Mandated HIV Service Provider Confidentiality Training

强制性艾滋病毒服务提供者保密培训

• 批准号: 7405542
• 负责人: HILARY James LIBERTY
• 金额: $ 46.43万
• 依托单位: SOCIAL SCIENCES INNOVATIONS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7405542
• 关键词: Acquired Immunodeficiency Syndrome; Acute; Address; Appearance; Area; Belief; Caring; Case Manager; Case Study; Categories; Centers for Disease Control and Prevention (U.S.); Client; Clinical; Companions; Computers; Condition; Confidentiality; Contacting Client; Counseling; Country; Dentists; Development; Discipline of Nursing; Discrimination; Disease; E-learning; Education; Educational Curriculum; Educational process of instructing; Enrollment; Face; Federal Government; Feedback; Focus Groups; General Population; Goals; HIV; Health; Health Personnel; Hour; Housing; Human; Human immunodeficiency virus test; Immunologic Deficiency Syndromes; Income; Individual; Institutes; Interview; Knowledge; Laws; Leadership; Learning; Left; Legal; Letters; Life; Life Expectancy; Location; Long-Term Care; Long-Term Effects; Maintenance; Marketing; Medical; Medical Staff; Minor; New York; Numbers; Nurses; Occupations; Online Systems; Participant; Persons; Phase; Physicians; Population; Pre-Post Tests; Process; Professional counselor; Provider; Public Health; Qualifying; Range; Rate; Reading; Records; Regulation; Relative (related person); Research Institute; Research Personnel; Resources; Role; Rural; Scheduling and Staffing; Science; Security; Self Efficacy; Series; Services; Site; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Social Sciences; Social Work; Staging; Stigmata; Substance abuse problem; Surveys; System; Technology; Testing; Time; Training; Training Programs; Travel; United Nations; United States; Update; Upper arm; Work; Workplace; World Health Organization; Zip Code; abstracting; base; contagion; cooking; cost; day; design; experience; follow-up; innovation; lectures; medical specialties; outreach; payment; programs; prototype; psychologic; response; satisfaction; size; skills; social stigma; usability; vigilance

DESCRIPTION (provided by applicant): Individuals with HIV/AIDS live with stigma and are frequently the victims of discrimination by the general population (fearful of contagion and ignorant of how HIV is transmitted), and by employers who overestimate diminished capacities. Individuals who may be HIV positive, aware of this stigma, often avoid testing or treatment fearful that their HIV status may be disclosed. Therefore, there is a great need for anyone with knowledge of an individual's HIV status to maintain strict confidentiality. New York State has mandated initial as well as annual refresher courses on confidentiality for NYS HIV service providers. However, there is a significant statewide shortage of available training slots. This course is being developed with the encouragement of NYS officials who are responsible for enforcing this mandate. This Phase II project will create a web-based, self-directed, highly interactive, computer assisted instruction (CAI) program that is tailored to the needs of individual learners and can be used both for initial and refresher courses. The CAI course will resolve many problems encountered with the face-to-face course due to diversity of occupations and management levels. A web-based CAI can be taken anywhere, any time, by a virtually unlimited number of people. With responses to a few brief screener questions, the CAI course will be tailored to the role of the individual taking it. During Phase I, the present New York State-approved curriculum was modified and adapted for CAI format, and a prototype containing two of 15 modules was developed. The curriculum development process was informed by feedback from state experts on the law, and actual NYS HIV service providers. During Phase II, the full course will be developed, approved by NYS Dept. of Health and legal officials, usability tested, documented with actual users to be more satisfying than the in-person course, shown to increase HIV Confidentiality knowledge, individual task specific self-efficacy, and organizational collective efficacy to maintain confidentiality. A one-month follow-up interview will address longer term retention and organizational collective efficacy. Once this web-based CAI course is implemented for NYS, it will be expanded during Phase III possibly by including other regions or across the USA.. PUBLIC HEALTH RELEVANCE Individuals with HIV/AIDS live with stigma and are frequently the victims of discrimination by the general population (fearful of contagion and ignorant of how HIV is transmitted), and by employers who overestimate diminished capacities. Individuals who may be HIV positive, aware of this stigma, often avoid testing or treatment fearful that their HIV status may be disclosed. Therefore, there is a great need for anyone with knowledge of an individual's HIV status to maintain strict confidentiality. New York State has mandated initial as well as annual refresher courses on confidentiality for NYS HIV service providers. However, there is a significant statewide shortage of available training slots. This Phase II project is creating a web-based, self-directed, highly interactive, computer assisted instruction (CAI) program that is tailored to the needs of individual learners and can be used both for initial and refresher courses. A web-based CAI can be taken anywhere, any time, by a virtually unlimited number of people. With responses to a few brief screener questions, the CAI course will be tailored to the role of the individual taking it. This course will serve both as an initial offering and as an annual update. It will be modified whenever the body of New York State law changes in any way. The course will help to resolve the acute need in New York State for training to teach HIV Confidentiality Law to those who are mandated by NYS to know this information. Once this web-based CAI course is implemented for NYS, it will be expanded during Phase III by including other regions or across the USA. The ultimate goal is to have a website where the applicant merely keys in his or her zip code, and gains access to a course appropriate for his or her region tuned to national, state, and local laws.

