TELEPHONE BASED COPING PROGRAM FOR RURAL PEOPLE WITH HIV

许多研究已经描绘了心理和社会的模式 艾滋病毒感染者的痛苦，已经有了 对HIV感染者进行心理健康干预的若干报道 经历压力和应对问题。然而，这项研究依赖于 大量来自艾滋病毒高感染的大城市地区的样本 血清阳性。经过一系列的初步研究， 在过去的两年里，调查人员检查、表征和 确定了应对问题、心理社会苦恼和 年降低艾滋病毒/艾滋病患者生活质量的因素 小城镇和农村社区。这些初步研究表明 感染艾滋病毒的农村居民感到非常孤立，体验到 反复发作的艾滋病相关歧视，缺乏情感 得到家人和朋友的支持，无法获得医疗和医疗服务 心理健康从业者。其中许多因素可能会阻碍 农村艾滋病病毒感染者的应对和调整工作。这个 拟议的为期4年的研究将检验受控、 电话传递、有效的应对团体干预，以改善 与疾病相关的应对方式，提高生活质量，减少 年农村社区HIV感染者精神困扰状况分析 与两个比较条件的关系。360艾滋病毒- 被感染的农村居民将被随机分配到以下三个组中的一个 条件：(1)参与者的标准护理条件(SC) 有机会获得由艾滋病服务机构提供的常规生活护理服务 组织；(2)SC+参与电话传递、应对 基于被广泛接受的认知行为的有效性计划 压力应对模式，或(3)SC+参与电话- 参与者接受的链接团体教育干预 关于与艾滋病毒/艾滋病生活有关的当代主题的信息 (作为注意控制组)。前测和后测测量， 以及在6个月时收集的12个月的随访评估 间隔时间后进行后测，将评估三种方法的相对疗效 条件。参与者将完成每日评估的测量 压力源，疾病相关应对策略，临床抑郁， 全球精神痛苦的测量，与健康相关的生活质量， 感知到的社会支持水平和物质使用情况。如果成功， 这项计划中的研究将确定提供心理健康的策略 对美国农村社区艾滋病毒感染者的干预，a 群体规模不断扩大，其生活护理需求尚未得到满足 到目前为止的研究文献中已经充分说明了这一点。

Many studies have delineated patterns of psychological and social distress among persons living with HIV infection, and there have been several reports of mental health interventions for HIV-infected persons experiencing stress and copping problems. However, this research relies heavily on samples from large metropolitan areas with high HIV seroprevalence. Across a series of preliminary studies conducted over the past 2 years, the investigators have examined, characterized, and determined the prevalence of coping problems, psychosocial distress, and factors that reduce the life quality of persons living with HIV/AIDS in small towns and rural communities. These preliminary studies indicate that HIV-infected rural residents feel very isolated, experience recurrent episodes of AIDS-related discrimination, lack emotional support from family members and friends, and lack access to medical and mental health practitioners. Many of these factors are likely to impede the coping and adjustment efforts of HIV-infected rural residents. The proposed 4-year study will examine the effects of a controlled, telephone-delivered, effective coping group intervention to improve illness-related coping styles, increase quality of life, and reduce psychiatric distress among HIV-infected persons in rural communities in relation to two comparison conditions. Three hundred and sixty HIV- infected rural residents will be randomly assigned to one of three conditions: (1) a standard care condition (SC) in which participants have access to customary life-care services provided by AIDS service organizations; (2) SC plus participation in telephone-delivered, coping effectiveness program based on a widely accepted cognitive-behavioral model of stress coping, or (3) SC plus participation in a telephone- linked group educational intervention in which participants receive information on contemporary topics related to living with HIV/AIDS (serving as an attention control group). Pretest and posttest measures, along with followup assessments collected for 12 months at 6-month intervals after posttest, will assess the relative efficacy of the three conditions. Participants will complete measures assessing daily stressors, illness-related coping strategies clinical depression, measures of global psychiatric distress, health-related quality of life, perceived levels of social support, and substance use. If successful, the planned study will identify strategies to provide mental health intervention to HIV-infected persons in America's rural communities, a group increasing in size and whose life-care needs have not been adequately addressed in the research literature to date.