Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients

促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识

基本信息

  • 批准号:
    8896881
  • 负责人:
  • 金额:
    $ 69.24万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2014
  • 资助国家:
    美国
  • 起止时间:
    2014-07-23 至 2019-04-30
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): The Centers for Disease Control and Prevention (CDC) recommends that all patients should receive information about HIV/AIDS and HIV testing orally or in writing at every HIV testing encounter. However, for busy emergency departments (EDs), delivering information orally is a barrier to HIV testing, and written brochures likely are not useful for those with lower health or general literacy. Videos might be as or more efficacious than orally-delivered information in improving HIV/AIDS and HIV testing knowledge, particularly for those with lower health literacy skills. However, the resources required to show videos might limit their use in EDs. Pictorial brochures are a promising alternative, but are of unknown efficacy. Regardless of how patients are informed, we do not know how well or for how long this knowledge is retained, if this information should be delivered according to patient needs and abilities, and if retention of this knowledge impacts future HIV testing behavior. This R01 study will address these gaps in our understanding. We will conduct a multi-site, randomized, controlled, longitudinal trial among 600 English- and 600 Spanish-speaking 18-64-year-old ED patients to investigate these questions. Using a valid measure of health literacy, we will stratify our sample within language by health literacy level (lower vs. higher). We will randomly assign patients to receive HIV/AIDS and HIV testing information by video or pictorial brochure. At one year post-enrollment, we will offer participants an opportunity to be tested again for HIV. As primary aims, we will compare the efficacy of pictorial brochures and videos in improving short-term (in ED) HIV/AIDS and HIV testing knowledge and retaining this knowledge over 12 months. More specifically, we will determine if and how short-term improvement and longer-term retention of knowledge interacts with information delivery mode (pictorial brochure or video), patient health literacy level (lower or higher) and language (English or Spanish). As secondary aims, using the Information-Motivation-Behavioral Skills (IMB) model as a heuristic framework, we will examine components of the IMB model relevant to our study and their interrelationships, their impact on HIV re-testing behavior, and the moderating influence of information delivery mode, language and health literacy level through the model. In regards to HIV re-testing behaviors, we will assess: (1) testing uptake at one year post-enrollment when offered as part of the study, (2) testing utilization during the study period but not as part of the study, and (3) change in testing utilization one year pre vs. post study enrollment. Study findings will guide ED-based delivery of HIV/AIDS and HIV testing information; that is, whether delivery modes (video or pictorial brochure) should be selected for patients by language and/or health literacy level, or whether either mode could be used. The results also will inform EDs when, how, and for whom information needs to be provided for those testing again for HIV within one year.
描述(由申请人提供):疾病控制与预防中心 (CDC) 建议所有患者在每次 HIV 检测时都应以口头或书面形式获得有关 HIV/艾滋病和 HIV 检测的信息。然而,对于繁忙的急诊科 (ED) 来说,口头提供信息是 HIV 检测的障碍,而书面小册子对于健康状况或一般文化水平较低的人来说可能没有用。在提高艾滋病毒/艾滋病和艾滋病毒检测知识方面,视频可能与口头传达的信息一样或更有效,特别是对于那些健康素养技能较低的人来说。然而,显示视频所需的资源可能会限制其在急诊室中的使用。图画小册子是一种很有前途的替代方案,但效果未知。 无论患者如何被告知,我们都不知道这些知识的保留程度或持续时间,是否应根据患者的需求和能力提供这些信息,以及保留这些知识是否会影响未来的艾滋病毒检测行为。这项 R01 研究将解决我们理解中的这些差距。 我们将对 600 名讲英语和 600 名讲西班牙语的 18-64 岁 ED 患者进行一项多中心、随机、对照、纵向试验来调查这些问题。使用有效的健康素养衡量标准,我们将分层 我们的样本按健康素养水平(较低与较高)划分。我们将随机分配患者通过视频或图画小册子接受艾滋病毒/艾滋病和艾滋病毒检测信息。注册一年后,我们将为参与者提供再次接受艾滋病毒检测的机会。 作为主要目标,我们将比较图画手册和视频在提高短期(急诊室)艾滋病毒/艾滋病和艾滋病毒检测知识以及在 12 个月内保留这些知识方面的功效。更具体地说,我们将确定知识的短期改进和长期保留是否以及如何与信息传递模式(图画册或视频)、患者健康素养水平(较低或较高)和语言(英语或西班牙语)相互作用。 作为次要目标,使用信息-动机-行为技能(IMB)模型作为启发式框架,我们将检查与我们的研究相关的 IMB 模型的组成部分及其相互关系,它们对 HIV 重新检测行为的影响以及调节影响通过模型评估信息传递方式、语言和健康素养水平。关于 HIV 重新检测行为,我们将评估:(1) 作为研究的一部分提供时,入组后一年的检测使用率,(2) 在研究期间但不作为研究的一部分的检测利用率,以及(3) 入学前一年与入学后一年测试利用率的变化。 研究结果将指导急诊科提供艾滋病毒/艾滋病和艾滋病毒检测信息;也就是说,是否应根据语言和/或健康素养水平为患者选择交付模式(视频或图片手册),或者是否可以使用任何一种模式。结果还将告知急诊室何时、如何以及为谁需要在一年内再次进行艾滋病毒检测提供信息。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Roland C Merchant其他文献

