Supplement for Kentucky BIRCWH Program: Training the Next Generation of Women's Health Scholars

肯塔基州 BIRCWH 计划补充材料：培训下一代女性健康学者

• 批准号: 10682952
• 负责人: Thomas E Curry
• 金额: $ 17.19万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10682952
• 关键词: AIDS prevention; Accounting; Address; Administrative Supplement; Adult; Age; Ageism; Appointment; Area; Behavior Therapy; Black race; Communities; Complex; Data; Decision Making; Elderly; Environment; Female; Future; Goals; HIV; HIV Infections; HIV diagnosis; HIV risk; Heterosexuals; Housing; Intervention; Kentucky; Knowledge; Low income; Methodology; Methods; Outcome; Physiological; Pilot Projects; Population; Prevalence; Procedures; Protocols documentation; Public Health; Randomized Clinical Trials; Recording of previous events; Reporting; Reproductive Health; Research; Research Personnel; Risk; Risk Behaviors; Scientist; Site; Training Programs; United States National Institutes of Health; Universities; Woman; Women' s Health; acceptability and feasibility; aged; base; behavior measurement; black women; career; career development; experience; feasibility testing; high risk behavior; implementation evaluation; improved; innovation; next generation; prevention service; preventive intervention; programs; racial minority population; recruit; risk perception; skills; social stigma; therapy development; usability

ABSTRACT Over the past 20 years, the BIRCWH Program at the University of Kentucky (UK) has been extremely successful in creating a research environment to prepare early career scientists to develop the necessary skills to become independent NIH-supported researchers who are dedicated to improving women’s health. This administrative supplement will add a 4th BIRCWH scholar, Dr. Laneshia Conner, who is from an underrepresented racial minority group to the UK BIRCWH program with the goal of developing her research skills necessary to become an independent researcher engaged in intervention development for older Black women in real world settings. HIV remains a major public health issue, with adults aged 50 and older experiencing an increase in HIV diagnoses over the past two decades, and, 82% of HIV infections transmitted through heterosexual contact. Black women continue to be disproportionately impacted by HIV, making up less than 15% of the female population yet accounting for half of new HIV infections in women in the U.S. Older Black women are often overlooked when it comes to HIV prevention services, due to ageism and stigma about high-risk behaviors among older adults, and lack of an empirical base about older Black. Through this administrative supplement and appointment to the BIRCWH, Dr. Conner will acquire skills to launch her research program in three areas: intervention development, developing sustainable community programs for older adults, and expanding methodological skills for a future RCT research. The proposed project will develop a culturally relevant Woman 2 Woman (W2W) intervention that has been adapted to address unique gaps in HIV prevention that target older Black women. Working with two low-income housing complexes for adults over the age of 50, older Black women will be recruited to participate in a multisession, group-level behavioral intervention adapted to address both physiological risk as well as low perception of risk. High unknown serostatus suggest that HIV prevalence may be higher than reported among older adults. This project will provide information on how to develop a culturally adapted HIV prevention intervention for older Black women and provide data on the feasibility and acceptability of the intervention in addition to the measuring behavioral and knowledge outcomes. Implementation and assessment procedures and protocols will inform a subsequent full-scale R01 randomized clinical trial. The overall objective of this innovative project is to develop and test the feasibility, acceptability, usability, and preliminary efficacy of Woman to Woman (W2W), an HIV intervention for older Black women using a mixed methods approach. Specific aims are: (1) Adapt the group-level intervention (W2W) focused on reducing HIV risk and increasing decision making skills in older Black women to include reproductive health histories in exploring the impact on sexual decision making and risk behaviors, and (2) Conduct a pilot study of the revised W2W intervention in two community sites to evaluate acceptability and feasibility. This administrative supplement will provide Dr. Conner with career development activities.

抽象的 过去 20 年来，英国肯塔基大学的 BIRCWH 项目取得了巨大的成功。 成功创造了一个研究环境，为早期职业科学家培养必要的技能做好准备 成为美国国立卫生研究院支持的独立研究人员，致力于改善女性健康。 行政补充将增加第四位 BIRCWH 学者 Laneshia Conner 博士，她来自 代表性不足的少数族裔群体参加英国 BIRCWH 项目，目标是发展她的研究 成为从事老年黑人干预开发的独立研究人员所需的技能 现实世界中的女性艾滋病毒仍然是 50 岁及以上成年人的一个主要公共卫生问题。 过去 20 年来，艾滋病毒诊断数量不断增加，并且 82% 的艾滋病毒感染是通过传播传播的 通过异性接触，黑人女性仍然不成比例地受到艾滋病毒的影响，所占比例较少。 占女性人口的 15% 以上，但占美国女性新增艾滋病毒感染者的一半 由于年龄歧视和耻辱，黑人女性在艾滋病毒预防服务方面经常被忽视。 老年人的高风险行为，以及缺乏关于老年黑人的经验基础。 行政补充和 BIRCWH 任命，康纳博士将获得启动她的技能 三个领域的研究计划：干预发展、制定可持续社区计划 老年人，并扩大未来 RCT 研究的方法技能。 文化相关的 Woman 2 Woman (W2W) 干预措施，旨在解决 针对老年黑人妇女的艾滋病毒预防工作与两个以上成年人的低收入住宅区合作。 50 岁以上的老年黑人女性将被招募参加多期、团体层面的行为活动 干预措施旨在解决生理风险和低风险认知。 血清状况表明，老年人中的艾滋病毒感染率可能高于报告的水平。 提供有关如何为老年黑人妇女制定适合文化的艾滋病毒预防干预措施的信息 除了测量行为之外，还提供有关干预措施的可行性和可接受性的数据 实施和评估程序和协议将为后续工作提供信息。 该创新项目的总体目标是开发和测试全面的 R01 随机临床试验。 女性对女性 (W2W) 的艾滋病毒干预措施的可行性、可接受性、可用性和初步功效 使用混合方法的老年黑人妇女的具体目标是：(1) 调整群体层面的干预措施。 (W2W) 专注于降低老年黑人女性的艾滋病毒风险和提高决策技能，包括 探索生殖健康对性决策和危险行为的影响的历史，以及（2） 在两个社区站点对修订后的 W2W 干预措施进行试点研究，以评估可接受性和 该行政补充将为康纳博士提供职业发展活动。