A Parent-Based Intervention to Prevent HIV Among Adolescent Children of Mothers Living with HIV: The Ms. Now! Program.
A Parent-Based Intervention to Prevent HIV Among Adolescent Children of Mothers Living with HIV: The Ms. Now! Program.
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DOI：
10.1080/17450128.2016.1189021
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发表时间：
2016
影响因子：
1.1
通讯作者：
Armistead LP
中科院分区：
文献类型：
--
作者：
Tarantino N;Armistead LP
艾滋病毒预防工作经常忽视的一个群体是感染艾滋病毒母亲的青少年子女。尽管他们潜在的脆弱性，很少有证据为基础的预防计划存在于美国（美国）的这一人群。和其他地方。目前的研究介绍了一个适合受艾滋病毒影响的家庭的以父母为基础的方案，以预防青少年艾滋病毒感染。在一个结构化的适应过程之后，从美国东南部一个城市的艾滋病诊所和非政府组织招募了12名非洲裔美国人MLH-青少年二人组，参加适应计划的可行性试点评估（妈妈们现在就停止！[Ms.现在]）。干预包括在大学环境和参与者的家中分别实施的小组和个人会议。我们通过评估参与者的可接受性和干预有效性的迹象来确定可行性。定量和定性过程数据显示了很高的可接受性，因为参与者基本上对Ms. Now感到满意并参与其中，并且愿意参加大多数会议。此外，积极的干预效果接近中等至大的效果大小观察到一些保护性养育的结果，包括增加亲子关系质量，父母的监督，产妇艾滋病毒披露自我效能，并沟通有关产妇艾滋病毒感染。其他结果，即关于性话题的沟通，没有显示出积极的变化，由于天花板效应，并可能表明这些MLH拥有的预先存在的优势。在加强受艾滋病毒影响的家庭的背景下，讨论了Now女士的方法和进一步完善。此外，由于家庭干预的独特益处，我们建议旨在制定方案的政策考虑共同针对这些人群（MLH和青少年）。
One group often overlooked by HIV prevention efforts is adolescent children of mothers living with HIV (MLH). Despite their potential vulnerability, very few evidence-based prevention programs exist for this population in the United States (U.S.) and elsewhere. The current study introduces a parent-based program adapted for families affected by HIV for the purpose of preventing adolescent HIV infection. Following a structured process of adaptation, 12 African American MLH-adolescent dyads were recruited from HIV clinics and non-governmental organizations in a southeastern U.S. city to participate in a feasibility pilot evaluation of the adapted program (Moms Stopping It Now! [Ms. Now]). The intervention consisted of group and individual sessions implemented in a university setting and at participants’ homes, respectively. We determined feasibility through assessing participant acceptability and signs of intervention efficacy. Quantitative and qualitative process data revealed high levels of acceptability, as participants were largely satisfied and engaged with Ms. Now, and were willing to attend most sessions. In addition, positive intervention effects approaching medium to large effect sizes were observed for some protective parenting outcomes, including increases in parent-child relationship quality, parental monitoring, maternal HIV disclosure self-efficacy, and communication about maternal HIV infection. Other outcomes, namely communication about sex topics, did not show positive shifts due to ceiling effects and may be indicative of the pre-existing strengths these MLH possess. Ms. Now’s approach and further refinement is discussed in the context of strengthening families affected by HIV. Moreover, we recommend that policy aimed at program development consider jointly targeting these populations (MLH and adolescents) due to the unique benefits of family intervention.