Family-to-Family: Psychoeducation to Improve Children's Outcomes in HIV+ Families

家庭对家庭：通过心理教育改善艾滋病毒家庭儿童的结局

• 批准号: 7060160
• 负责人: Mary Jane Rotheram-Borus
• 金额: $ 58.66万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-23 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7060160
• 关键词: AIDS education /prevention; HIV infections; behavioral /social science research tag; belief; children; clinical research; coping; culture; education evaluation /planning; family structure /dynamics; human subject; psychological stressor; social adjustment; social support network; southeast Asia

DESCRIPTION (provided by applicant): HIV has a negative intergenerational impact on families, particularly children with HIV+ parents (Rotheram-Borus et al., 1997). In order to improve the social, behavioral and mental health outcomes for children affected by HIV, we have designed the Family-to-Family (F2F) intervention that includes the critical, universal, program components identified by the NIMH Intervention Workgroup (in revision). All efficacious intervention programs: frame the problem by providing information and shaping beliefs; enhance skills; establish supportive relationships; and remove environmental barriers to behavior change (e.g, HIV testing, ARV). We aim to evaluate a generic intervention approach that is culturally-tailored to families affected by HIV in a specific country, Thailand. The intervention builds on previous efficacious HIV family interventions, adapted to be sustainable in a developing country context. The F2F intervention for HIV+ parents and their family caregivers will assist families to cope with HIV-related stressors (disclosure, stigma, transmission, & custody), build skills for improving their own and their children's adjustment, and establish supportive community relationships with other families affected by HIV. Families in Thailand need such an intervention: 1 in 4 elderly adults in Thailand will raise an AIDS orphan, even with a relatively low national seroprevalence rate (1.2%). The study will proceed in 2 phases. In Phase 1, we will pilot and finalize the intervention, assessments, and procedures with 40 families, 10 of whom are "positive models." In Phase 2, families with HIV+ parents (400 HIV+ parents, 600 family caregivers) from 4 district hospitals in Chang Rai & Nakhon Ratchasima Provinces will be recruited to an intervention to benefit their 960 school-aged children aged 6-17 years. At their clinical care site, we will randomly assign families to either: 1) F2F, a psychoeducational intervention for HIV+ parents and family caregivers delivered in drop-in groups by healthcare providers (not including their children); or 2) a Standard Care intervention. The impact of the F2F intervention will be monitored over 24 months (baseline, 3, 6, 12, 18, & 24 months). The primary outcomes are school-age children's social, behavioral and mental health status. HIV+ parent's and family caregivers' health mental health, parenting skills, and family bonds are intermediate outcomes.

描述（由申请人提供）：HIV对家庭，特别是父母HIV阳性的儿童具有负面的代际影响（Rotheram-Borus等人，1997年）。为了改善受艾滋病毒影响的儿童的社会、行为和心理健康结果，我们设计了家庭对家庭（F2 F）干预措施，其中包括NIMH干预工作组确定的关键、普遍的计划组成部分（修订版）。所有有效的干预方案：通过提供信息和形成信念来框定问题;提高技能;建立支持性关系;消除行为改变的环境障碍（例如，艾滋病毒检测，抗逆转录病毒）。我们的目标是评估一个通用的干预方法，是文化适合受艾滋病毒影响的家庭在一个特定的国家，泰国。这项干预措施以以往有效的艾滋病毒家庭干预措施为基础，经过调整，使其在发展中国家具有可持续性。针对艾滋病毒阳性父母及其家庭照顾者的F2 F干预措施将帮助家庭科普 艾滋病毒相关的压力源（披露，耻辱，传播和监护），建立技能，以改善自己和孩子的调整，并建立支持性的社区关系，与其他受艾滋病毒影响的家庭。泰国的家庭需要这样的干预：泰国每四个老年人中就有一个会抚养艾滋病孤儿，即使全国血清阳性率相对较低（1.2%）。研究将分两个阶段进行。在第一阶段，我们将在40个家庭中试行并最终确定干预、评估和程序，其中10个是“积极模式”。“在第二阶段，将招募来自清莱省和Nakhon Ratchasima省4个地区医院的艾滋病毒阳性父母家庭（400名艾滋病毒阳性父母，600名家庭护理人员）参加干预措施，以使他们的960名6-17岁学龄儿童受益。在他们的临床护理中心，我们将随机分配家庭：1）F2 F，一种针对HIV+父母的心理教育干预， 由医疗保健提供者（不包括他们的孩子）在临时小组中提供的家庭照顾者;或2）标准护理干预。将监测F2 F干预的影响 超过24个月（基线、3、6、12、18和24个月）。主要结果是学龄儿童的社交、行为和心理健康状况。艾滋病毒阳性父母和家庭照顾者的健康 心理健康、育儿技能和家庭纽带是中间结果。