Pilot trial of a parenting and self-care intervention for HIV-positive mothers: the IMAGE program.
Pilot trial of a parenting and self-care intervention for HIV-positive mothers: the IMAGE program.
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DOI：
10.1080/09540121.2016.1204416
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发表时间：
2017-01
期刊：
影响因子：
1.7
通讯作者：
Herbeck DM
中科院分区：
文献类型：
--
作者：
Murphy DA;Armistead L;Payne DL;Marelich WD;Herbeck DM
开展了一项试点研究，以评估 IMAGE 试点干预措施（提高母亲的养育能力、成长和有效性）对感染艾滋病毒的母亲 (MLH) 的影响。基于 Fisher 和 Fisher 的 IMB 模型（1992），干预重点关注 MLH 影响孕产妇、儿童和家庭结局的自我护理和养育行为技能。使用具有重复评估的随机前测-后测两组设计。 MLH (n = 62) 及其 6 - 14 岁的孩子 (n = 62；总 N = 124) 被招募参加试验，并随机分配到基于理论的技能培训条件或标准护理控制条件。在基线时进行评估，并在 3、6 和 12 个月时进行随访。对孕产妇、儿童和家庭的结果进行了评估。结果显示，干预措施对于改善母亲的养育方式具有显着效果。该干预措施还改善了家庭结局，并改善了亲子关系。 IMAGE 对养育行为以及母亲、儿童和家庭结果产生积极影响。鉴于 MLH 可能会受到疾病的挑战，并且生活在资源贫乏的环境中，IMAGE 可能被视为改善生活质量和家庭结局的可行方法。
A pilot study was conducted to assess the effects of the IMAGE pilot intervention (Improving Mothers’ parenting Abilities, Growth, and Effectiveness) on mothers living with HIV (MLH). Based on Fisher and Fisher's IMB model (1992), the intervention focused on self-care and parenting behavior skills of MLH that affect maternal, child, and family outcomes. A randomized pretest-posttest two-group design with repeated assessments was used. MLH (n = 62) and their children ages 6 - 14 (n = 62; total N = 124) were recruited for the trial and randomized to the theory-based skills training condition or a standard care control condition. Assessments were conducted at baseline with follow-ups at 3, 6, and 12 months. Maternal, child, and family outcomes were assessed. Results show significant effects of the intervention for improving parenting practices for mothers. The intervention also improved family outcomes, and showed improvements in the parent-child relationship. IMAGE had a positive impact on parenting behaviors, and on maternal, child, and family outcomes. Given MLH can be challenged by their illness and also live in under-resourced environments, IMAGE may be viewed as a viable way to improve quality of life and family outcomes.