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.

这项拟议的研究与特别兴趣通知 NOT-OD-22-032 一致。 作为补充，我们将建立在我们正在进行的 R01 家长资助的基础设施 [ ] – 专注于 增加一般人群的体力活动[1]。 特别关注的通知，我们将利用“方法和战略创新来改善招聘和 在任何研究活动中保留性少数和性别少数（SGM）个体。” NCT03903874 深 南方互动语音应答 (IVR) 支持的积极生活方式 (DIAL) 干预 - 即 这项研究很重要 因为研究表明，SGM 中与缺乏活动相关的慢性病的发生率甚至更高 造成这种差异的是 SGM 特有的。 除了障碍之外，身体活动（例如，担心更衣室中的歧视性互动障碍） 普通大众的经验（例如，有限的时间、承诺）进一步加剧了这些障碍。 南方腹地的 SGM 社区普遍遭受耻辱和歧视。 阿拉巴马州仍然存在歧视性法律（例如，将艾滋病毒/艾滋病定为犯罪、缺乏 LGBTQ 主题） 学校、LGBTQ 父母在收养和寄养安置中被排除在外），这导致了大规模的心理问题 鉴于 SGM 成年人有可能解决一系列关键健康问题。 通过增加体力活动来取得成果，迫切需要新的动态方法，因此我们 建立当前家长奖的提案： 第 1 阶段（6 个月）- 与 20 位 SGM 进行电话访谈 居住在阿拉巴马州农村黑带县的成年人确定当前招聘的哪些方面 应调整保留策略以及干预内容 - 第 2 阶段（6 个月）。 与我们的社区合作伙伴、学术专家和 IVR 合作完成 DIAL 干预 访谈的见解将提交给我们 利益相关者参加虚拟研讨会，接收反馈并进一步了解干预措施的调整 研讨会结束后，来自家长资助的 IVR 开发人员将与他一起工作。 编程团队来模拟 开发人员和编程团队进行实施。 哦 改编后的干预内容的测试版，供审查和反馈 后续研讨会将根据反馈意见最终确定干预内容的变更以供实施。 完成 12 个月的行政补充后，我们将准备好申请 R34 对新调整的身体活动干预措施进行最终可用性测试和试点试验，以解决 南方腹地农村 SGM 人口之间的健康差异。