FOYC+ImPACT US: A digital platform for critical sexual health risk reduction curriculum customization and hybrid/remote delivery of Focus on Youth to underserved Caribbean youth in the U.S.

FOYC ImPACT US：一个数字平台，用于关键的性健康风险降低课程定制以及混合/远程向美国服务不足的加勒比青年提供“关注青年”课程。

• 批准号: 10699553
• 负责人: LESLEY A COTTRELL
• 金额: $ 27.55万
• 依托单位: DFUSION, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-22 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10699553
• 关键词: Abortion Rates; Acculturation; Address; Adolescent; African Caribbean; Age; Bahamas; Bahamian; Behavior Therapy; Black Populations; Black race; Caribbean region; Categories; Communities; Complex; Country; Course Content; Cultural Diversity; Data; Development; Discrimination; E-learning; Early Intervention; Educational Curriculum; Effectiveness; Evaluation; Extended Family; Family; Focus Groups; Goals; Government; HIV; HIV Seroprevalence; HIV/AIDS; Health; Health education; Hybrids; Imagery; Immigrant; Immigrant community; Intention; Intervention; Interview; Knowledge; Licensing; Linguistics; Methods; Modeling; Native-Born; Paint; Parents; Participant; Persons; Phase; Pilot Projects; Population; Public Health; Race; Randomized, Controlled Trials; Reproductive Health; Research; Research Personnel; Resources; Risk; Risk Reduction; Schools; Self Efficacy; Sex Behavior; Sexual Development; Sexual Health; Source; Students; Testing; Text; Time; Unwanted pregnancy; Update; Woman; Youth; base; cloud based; commercialization; community setting; condom use rate; condoms; digital platform; epidemiologic data; ethnic diversity; experience; feasibility testing; health knowledge; implementation fidelity; improved; intervention program; member; pilot test; population health; pressure; programs; prototype; racial discrimination; remote delivery; sexual health intervention; skills; success; teacher; unintended pregnancy; young adult

ABSTRACT – FOYC+ImPACT U.S. While there is extensive epidemiological data on the high rates of HIV, STIs and unintended pregnancies among Black populations in the U.S., this monolithic racial category problematically subsumes the ethnic diversity of immigrant Black populations. Today one in ten Black people in the U.S. are immigrants, with the Caribbean being the largest origin source. Caribbean immigrants in the U.S. account 46% of the total Black immigrant population and 10% of our nation’s foreign-born population. Researchers note a variety of factors shown to impact Caribbean immigrant’s sexual behaviors and HIV seroprevalence, including acculturation pressures (particularly for adolescents), intersectional identities, racial discrimination, and settling in urban HIV epicenters with high rates of STIs. While a variety of effective behavioral intervention (EBI) programs exist to address sexual and reproductive health for Black adolescent populations, it is problematic to assume such programs, delivered as is, will prove effective with Afro-Caribbean immigrant populations. There are no existing U.S. EBI programs developed specifically for these populations; however, the EBI program Focus on Youth with ImPACT program has been successfully culturally adapted and delivered in a Caribbean setting (FOYC+ImPACT). The 8-session program, delivered in schools but including parent involvement, was evaluated through a randomized controlled trial in the Bahamas. It was shown to be effective in improving condom use rates and skills, self-efficacy, intention to use a condom, and HIV/AIDS knowledge. To address the gap in culturally tailored sexual health education for youth within Caribbean communities in the U.S., we propose to develop FOYC+ImPACT U.S. This project will (1) revise the FOYC+ImPACT program in a new, broader context, making it customizable and scalable across Caribbean communities in the U.S.; 2) develop a cloud-based platform in which educators can build their own customized curriculum for FOYC+ImPACT U.S. in which all program components are modularized and made available in both e-learning and in-person formats; 3) address cultural tailoring needs by allowing teachers to customize their course content by age, imagery shown, components (non-core) to include, and country/region- specific content and linguistic references; and 4) increase implementation fidelity through providing online materials, fidelity tracking, and implementation prompts. The primary goal of this Phase 1 project is to test the feasibility of developing a digital platform that allows for implementation with fidelity of FOYC+ImPact U.S. in diverse Caribbean community settings in the U.S. The Phase I project will include development of the cloud- based platform with two lessons made available with customization of delivery formats and content/text/imagery to meet needs of various Caribbean communities. A pilot test will be conducted to assess the impact on student knowledge and improvement in implementation fidelity. Phase II will complete the remaining lessons, add new lessons/content to update the program, and demonstrate effectiveness through a randomized controlled trial.

摘要 – FOYC+ImPACT 美国 尽管有大量流行病学数据表明，艾滋病毒、性传播感染和意外怀孕的发病率很高。 在美国黑人人口中，这个单一的种族类别有问题地包含了种族多样性 今天，美国十分之一的黑人是移民，其中加勒比地区是移民。 加勒比海移民占美国黑人移民总数的46% 以及我国 10% 的外国出生人口 研究人员注意到多种因素会产生影响。 加勒比移民的性行为和艾滋病毒血清流行率，包括文化适应压力（特别是 对于青少年）、交叉身份、种族歧视以及在城市艾滋病毒重灾区定居 虽然存在各种有效的行为干预 (EBI) 计划来解决性传播感染的问题。 黑人青少年人口的生殖健康，假设这样的计划是有问题的， 是的，将证明对非裔加勒比移民群体有效。美国目前没有 EBI 计划。 然而，EBI 计划通过 ImPACT 计划聚焦青年； 已成功地在加勒比地区进行了文化调整和交付（FOYC+ImPACT）。 该计划在学校实施，但包括家长参与，通过随机对照进行评估 在巴哈马进行的试验表明，它可以有效提高安全套的使用率和技能、自我效能和意向。 使用安全套和艾滋病毒/艾滋病知识 解决针对不同文化的性健康教育方面的差距。 针对美国加勒比社区的青年，我们建议开发 FOYC+ImPACT U.S. 该项目将 (1) 在新的、更广泛的背景下修改 FOYC+ImPACT 计划，使其可在各个领域进行定制和扩展 美国的加勒比社区；2) 开发一个基于云的平台，教育工作者可以在其中构建自己的平台 FOYC+ImPACT U.S.定制课程，所有课程组件均模块化制作 以电子学习和面对面形式提供；3）通过允许教师满足文化定制需求 按年龄、显示的图像、要包含的组件（非核心）以及国家/地区自定义课程内容 - 具体内容和语言参考；4) 通过在线提供提高实施保真度 第一阶段项目的主要目标是测试材料、保真度跟踪和实施提示。 开发一个数字平台的可行性，该平台允许在 FOYC+ImPact U.S. 中保真实施 第一阶段项目将包括开发云- 基于平台，提供两节课程，可定制交付格式和内容/文本/图像 为了满足加勒比地区各个社区的需求，将进行试点测试以评估对学生的影响。 知识和实施保真度的改进第二阶段将完成剩余的课程，添加新的内容。 课程/内容更新计划，并通过随机对照试验证明有效性。