The VUKA family program: piloting a family-based psychosocial intervention to promote health and mental health among HIV infected early adolescents in South Africa.
The VUKA family program: piloting a family-based psychosocial intervention to promote health and mental health among HIV infected early adolescents in South Africa.
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DOI：
10.1080/09540121.2013.806770
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发表时间：
2014-01
期刊：
影响因子：
1.7
通讯作者：
McKay M
中科院分区：
文献类型：
--
作者：
Bhana A;Mellins CA;Petersen I;Alicea S;Myeza N;Holst H;Abrams E;John S;Chhagan M;Nestadt DF;Leu CS;McKay M
在南非，越来越多的天生携带艾滋病毒的青少年正在接受抗逆转录病毒治疗，他们不得不面对与应对一种慢性、耻辱性和传播性疾病有关的复杂问题。在南非，针对这一人群的循证心理健康和健康促进计划很少。这项研究建立在先前针对早期青少年的合作设计和发展计时的家庭干预(CHAMP)的基础上。这项研究使用基于社区的参与式方法作为形成性研究的一部分，以评估两家医院的试点随机对照试验。本文报告了伏卡家庭计划的发展、可行性和可接受性，以及它对HIV+前青少年及其照顾者的一系列心理社会变量的短期影响。对65名10-13岁的青春期前儿童及其家人进行了为期约3个月的10次干预。注意到Vuka参与者在所有方面都有所改善，包括精神健康、青年行为、艾滋病毒治疗知识、耻辱、沟通和坚持服药。Vuka显示出作为一种针对艾滋病毒+青少年的以家庭为基础的心理和艾滋病毒预防计划的前景，并可以由训练有素的非专业工作人员提供。
An increasing number of adolescents born with HIV in South Africa are on antiretroviral treatment and have to confront complex issues related to coping with a chronic, stigmatizing and transmittable illness. Very few evidence-based mental health and health promotion programs for this population exist in South Africa. This study builds on a previous collaboratively designed and developmentally-timed family-based intervention for early adolescents (CHAMP). The study uses community-based participatory approach as part of formative research to evaluate a pilot randomized control trial at two hospitals. The paper reports on the development, feasibility and acceptability of the VUKA family-based program and its short-term impact on a range of psychosocial variables for HIV+ pre-adolescents and their caregivers. A ten session intervention of approximately 3 months duration was delivered to 65 pre-adolescents aged 10-13 years and their families. VUKA participants were noted to improve on all dimensions, including mental health, youth behaviour, HIV treatment knowledge, stigma, communication and adherence to medication. VUKA shows promise as a family-based mental and HIV prevention program for HIV+ pre-adolescents and which could be delivered by trained lay staff.
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影响因子：
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