Addressing Family Needs in HIV Care: A Feasibility Study

受艾滋病毒和艾滋病影响的家庭需要获得全面的连续服务。联邦政府资助的干预试验和其他研究的结果可用于帮助扩大和加强这些服务。然而，关于“技术转让”的可行性，必须首先回答一些基本问题。“这项研究的目的是：（1）确定艾滋病毒/艾滋病护理提供者对技术转让的兴趣。“这项研究的目的是：（1）确定艾滋病毒/艾滋病护理提供者对技术转让研究的兴趣，以扩大和实施对家庭的服务，以及潜在合作的障碍，（2）评估提供者目前对家庭的服务水平及其采取不同干预措施的能力，（3）探讨病人及家属对家庭为本服务的需要及在不同环境下寻求服务的意愿;（4）找出影响病人及家属在不同环境下参与家庭研究意愿的因素;以及（5）评估通过参与本可行性研究获得的信息和反馈如何影响供应商决定是否以及如何参与能力建设和技术转让的具体机会。为了实现这些目标，这项为期三年的研究将包括与来自64个医疗保健和社会服务机构的提供者进行访谈和焦点小组讨论，以确定他们是否愿意参与扩大家庭方案的努力。还通过全面评估提供者为家庭服务和参与技术转让的能力，包括组织使命和领导能力、资源供应情况以及与社区的联系等方面，获得数据。此外，研究人员亦会访问每项服务的沿着30名病人/服务对象及其约20名家庭成员，以评估他们的服务需要，以及影响他们对家庭为本服务的意愿和参与心理社会干预研究的意愿的因素。测试研究伙伴关系模型的数据分析将确定初始设置准备、研究参与、设置能力、患者和家庭需求以及参与研究的意愿如何影响准备的变化、对能力建设和参与的兴趣、设置能力、患者和家庭需求以及参与研究的意愿如何影响准备的变化，对能力建设和参与研究伙伴关系活动的兴趣。我们将进行跨层次分析，以更好地了解提供者的准备和能力如何与客户和家庭的服务需求和参与研究的障碍相关。研究结果将指导在前线社区服务环境中实施面向家庭的干预研究，并将有助于建立研究技术转移过程的科学框架。这项研究还将为与社区提供者网络的持续研究合作奠定基础，以更好地满足受艾滋病毒/艾滋病影响的家庭的需要。

Families affected by HIV and AIDS require access to a comprehensive continuum of services. Findings from federally sponsored intervention trials and other studies could be used to help expand and enhance these services. However, a number of fundamental questions must first be answered about the feasibility of "technology transfer." The aims of this study are, (1) to determine HIV/AIDS care providers' interest in technology transfer." The aims of this study are, (1) to determine HIV/AIDS care providers' interest in technology transfer research to expand and implement services for families and barriers to potential collaboration, (2) to assess providers' current level of service to families and their capacities to undertake different kinds of interventions, (3) to examine patients' and families' need for family oriented services and desire to seek services from different settings, (4) to identify factors affecting patients' and family members' willingness to take part in family research at different settings, and (5) to evaluate how information and feedback gained through participation in this feasibility study affect providers' decision whether and how to become involved with specific opportunities for capacity building and technology transfer. In order to address these aims, this three year study will include interviews and focus groups with providers from 64 medical care and social service settings to determine their readiness to take part in efforts to expand programs for families. Data are also obtained through a comprehensive assessment of providers' capacities to serve families and to participate in technology transfer, including dimensions of organizational mission and leadership, availability of resources, and connections in the community. Thirty patients/clients serve by each setting along with approximately twenty of their family members will also be interviewed to assess their needs for service as well as factors that affect their desire for family- oriented services and their willingness to take part in psychosocial intervention studies. Data analysis to test a model of Research Partnerships will determine how initial setting readiness, research participation, setting capacities, patient and family needs and willingness to participate in research influence change in readiness, interest in capacity building and participation, setting capacities, patient and family needs and willingness to participate in research influence change in readiness, interest in capacity building and participation in research partnership activities. We will conduct cross-level analysis to better understand how providers' readiness and capacities are related to clients' and families' service needs and barriers to research participation. Study findings will guide efforts to implement family-oriented intervention research in frontline community service settings, and will help to establish a scientific framework for studying the process of technology transfer. This study will also lay the groundwork for sustained research collaboration with networks of community providers to better address the needs of families affected by HIV/AIDS.