Reducing HIV Risk in Adult Women with Intellectual Disabilities

降低成年智力障碍女性的艾滋病毒风险

基本信息

批准号：
8139567
负责人：
JENNIFER J. WELLS
金额：
$ 68.97万
依托单位：
TECH ASSISTANCE INST/INTELLECTUAL DISABL
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-01 至 2013-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8139567
关键词：
AIDS/HIV problem Abstinence Acquired Immunodeficiency Syndrome Address Adopted Adult Age Attitude Barrier Contraception Behavior Behavior Therapy Behavioral Beryllium Centers for Disease Control and Prevention (U.S.)Client Communication Companions Computer Assisted Computer software Computers Consumer Satisfaction Contracts Data Collection Daughter Decision Making Development Disabled Persons Education Educational Curriculum Educational process of instructing Elements Evaluation HIV HIV Infections Happiness Health Professional Health behavior Hour Housing Human immunodeficiency virus test Infection Instruction Intellectual functioning disability Intervention Interview Judgment Knowledge Learning Length Life Liquid substance Logic Mediation Menopause Modification National Institute of Mental Health Outcome Measure Parents Pathway interactions Phase Population Postmenopause Pregnancy Premenopause Prevalence Prevention Prevention program Procedures Process Production Provider Randomized Research Risk Risk Behaviors Risk Reduction Running Self Efficacy Series Services Sex Behavior Sexuality Telephone Interviews Testing Ursidae Family Visual Woman Work animation base birth control condoms design fight against follow-up high risk instructor interactive multimedia method development peer prevent programs prototype satisfaction sex sex risk sexual encounter sexually active skills skills training social transmission process usability

项目摘要

DESCRIPTION (provided by applicant): The purpose of this application is to expand upon our Phase I work and further develop a fully-interactive multimedia (IMM) computer-based HIV/AIDS prevention curricula for adult women with mild intellectual disabilities (ID) (I.Q. approximately 55 through 75). In this Phase II application, we will expand the work completed in Phase I of the "Reducing HIV Risk in Women with Intellectual Disabilities" program. Phase II development will result in a suite of three 30-minute IMM programs. The three programs will focus on 1) Sex and Sexuality education program based on input from Phase I professional interviews that addresses sex and sexuality, birth control, pregnancy, menopause, and HIV/AIDS, 2) using content developed in Phase I, we will revise our prototype using high-definition (HD) video and create a program focused on HIV/AIDS Facts, Knowledge, Testing and Condom Use, and 3) we will develop a program on Relationship Negotiations around sexual behavior. Program 1 on sex and sexuality, and program 3 on relationship negotiations will include messages tailored for women who are both pre- and postmenopausal as they seldom use condoms due to lack of pregnancy risk. End users of the three Phase II programs will be adult women with mild intellectual disabilities (ID) (age 18 +). Using elements of Mastery-based learning (ML), Direct Instruction (DI), and Universal Design for Learning (UDL), the three IMM programs will be highly effective at teaching adult women with ID. Each of the three Phase II programs will have a companion video DVD and instructor guide developed as part of the Phase II program series. Formative procedures (i.e., advisor groups and telephone interviews) will be used to inform the expanded programs in terms of content, scriptwriting, and framing. We will evaluate the program with 80 women with mild ID using a randomized treatment-control design, and with 30 service providers, and 30 parents for usability, appeal, functional value, and likelihood of purchase. This evaluative approach will allow us to establish that the program is useable by women with mild ID, effective at teaching them about the transmission and avoidance of HIV, HIV testing, and condom use, and that they rate it highly on essential consumer satisfaction factors. In addition, we will confirm that the program is seen by service providers as appropriate for their clients, that it provides vital information and that they would use it and recommend it to their colleagues, and that parents view the program and content as helpful and important for their daughters. This application supports the Division of AIDS and Health Behavior Research, National Institute of Mental Health, as its purpose is to develop and disseminate a behavioral intervention that prevents HIV transmission, especially among populations at high risk for HIV infection. Additionally it supports the development of curricula and computer software that provides communication skills and training for HIV risk reduction, and the development of methods to reduce or change HIV-associated risk behaviors. PUBLIC HEALTH RELEVANCE: While there continues to be little research on the prevalence of HIV/AIDS among people with intellectual disabilities (ID), there is reason to believe that the prevalence of HIV/AIDS in women with ID is similar to, if not greater than, that of the non-ID population. The CDC has identified unique challenges facing women in the fight against HIV/AIDS, and some of these challenges are amplified in women with mild ID, due to limited knowledge, limited communication skills, difficulty communicating with health care professionals, and the desire to be involved in intimate relationships while lacking some of the social judgment and decision-making skills that could help them identify and avoid high-risk fluids and high-risk sexual encounters.

