(provided by the applicant): The study team has a long history of developing CDC-defined evidence-based interventions (EBIs) to reduce HIV risk among African American women. To date the team has developed six CDC-defined HIV prevention EBIs. Their most widely disseminated and adopted EBI is SISTA, an HIV intervention for African American women. During the past 5 years the study team has been awarded a CDC grant to collaborate with church lay leaders and with leaders of church ministries to adapt the EBI known as SISTA to create a faith-based SISTA. The involvement of historically black faith institutions in implementing evidence-based HIV Interventions has the potential to enhance sustainability of prevention efforts among African Americans. The study seeks to conduct a three-arm randomized controlled trial among 24 historically black faith institutions in Atlanta to examine th implementation outcomes of fidelity and participant reach at 12-months follow-up by comparing three implementation strategies. Faith institutions are randomized to receive either: (1) HIV 101 Education and the SISTA curriculum (N = 8 faith institutions);or (2) HIV 101 Education and the SISTA curriculum, plus an interactive training video (N= 8 faith institutions);or (3) HIV 101 Education and the SISTA curriculum, plus an interactive training video as well as, personal feedback twice a month (N=8 faith institutions). The study aims are: (1) To assess institutional adoption of faith-based SISTA among 24 faith institutions;(2) To assess provider adoption of faith-based SISTA among the 120 trainers from the faith institutions;(3) To compare level of implementation fidelity to faith-based SISTA among trainers in three arms;(4) To compare number of participants reached with faith-based SISTA intervention among trainers in the three arms and, (5) To assess whether Trainer factors moderate implementation fidelity. The proposed application is an exciting trans-institutional collaboration involving academic institutions (Emory University, Rollins School of Public Health and Interdenominational Theological Center), the largest provider of HIV educational services in the Southeastern United States (AID Atlanta), a community based agency located in the heart of low-income communities (Healing Our Communities) and 24 historically black faith institutions.

Public Health Relevance

Design of a feasible and cost effective implementation package of an evidence-based HIV intervention for African American women in faith institutions could facilitate sustainability and reduce their burden of HIV.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Resource-Related Research Projects (R24)
Project #
1R24HS022059-01
Application #
8473367
Study Section
Special Emphasis Panel (ZHS1-HSR-O (01))
Program Officer
James, Marian
Project Start
2013-05-01
Project End
2016-04-30
Budget Start
2013-05-01
Budget End
2014-04-30
Support Year
1
Fiscal Year
2013
Total Cost
Indirect Cost
Name
Emory University
Department
Psychology
Type
Schools of Public Health
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322