Communication Technology to Disseminate Evidence-Based HIV Interventions to NGOs

利用通信技术向非政府组织传播循证艾滋病毒干预措施

• 批准号: 7864187
• 负责人: Yuri A Amirkhanian
• 金额: $ 64.05万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7864187
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Adopted; Adoption; Advanced Development; Arts; Attitude; Belief; Budgets; Characteristics; Client; Communication; Communities; Consultations; Control Groups; Country; Data; Developing Countries; Development; Disease; Distance Learning; Eastern Europe; Educational Curriculum; Educational workshop; Electronics; Elements; Enrollment; Epidemic; Event; Evidence based intervention; Expectancy; Face; Future; Goals; HIV; Hand; Head; Human Resources; Incidence; Indium; Interactive Communication; International; International AIDS; Internet; Intervention; Interview; Knowledge; Learning; Link; Literature; Manuals; Measures; Mediating; Methods; Modality; Modeling; Nongovernmental Organizations; Online Systems; Outcome; Participant; Population; Prevention Research; Prevention program; Preventive Intervention; Printing; Program Development; Provider; Public Health; Publications; Randomized; Recording of previous events; Relative (related person); Research; Research Infrastructure; Research Personnel; Resources; Rest; Sampling; Science; Scientist; Self Efficacy; Services; Site; Staff Attitudes; System; Techniques; Technology; Technology Transfer; Telephone; Telephone Interviews; Time; Training; Training Programs; base; cost; cost effectiveness; evidence base; experience; fight against; formycin triphosphate; innovation; interest; meetings; prevention service; programs; prototype; research to practice; satisfaction; skills; virtual

DESCRIPTION (provided by applicant): Great advances have been made in our scientific knowledge about effective HIV prevention interventions. However, this research can help to curtail an epidemic that remains out-of-control in most of the world only when evidence-based HIV prevention interventions are moved from the research arena into the hands of frontline service providers and can be successfully used by them. New, sustainable approaches are needed to quickly, flexibly, and cost-effectively disseminate advances in HIV prevention science-whenever they occur-to providers who deliver prevention services. Advanced interactive communication technologies can potentially be used to disseminate new evidence-based interventions to service providers on a global level, but the effects of distance training programs have not been compared to more traditional provider training methods. This study will enroll a sample of 99 AIDS nongovernmental organizations (NGOs) from countries in Eastern Europe, a region with HIV incidence among the highest in the world. The study will disseminate a community-level HIV prevention intervention-the "Popular Opinion Leader" (POL) model-shown efficacious in the research literature, adaptable cross-culturally, and widely requested by NGOs in the region. In-depth baseline telephone interview assessments with NGO directors and frontline staff will measure current prevention services, as well as organizational factors and staff attitudes that may influence POL intervention adoption. NGOs will then be randomized to one of three dissemination conditions: (1) a control condition in which only intervention print manuals are distributed; (2) a traditional face-to-face workshop training condition that provides manuals, an on-site NGO staff training workshop, and followup individualized telephone consultation on intervention implementation; or (3) a distance dissemination condition that provides NGO staff training comparable to the on-site workshop but that uses interactive and Internet-based distance training methods followed by individualized distance followup consultation. At 12- and 24-month followup points, telephone interviews assess NGO adoption of the disseminated intervention, determine the fidelity of new NGO programs to core elements of the disseminated model, and identify factors mediating or moderating adoption. We hypothesize that both the traditional face-to-face workshops and distance training methods will both result in greater provider adoption than that found in the control group and that the distance method will be more cost-effective. Because the distance modality lends itself well to repeated and "refresher"' training by NGO staff, a secondary hypothesis is that this modality will produce greater adoption than one-time workshops. The overarching goal of this research is to evaluate a prototype for an Internet-based "virtual" training system infrastructure that can be used to facilitate rapid research-to-practice technology transfer of public health interventions to providers on a global scale.

描述（由申请人提供）：我们关于有效艾滋病毒预防干预措施的科学知识已经取得了巨大进步。然而，只有当基于证据的艾滋病毒预防干预措施从研究领域转移到一线服务提供者手中并能被他们成功使用时，这项研究才能帮助遏制世界大部分地区仍处于失控状态的流行病。 。需要新的、可持续的方法来快速、灵活、经济高效地向提供预防服务的提供者传播艾滋病毒预防科学的进展（无论何时）。先进的交互式通信技术有可能用于在全球范围内向服务提供者传播新的循证干预措施，但远程培训计划的效果尚未与更传统的提供者培训方法进行比较。这项研究将纳入来自东欧国家的 99 个艾滋病非政府组织 (NGO) 样本，东欧是世界上艾滋病毒发病率最高的地区之一。该研究将传播社区层面的艾滋病毒预防干预措施——“大众意见领袖”（POL）模式——研究文献显示该模式有效，具有跨文化适应性，并受到该地区非政府组织的广泛要求。与非政府组织负责人和一线工作人员进行深入的基线电话访谈评估将衡量当前的预防服务，以及可能影响 POL 干预措施采用的组织因素和工作人员态度。然后，非政府组织将被随机分配到三种分发条件之一：（1）仅分发干预印刷手册的控制条件； （2）传统的面对面研讨会培训条件，提供手册、现场非政府组织工作人员培训研讨会以及后续干预实施的个性化电话咨询； （3）远程传播条件，为非政府组织工作人员提供类似于现场研讨会的培训，但采用交互式和基于互联网的远程培训方式，并进行个性化的远程跟踪咨询。在 12 个月和 24 个月的随访点，电话访谈评估非政府组织对传播干预措施的采用情况，确定新的非政府组织项目对传播模式核心要素的忠诚度，并确定调解或调节采用的因素。我们假设传统的面对面研讨会和远程培训方法都将比对照组获得更多的提供商采用，并且远程方法将更具成本效益。由于远程模式非常适合非政府组织工作人员进行重复和“复习”培训，因此第二个假设是，这种模式将比一次性研讨会获得更多采用。这项研究的总体目标是评估基于互联网的“虚拟”培训系统基础设施的原型，该基础设施可用于促进公共卫生干预措施向全球范围内的提供者的快速研究到实践技术转移。