描述（由申请人提供）：本申请的目的是扩展我们第一阶段的工作，并进一步为患有轻度智力障碍（ID）的成年女性开发基于计算机的完全交互式多媒体（IMM）艾滋病毒/艾滋病预防课程（智商约为 55 至 75）。在本次第二阶段申请中，我们将扩展“降低智力障碍女性艾滋病毒风险”计划第一阶段完成的工作。第二阶段的开发将产生一套三个 30 分钟的 IMM 程序。这三个计划将重点关注 1) 性与性教育计划，该计划基于第一阶段专业访谈的输入，涉及性与性、节育、怀孕、更年期和艾滋病毒/艾滋病，2) 使用第一阶段开发的内容，我们将使用高清 (HD) 视频修改我们的原型，并创建一个专注于艾滋病毒/艾滋病事实、知识、检测和安全套使用的项目，3) 我们将开发一个围绕性行为的关系谈判项目。关于性和性行为的计划 1 以及关于关系谈判的计划 3 将包括为绝经前和绝经后妇女量身定制的信息，因为她们由于缺乏怀孕风险而很少使用安全套。三个第二阶段项目的最终用户将是患有轻度智力障碍 (ID)（18 岁以上）的成年女性。这三个 IMM 项目利用基于掌握的学习 (ML)、直接教学 (DI) 和通用学习设计 (UDL) 的元素，将非常有效地教授患有智力障碍的成年女性。三个第二阶段计划中的每一个都将有一个配套视频 DVD 和作为第二阶段计划系列的一部分而开发的讲师指南。形成程序（即顾问小组和电话访谈）将用于在内容、剧本写作和框架方面为扩展项目提供信息。我们将使用随机治疗对照设计对 80 名患有轻度 ID 的女性、30 名服务提供商和 30 名家长评估该项目的可用性、吸引力、功能价值和购买可能性。这种评估方法将使我们能够确定该计划适合患有轻度智力障碍的女性使用，能够有效地向她们传授艾滋病毒的传播和避免、艾滋病毒检测和安全套的使用，并且她们对基本消费者满意度因素给予高度评价。此外，我们将确认服务提供商认为该计划适合其客户，该计划提供了重要信息，他们会使用该计划并将其推荐给同事，并且家长认为该计划和内容有帮助且重要为了他们的女儿。该应用程序支持国家心理健康研究所艾滋病和健康行为研究部，因为其目的是开发和传播预防艾滋病毒传播的行为干预措施，特别是在艾滋病毒感染高危人群中。此外，它还支持开发课程和计算机软件，提供降低艾滋病毒风险的沟通技巧和培训，并开发减少或改变艾滋病毒相关风险行为的方法。公共卫生相关性：虽然关于智障人士 (ID) 中艾滋病毒/艾滋病患病率的研究仍然很少，但有理由相信，智障女性中艾滋病毒/艾滋病的患病率与智障女性相似，甚至更高。与非 ID 人群相比。疾病预防控制中心已经确定了女性在抗击艾滋病毒/艾滋病过程中面临的独特挑战，其中一些挑战在患有轻度智力障碍的女性中更为严重，原因是她们知识有限、沟通技巧有限、与医疗保健专业人员沟通困难以及渴望获得帮助。参与亲密关系，但缺乏一些社会判断和决策技能，这些技能可以帮助他们识别和避免高风险液体和高风险性接触。