Enhancing Parenting Skills Among HIV+ Mothers

描述（由申请人提供）：艾滋病毒感染的发生率是 在美国的异性恋育龄妇女中， 艾滋病毒治疗的进步延长了那些 与病毒，以及减少发病率的垂直 传输感染艾滋病毒的妇女报告说， 是将她们作为母亲的角色与母亲的医疗和心理需求结合起来， 应对一种慢性的危及生命的疾病社会孤立， 抑郁症和对育儿技能缺乏信心是常见的， 对女性有很大影响？的生活质量。尽管这种演变， 艾滋病毒/艾滋病流行病，采取干预措施，协助艾滋病毒阳性母亲， 父母和病人的角色是罕见的。这些干预措施是迫切需要的， 负担沉重却得不到充分服务的人群的主要目的 一个拟议的5年项目是进行一项随机临床试验，以评估 为期6周的基于理论的行为干预， 艾滋病毒阳性母亲的积极育儿技能。我们将招募240名参与者 在UAB 1917诊所接受服务的妇女中，儿童？S 医院家庭诊所，艾滋病亚拉巴马，或艾滋病在少数民族。参与者将 被随机分配到注意力控制条件或基于理论的 技能培训条件，系统地解决具体的心理社会 作为艾滋病病毒感染者的母亲，与养育子女有关的问题。主要结局指标 评价父母养育的结果将使用积极的父母养育行为， 通过父母实践量表来衡量。次要结局指标为 以艾滋病毒/艾滋病最低限度标准衡量的产妇身心健康状况， 孩子们？的行为，由CBCL测量。收集的其他措施将 包括育儿自我效能感、整体育儿压力、孩子？编制之报告书 父母的行为，以及对父母和孩子的行为观察， 交互.抑郁症状，绝望，家庭组成，儿童 气质和血清状况以及父母呢还将评估社会支持 研究关于这些之间关系的理论假设， 构建和养育。将在基线和基线时收集结局指标， 第6、18和30周。这个应用程序汇集了一个强大的组， 具有个人和合作研究相关历史的研究者 进行拟议的研究，检查行为和社会问题， 受艾滋病毒影响的家庭。

DESCRIPTION (provided by applicant): The incidence of HIV infection is increasing among heterosexual women of childbearing age in the United States. Advances in the treatment of HIV have resulted in longer lifespans for those with the virus, as well as reductions in the incidence of vertical transmission. Women living with HIV report that their greatest source of stress is combining their role as mother with the medical and psychological demands of coping with a chronic, life-threatening condition. Social isolation, depression, and a lack of confidence in parenting skills are common, and significantly affect women?s quality of life. Despite this evolution in the epidemic, interventions to assist HIV+ mothers with the demands of the combined parent and patient roles are rare. Such interventions are urgently needed by this highly burdened yet underserved population. The primary objective of the proposed 5-year project is to conduct a randomized clinical trial to evaluate the efficacy of a 6-week, theory-based, behavioral intervention to enhance positive parenting skills among HIV+ mothers. We will recruit 240 participants from among women receiving services at the UAB 1917 Clinic, the Children?s Hospital Family Clinic, AIDS Alabama, or AIDS in Minorities. Participants will be randomized either to an attention control condition or to a theory-based skills training condition that systematically addresses specific psychosocial issues associated with parenting as an HIV+ mother. The primary outcome measure to evaluate parenting outcomes will be use of positive parenting behaviors, measured by the Parent Practices Scale. The secondary outcome measures will be physical and mental maternal health status, measured by the MOS-HIV, and children?s behavior, measured by the CBCL. Additional measures collected will include parenting self-efficacy, overall parenting stress, children?s reports of parental behaviors, and behavioral observations of parent-child interactions. Depressive symptoms, hopelessness, household composition, child temperament and serostatus, and parents? social support will also be assessed to examine theoretical assumptions regarding the relationships between these constructs and parenting. Outcome measures will be collected at baseline and at weeks 6, 18, and 30. This application brings together a strong group of investigators with a history of individual and collaborative research relevant to the conduct of the proposed study examining the behavioral and social issues faced by HIV-affected families.