Intervention for Developing HIV Disclosure Skills to Family Members

培养家庭成员艾滋病毒披露技能的干预措施

• 批准号: 7061974
• 负责人: JULIANNE M SEROVICH
• 金额: $ 18.69万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-02-10 至 2009-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7061974
• 关键词: HIV infections; behavioral /social science research tag; clinical research; clinical trials; communication; decision making; early /brief intervention /therapy; family structure /dynamics; focus groups; high risk behavior /lifestyle; homosexuals; human subject; human therapy evaluation; interpersonal relations; interview; longitudinal human study; male; patient oriented research; sex behavior; social support network; therapy design /development

DESCRIPTION (provided by applicant): Disclosure of one's serostatus to family members creates considerable strain for HIV-positive persons. This appears to be particularly true when the disclosure is multifaceted and requires numerous disclosures simultaneously; particularly one's sexual orientation. In preliminary studies we have identified interesting associations between HIV disclosure to family, social support, and risky sexual behavioral intentions. More specifically, our studies have demonstrated that disclosing to family, particularly nuclear family members, may serve as a protective factor against reduced social support and intending to engage in risky sexual behaviors. Given this an intervention that would assist HIV-positive persons and HIV-positive men who have sex with men (MSM) in particular in developing skills to disclose their serostatus to family members is significant and warrants development. Our long-range goal is to understand the mechanisms underlying disclosure of HIV information from MSM to their family members, and then to use this understanding to develop and inform an intervention to assist men with the disclosure process. We plan to achieve the objective of this proposal by pursuing the following three specific aims: 1. Conduct formative research regarding the considerations given for disclosure and non-disclosure that will help inform the development and implementation of a disclosure intervention. 2. Develop a manualized disclosure intervention. A brief HIV disclosure intervention will be developed that is theoretically grounded and informed by our own preliminary studies and the formative research proposed above. 3. Pilot test the intervention and associated outcome measures. In the final portion of the study, a pilot study of the intervention will be conducted. Pilot study participants will consist of 60 HIV-positive MSM randomized into the experimental (n = 30) or wait-list control condition (n = 30). The efficacy, strength, and utility of the intervention will be assessed at completion and 3 month follow-up.

描述（由申请人提供）：向家庭成员透露自己的血清状况会给艾滋病毒阳性者造成相当大的压力。当披露是多方面的，需要同时披露多个方面时，尤其是披露一个人的性取向时，情况似乎尤其如此。在初步研究中，我们已经确定了向家人披露艾滋病毒、社会支持和危险性行为意图之间的有趣关联。更具体地说，我们的研究表明，向家庭成员，特别是核心家庭成员透露，可能是一个保护因素，防止社会支持减少，并打算从事危险的性行为。有鉴于此，采取干预措施，帮助艾滋病毒抗体阳性者和与男性发生性关系的艾滋病毒抗体阳性男子，特别是帮助他们发展向家庭成员透露其血清状况的技能，意义重大，值得发展。我们的长期目标是了解MSM向其家庭成员披露艾滋病毒信息的机制，然后利用这种理解来制定和提供干预措施，以帮助男性进行披露过程。我们计划透过以下3个具体目标，达致这项建议的目的：就披露和不披露的考虑因素进行形成性研究，这将有助于为制定和实施披露干预措施提供信息。2.制定一项手动披露干预措施。一个简短的艾滋病毒披露干预措施将开发的理论基础，并通过我们自己的初步研究和上述提出的形成性研究。3.对干预措施和相关的结果措施进行试点测试。在研究的最后部分，将进行干预措施的试点研究。初步研究参与者将包括60名HIV阳性MSM，随机分为实验组（n = 30）或等待名单对照组（n = 30）。将在完成和3个月随访时评估干预的疗效、强度和效用。