Ecosystems Therapy: Men Reintegrating with Their Family

生态系统疗法：男性与家人重新融入

• 批准号: 6696161
• 负责人: OLGA A REZNICK
• 金额: $ 66.79万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6696161
• 关键词: AIDS education /prevention; behavioral /social science research tag; clinical research; communicable disease transmission; correctional institutions; drug abuse; family therapy; high risk behavior /lifestyle; human subject; human therapy evaluation; male; needle sharing; patient oriented research; questionnaires; sex behavior; sex partner; social support network; substance abuse related behavior; therapy compliance

DESCRIPTION (provided by applicant): HIV+ men leaving prison are at extremely high risk to transmit HIV to their sexual and needle-sharing partners. Our previous research supports the effectiveness of Structural Ecosystems Therapy (SET), the appropriateness of this intervention for HIV+ men leaving prison, and the need to address family and other support networks as agents of change in this population. Further, our previous work with families and partners of incarcerated men has demonstrated the availability and willingness of family members to participate in such an intervention. In this project we will tailor a family therapy intervention (SET) to meet the specific needs of HIV+ men being released from prison, pilot test the intervention and assessment procedures, then conduct a randomized study in which 186 men will receive either SET or an individually focused HIV transmission risk reduction comparison intervention. We will test the effectiveness of the intervention in reducing sexual and drug-related HIV transmission risk and increasing HIV-related medical adherence. The specific aims of the study are: AIM 1: To tailor Structural Ecosystems Therapy (SET) to address the specific needs of HIV+ men being released from prison and their families as described in our previous research. AIM 2: To test the efficacy of the tailored Structural Ecosystems Therapy (SET Re-Entry) in reducing sexual and drug-related HIV transmission risk behaviors among HIV+ men being released from prison relative to an individually focused comparison intervention. AIM 3: To test the efficacy of the tailored SET Re-Entry in increasing HIV-related medical adherence relative to an individually focused comparison intervention. AIM 4: To describe the intervention process of SET Re-Entry, conduct exploratory tests of the mediators of HIV transmission risk reduction and HIV-related medical adherence among HIV+ men leaving prison, and to conduct exploratory analyses of the impact of the interventions on recidivism to prison.

描述（由申请人提供）：艾滋病毒阳性的男子离开监狱后，极有可能将艾滋病毒传播给他们的性伴侣和共用针头的伴侣。我们之前的研究支持了结构生态系统疗法（SET）的有效性，这种干预对艾滋病毒阳性男性出狱的适当性，以及将家庭和其他支持网络作为这一人群变革的推动者的必要性。此外，我们之前与被监禁男子的家庭和伴侣的工作表明，家庭成员参与这种干预的可能性和意愿。在这个项目中，我们将根据HIV阳性出狱男性的具体需求量身定制一个家庭治疗干预（SET），对干预和评估程序进行试点测试，然后进行一项随机研究，其中186名男性将接受SET或针对个人的艾滋病毒传播风险降低比较干预。我们将测试干预措施在降低与性行为和毒品有关的艾滋病毒传播风险以及提高与艾滋病毒有关的医疗依从性方面的有效性。本研究的具体目的是：目标1：定制结构生态系统疗法（SET），以满足我们之前研究中描述的从监狱释放的艾滋病毒阳性男性及其家人的特定需求。目的2：测试量身定制的结构生态系统疗法（SET - Re-Entry）在减少HIV阳性男性出狱后性行为和药物相关的HIV传播风险行为方面的有效性，相对于个体重点比较干预。目的3：相对于以个体为重点的比较干预，测试量身定制的SET再入治疗在增加艾滋病毒相关医疗依从性方面的有效性。目标4：描述SET再入的干预过程，对艾滋病毒阳性出狱男子降低艾滋病毒传播风险和艾滋病毒相关医疗依从性的中介因素进行探索性测试，并对干预措施对监狱累犯的影响进行探索性分析。