黑带农村地区测试 SGM 的可扩展、IVR 支持的癌症预防干预措施

• 批准号: 10558402
• 负责人: Dorothy W. Pekmezi
• 金额: $ 9.98万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10558402
• 关键词: AIDS/HIV problem; Address; Administrative Supplement; Adoption; Adult; Alabama; Area; Award; Black race; Cancer Prevention Intervention; Chronic; Collaborations; Communities; County; Deep South; Discrimination; Educational workshop; Exclusion; Feedback; Fostering; Fright; General Population; Health; Heterosexuals; Home; Infrastructure; Intervention; Interview; Laws; Lesbian Gay Bisexual Transgender Queer; Mental Health; Methodology; Outcome; Parents; Participant; Phase; Physical activity; Positioning Attribute; Privatization; Procedures; Research; Research Activity; Rural; Schools; Sexual and Gender Minorities; Telephone; Testing; Time; Voice; Work; active lifestyle; exercise intervention; experience; gender minority community; gender minority group; health disparity; improved; innovation; insight; interest; parent grant; perceived discrimination; physical conditioning; physical inactivity; pilot trial; preventive intervention; recruit; response; retention rate; sexual disparity; social stigma; usability; virtual

This proposed research is consistent with the Notice of Special Interest NOT-OD-22-032. In this administrative supplement, we will build on the infrastructure of our ongoing R01 parent grant [ ] – the focused on increasing physical activity among the general population [1]. Per the specific areas of research listed in the Notice of Special Interest, we will use “methodological and strategic innovations to improve the recruitment and retention of sexual and gender minority (SGM) individuals in any research activity.” NCT03903874 Deep South Interactive Voice Response (IVR)-supported Active Lifestyle (DIAL) intervention - that is This research is important because studies have shown that rates of inactivity-related chronic conditions are even higher among SGM populations compared to their heterosexual counterparts. Contributing to this disparity are SGM-specific barriers to physical activity (e.g., fear of discriminatory interaction in locker rooms) in addition to barriers experience by the general population (e.g., limited time, commitment). These barriers are further exacerbated by pervasive stigma and discrimination experienced by SGM communities in the Deep South. The state of Alabama continues to have discriminatory laws (e.g., HIV/AIDS criminalization, lack of LGBTQ topics in schools, exclusions of LGBTQ parents in adoption and foster placement) which contribute to massive mental and physical health burdens among SGM adults. Given the potential to address a range of critical health outcomes by increasing physical activity, new dynamic approaches are urgently needed, and we therefore propose building on the current parent award to: Phase 1 (6 months) - Conduct phone interviews with 20 SGM adults living in the rural Black Belt counties of Alabama to determine what aspects of the current recruitment and retention strategies, as well as intervention content, should be adapted. Phase 2 (6 months) - Finalize the DIAL intervention in collaboration with our community partners, academic experts, and IVR The insights from the interviews will be presented to our stakeholders in a virtual workshop to receive feedback and further inform the adaptation of intervention procedures and content. Following the workshop, ur IVR developer from the parent grant will work with his programming team to mock-up the developer and programming team for implementation. o beta version of adapted intervention content for review and feedback at a subsequent workshop. Feedback will be used to finalize intervention content changes for implementation. Upon completion of the 12-month administrative supplement, we will be positioned for an R34 application to conduct final usability testing and a pilot trial of the newly adapted physical activity intervention to address health disparities amongst rural SGM populations in Deep South.

这项拟议的研究与非od-22-032的特殊关注通知一致。在此管理中 补充，我们将建立在我们正在进行的R01父母赠款[]的基础架构的基础上 专注于 普通人群中的体育活动增加[1]。根据在 特别关注的通知，我们将使用“方法论和战略创新来改善招聘和 在任何研究活动中保留性和性别少数人（SGM）个人。” NCT03903874深 南方互动语音响应（IVR） - 支持主动生活方式（DIAL）干预 - 也就是说 这项研究很重要 因为研究表明，与SGM之间无活动相关的慢性病率甚至更高 与异性恋对应物相比，种群。造成这种差异是SGM特异性的 除了障碍之外 一般人群的经验（例如，有限的时间，承诺）。这些障碍进一步加剧了 SGM社区在深南部经历了普遍的污名和歧视。状态 阿拉巴马州继续有歧视法（例如，艾滋病毒/艾滋病定罪，缺乏LGBTQ主题 学校，LGBTQ父母在收养和寄养位置中的排除），这有助于大规模的精神 SGM成年人中的身体健康燃烧。考虑到解决一系列关键健康的潜力 通过增加体育活动，迫切需要新的动态方法来取得成果，因此我们 在当前父母奖上建立的提案：第1阶段（6个月） - 与20 SGM进行电话访谈 居住在阿拉巴马州粗糙黑带县的成年人确定当前招聘的哪些方面 以及保留策略以及干预内容，应适应。第2阶段（6个月） - 与我们的社区合作伙伴，学术专家和IVR合作确定拨号干预措施 访谈的见解将显示给我们 在虚拟研讨会中的利益相关者接收反馈并进一步告知干预的改编 程序和内容。在研讨会之后，父母赠款的IVR开发人员将与他的 编程团队模拟 开发人员和编程团队实施。 o beta版的调整干预内容，用于审查和反馈 随后的研讨会。反馈将用于最终确定实施干预内容更改。 完成为期12个月的行政补品后，我们将定位用于R34申请 进行最终可用性测试和新适应的体育活动干预的试点试验以解决 南部深处的SGM人口中的健康差异。