描述（由申请人提供）：艾滋病毒/艾滋病患者生活在耻辱之中，经常成为普通民众（害怕传染并且不知道艾滋病毒如何传播）以及高估能力下降的雇主歧视的受害者。艾滋病毒呈阳性的人意识到这种耻辱，通常会避免检测或治疗，担心自己的艾滋病毒状况可能会被泄露。因此，任何了解个人艾滋病毒状况的人都非常需要严格保密。纽约州已强制要求为纽约州艾滋病毒服务提供者开设有关保密的初始课程和年度进修课程。然而，全州范围内可用的培训名额严重短缺。本课程是在负责执行这一任务的纽约州官员的鼓励下开发的。该第二阶段项目将创建一个基于网络的、自主的、高度互动的计算机辅助教学（CAI）程序，该程序根据个人学习者的需求量身定制，可用于初始课程和进修课程。 CAI课程将解决面授课程因职业和管理水平的多样性而遇到的许多问题。基于网络的 CAI 可以随时随地由几乎无限数量的人使用。通过回答一些简短的筛选问题，CAI 课程将根据参加课程的个人的角色进行定制。在第一阶段，现有纽约州批准的课程进行了修改并适应 CAI 格式，并开发了包含 15 个模块中的两个模块的原型。课程开发过程参考了州法律专家和纽约州实际艾滋病毒服务提供者的反馈。在第二阶段，将开发完整的课程，并得到纽约州卫生部和法律官员的批准，进行可用性测试，并与实际用户一起记录，比面对面课程更令人满意，证明可以增加艾滋病毒保密知识、具体任务自我效能和组织集体效能以维护机密。为期一个月的后续访谈将讨论长期保留和组织集体效能。一旦这个基于网络的 CAI 课程在纽约州实施，它将在第三阶段进行扩展，可能包括其他地区或整个美国。 公共卫生相关性 艾滋病毒/艾滋病感染者生活在耻辱之中，经常成为普通大众（害怕传染和不了解艾滋病毒传播方式）以及高估能力下降的雇主歧视的受害者。艾滋病毒呈阳性的人意识到这种耻辱，通常会避免检测或治疗，担心自己的艾滋病毒状况可能会被泄露。因此，任何了解个人艾滋病毒状况的人都非常需要严格保密。纽约州已强制要求为纽约州艾滋病毒服务提供者开设有关保密的初始课程和年度进修课程。然而，全州范围内可用的培训名额严重短缺。该第二阶段项目正在创建一个基于网络、自主、高度互动的计算机辅助教学 (CAI) 程序，该程序根据个人学习者的需求量身定制，可用于初始课程和进修课程。基于网络的 CAI 可以随时随地由几乎无限数量的人使用。通过回答一些简短的筛选问题，CAI 课程将根据参加课程的个人的角色进行定制。本课程将作为初始课程和年度更新。每当纽约州法律主体发生任何变化时，它都会被修改。该课程将有助于解决纽约州对向纽约州授权了解艾滋病毒保密法的人员进行培训的迫切需求。一旦这个基于网络的 CAI 课程在纽约州实施，它将在第三阶段进行扩展，包括其他地区或整个美国。最终目标是建立一个网站，申请人只需输入他或她的邮政编码，就可以访问适合他或她所在地区、符合国家、州和地方法律的课程。