Self Stigma Reduction for African Americans Living with HIV/AIDS

减少感染艾滋病毒/艾滋病的非裔美国人的自我耻辱

• 批准号: 7630558
• 负责人: Deepa Rao
• 金额: $ 2.56万
• 依托单位: NORTHSHORE UNIVERSITY HEALTHSYSTEM
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-05 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7630558
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Adherence; Africa; African American; Age; Appointment; Award; Awareness; Behavior Therapy; Cause of Death; Centers for Disease Control and Prevention (U.S.); Clinic; Clinical Research; Clinical Trials; Communities; Development Plans; Discrimination; Education; Effectiveness; Ensure; Environment; Evaluation; Faculty; Future; Gender; Generic Drugs; Goals; HIV; Health; Health Services Accessibility; Healthcare; Hospitals; Institution; Intervention; K-Series Research Career Programs; Lead; Life; Location; Measurement; Measures; Mentors; Mentorship; Modeling; Outcome; Outcome Measure; Outpatients; Patient Outcomes Assessments; Patients; Pharmaceutical Preparations; Population; Positioning Attribute; Questionnaires; Reporting; Research; Research Methodology; Research Personnel; Research Project Grants; Resources; Stigmata; Techniques; Testing; Training; Treatment Protocols; United States; Universities; Validation; Vulnerable Populations; Woman; Work; base; career; career development; clinical research site; effective intervention; experience; health belief; improved; instrument; international center; men; patient oriented research; patient population; racial and ethnic; racial and ethnic disparities; skills; social stigma; therapy design; treatment adherence

DESCRIPTION (provided by applicant): In 2004, the Centers for Disease Control reported that AIDS was the leading cause of death for African- American women between the ages of 25 to 34 and African-American men between the ages of 35 to 44 in the United States. Researchers have explained these ethnic/racial disparities in terms of delays in accessing care and difficulties in adhering to medication regimens. These findings suggest that culturally appropriate interventions developed to reduce HIV/AIDS stigma could help improve treatment adherence and in turn, improve health outcomes for African-Americans living with HIV/AIDS. It is the career aspiration of Dr. Rao, applicant for this Patient Oriented Research Career Development Award (K23), to help lessen the burden of stigma associated with HIV/AIDS in vulnerable populations. In this proposal, Dr. Rao outlines a career development plan that will lead to a line of work aimed at making available an effective, culturally- appropriate intervention to reduce self stigma for African-Americans living with HIV/AIDS. Through coursework and mentorship, Dr. Rao will train in culturally-specific models of health beliefs and advanced qualitative and quantitative research methodologies. She will implement a research project that will adapt a self stigma reduction intervention for African-Americans living with HIV. In addition, she will adapt and validate an outcome measure of self stigma for use in a future clinical trial. These adaptations will lead to a pilot test and then directly to a full-scale clinical trial of the intervention. Drs. David Cella and Patrick Corrigan, senior investigators with extensive experience in behavioral interventions and patient reported outcomes measurement, will serve as co-sponsors for this project. The clinical site for this project, the outpatient HIV Clinic at Northwestern Memorial Hospital, serves a patient population with much ethnic/racial and gender diversity, and its patients enthusiastically participate in clinical research. During the award period, Dr. Rao will be based at Evanston Northwestern Healthcare and have faculty appointments at Northwestern University. Her location at these institutions, with their outstanding reputation in research and education, will provide her with an outstanding environment, rich with the research resources she will need to become an independent investigator. Dr. Rao will be uniquely positioned to carry out this work aimed at reducing HIV stigma, and subsequently improving health outcomes, for African-Americans living with HIV.

描述（由申请人提供）：2004年，疾病控制中心报告说，艾滋病是25至34岁的非裔美国妇女的主要死亡原因，而在美国，艾滋病是35至44岁的非裔美国人男性。研究人员已经在遵守药物治疗方案方面的延迟和困难方面解释了这些种族/种族差异。这些发现表明，为减少艾滋病毒/艾滋病污名而开发的文化适当干预措施可以帮助改善治疗依从性，进而改善患有艾滋病毒/艾滋病的非裔美国人的健康状况。这是这项面向患者研究职业发展奖（K23）的申请人Rao博士的职业愿望，可以减轻弱势群体中与艾滋病毒/艾滋病有关的污名负担。在这项提案中，劳博士概述了一项职业发展计划，该计划将导致一系列旨在提供有效的，适当的干预措施，以减少患有艾滋病毒/艾滋病的非裔美国人的自我污名。通过课程和指导，Rao博士将培训具有针对性的健康信念模型以及先进的定性和定量研究方法。她将实施一个研究项目，该项目将适应艾滋病毒感染的非裔美国人的自我污名化干预措施。此外，她将适应并验证自我污名的结果度量，以便在以后的临床试验中使用。这些适应将导致试点测试，然后直接进行干预的全面临床试验。博士。在行为干预措施和患者报告的结果测量方面拥有丰富经验的高级研究人员David Cella和Patrick Corrigan将作为该项目的共同赞助商。该项目的临床现场是西北纪念医院的门诊艾滋病毒诊所，为具有众多种族/种族和性别多样性的患者人群提供服务，其患者热情地参与了临床研究。在奖励期间，Rao博士将位于埃文斯顿西北医疗保健，并在西北大学任教。她在这些机构中的地理位置，在研究和教育方面享有盛誉，将为她提供出色的环境，并拥有成为独立调查员所需的研究资源。 Rao博士将在旨在减少艾滋病毒的污名，并随后改善健康状况的非洲裔美国人。