Nonoccupational HIV postexposure prophylaxis: a new role for the emergency department.
非职业性艾滋病毒暴露后预防:急诊科的新角色。
  • DOI:
    10.1067/mem.2000.109511
  • 发表时间:
    2000-10-01
  • 期刊:
  • 影响因子:
    6.2
  • 作者:
    Roland C Merchant
  • 通讯作者:
    Roland C Merchant
Update on emerging infections: news from the Centers for Disease Control and Prevention. Antiretroviral postexposure prophylaxis after sexual, injection-drug use, or other nonoccupational exposure to HIV in the United States.
新发感染的最新情况:来自疾病控制和预防中心的新闻。
  • DOI:
    10.1016/j.annemergmed.2005.04.005
  • 发表时间:
    2005-07-01
  • 期刊:
  • 影响因子:
    6.2
  • 作者:
    Roland C Merchant
  • 通讯作者:
    Roland C Merchant

Roland C Merchant的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Roland C Merchant', 18)}}的其他基金

Evaluation of a persuasive health communication intervention designed to increase HIV/HCV screening among emergency departments patients who currently, formerly or never injected drugs
对旨在增加目前、以前或从未注射过毒品的急诊科患者的 HIV/HCV 筛查的说服性健康沟通干预措施的评估
  • 批准号:
    10708747
  • 财政年份:
    2022
  • 资助金额:
    $ 69.24万
  • 项目类别:
Evaluation of a persuasive health communication intervention designed to increase HIV/HCV screening among emergency departments patients who currently, formerly or never injected drugs
对旨在增加目前、以前或从未注射过毒品的急诊科患者的 HIV/HCV 筛查的说服性健康沟通干预措施的评估
  • 批准号:
    10403046
  • 财政年份:
    2022
  • 资助金额:
    $ 69.24万
  • 项目类别:
Development of a model to implement guideline-concordant STI/HIV healthcare and screening for adolescents in the pediatric emergency department
开发一个模型,对儿科急诊科的青少年实施符合指南的 STI/HIV 医疗保健和筛查
  • 批准号:
    10324017
  • 财政年份:
    2021
  • 资助金额:
    $ 69.24万
  • 项目类别:
MENTORING AND RESEARCH IN HIV SCREENING IMPLEMENTATION
HIV 筛查实施的指导和研究
  • 批准号:
    10397275
  • 财政年份:
    2018
  • 资助金额:
    $ 69.24万
  • 项目类别:
Development and Pilot Testing of a Persuasive Health Communication Intervention for Emergency Department Patients Who Decline Rapid HIV/HCV Screening
针对拒绝快速 HIV/HCV 筛查的急诊科患者制定说服性健康沟通干预措施并进行试点测试
  • 批准号:
    9926409
  • 财政年份:
    2018
  • 资助金额:
    $ 69.24万
  • 项目类别:
MENTORING AND RESEARCH IN HIV SCREENING IMPLEMENTATION
HIV 筛查实施的指导和研究
  • 批准号:
    10469671
  • 财政年份:
    2018
  • 资助金额:
    $ 69.24万
  • 项目类别:
MENTORING AND RESEARCH IN HIV SCREENING IMPLEMENTATION
HIV 筛查实施的指导和研究
  • 批准号:
    10469671
  • 财政年份:
    2018
  • 资助金额:
    $ 69.24万
  • 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
  • 批准号:
    8791475
  • 财政年份:
    2014
  • 资助金额:
    $ 69.24万
  • 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
  • 批准号:
    9053997
  • 财政年份:
    2014
  • 资助金额:
    $ 69.24万
  • 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
  • 批准号:
    9252306
  • 财政年份:
    2014
  • 资助金额:
    $ 69.24万
  • 项目类别:

相似海外基金

An Intervention to Increase Retention in Care among HIV-Positive Black Men
提高艾滋病毒阳性黑人男性护理保留率的干预措施
  • 批准号:
    9978617
  • 财政年份:
    2017
  • 资助金额:
    $ 69.24万
  • 项目类别:
An Intervention to Increase Retention in Care among HIV-Positive Black Men
提高艾滋病毒阳性黑人男性护理保留率的干预措施
  • 批准号:
    9411626
  • 财政年份:
    2017
  • 资助金额:
    $ 69.24万
  • 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
  • 批准号:
    8791475
  • 财政年份:
    2014
  • 资助金额:
    $ 69.24万
  • 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
  • 批准号:
    9053997
  • 财政年份:
    2014
  • 资助金额:
    $ 69.24万
  • 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
  • 批准号:
    9252306
  • 财政年份:
    2014
  • 资助金额:
    $ 69.24万
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了