REDUCING HIV RISK IN URBAN WOMEN USING PARAPROFESSIONALS

利用辅助专业人员降低城市女性的艾滋病毒风险

基本信息

批准号：
2430886
负责人：
MICHAEL P CAREY
金额：
$ 13.46万
依托单位：
SYRACUSE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
1993
资助国家：
美国
起止时间：
1993-08-01 至 1999-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2430886
关键词：
AIDS education /prevention AIDS therapy HIV infections allied health education behavioral /social science research tag communicable disease transmission community health services female health care model human immunodeficiency virus human subject interview model design /development motivation questionnaires sex behavior urban poverty area

项目摘要

This Scientist Development Award application describes a comprehensive program of training and research in the field of AIDS prevention. The goal of these efforts is (a) to facilitate the PI's transition to AIDS prevention research; and (b) to develop and evaluate an AIDS prevention model for community-based health programs which serve urban women. The proposed training would enhance the PI's knowledge about: (a) HIV/AIDS (i.e., its prevalence, transmission, course, treatment); (b)AIDS prevention research, including theoretical, methodological, and practical aspects; and (c) the social and health needs of economically disadvantaged urban women. This training will be supervised by Jeffrey A. Kelly, Ph.D., and will take place at the Community Health Behavior Program (Medical College of Wisconsin), HIV Center for Clinical and Behavioral Studies (Columbia University), and Center for Health and Behavior (Syracuse University). The proposed research will examine two questions: (a) Will urban women who participate in an AIDS prevention program increase their knowledge, motivation, and assertion skills and decrease high risk sexual practices compared to women who participate in a health promotion (i.e., attention-control) intervention unrelated to AIDS? (b)Does the effectiveness of the AlDS-prevention program differ depending upon whether it is administered by mental health professionals or paraprofessional group leaders? Initial formative research will elicit information on AIDS relevant knowledge, attitudes, behavior, and social norms to inform the subsequent assessment and intervention protocol. Next, 150 women at high risk for HIV infection will be recruited from a health care program for low income, primarily minority, single mothers. A baseline assessment comprising a structured interview, self-report questionnaires, and behavioral role-plays will yield information on HIV risk knowledge, attitudes, social norms, and high risk behavior. Subjects will then be randomly assigned to one of three conditions: (a) HIV prevention led by professionals; (b)HIV prevention led by paraprofessionals; or (c) health promotion led by paraprofessionals. Subjects will be re-assessed 3 and 6 months after the intervention. Meetings will occur at an inner-city community center to enhance the generalizability of the findings. It is hypothesized that participants in both HIV programs will increase their risk knowledge, motivation, and assertion skills and decrease high risk sexual practices compared to those receiving the control intervention. It is also expected that participants in the professionally-led HIV prevention program will benefit more than will those in the paraprofessionaIly-led group.

该科学家发展奖的申请描述了一个全面的预防艾滋病领域的培训和研究计划。目标这些努力是（a）促进PI向艾滋病的过渡预防研究；（b）开发和评估预防艾滋病为城市妇女提供服务的基于社区的健康计划的模型。这拟议的培训将增强PI的知识：（a）艾滋病毒/艾滋病（即，它的患病率，传播，过程，治疗）；（b）艾滋病预防研究，包括理论，方法论和实际方面；（c）经济不利的社会和健康需求城市妇女。该培训将由Jeffrey A. Kelly博士监督并将在社区健康行为计划（医学威斯康星大学），艾滋病毒临床和行为研究中心（哥伦比亚大学）和健康与行为中心（锡拉丘兹大学）。拟议的研究将研究两个问题：（a）将参加艾滋病预防计划的城市妇女增加了知识，动机和主张技巧并降低高风险性与参加健康促进的妇女相比注意力控制）干预与艾滋病无关？（b）做预防计划的有效性取决于是否有不同它由精神卫生专业人员或专业人士管理小组负责人？最初的形成性研究将获取有关艾滋病的信息相关知识，态度，行为和社会规范，以告知随后的评估和干预方案。接下来，有150名女性艾滋病毒感染的风险将从医疗保健计划中招募低收入，主要是少数族裔，单身母亲。基线评估包括结构化访谈，自我报告问卷和行为角色扮演将产生有关艾滋病毒风险知识的信息，态度，社会规范和高风险行为。然后，受试者将是随机分配给三个条件之一：（a）预防艾滋病毒。专业人士；（b）预防艾滋病毒由专业人士领导；或（c）健康由专业人士领导的晋升。主题将被重新评估3和6 干预后的几个月。会议将在市中心举行社区中心，以提高发现的普遍性。这是假设两个艾滋病毒计划的参与者将增加他们的风险知识，动机和主张技巧并降低高风险与接受控制干预措施的性行为相比。它还期望专业领导的艾滋病毒的参与者预防计划将比在专业领导的小组。