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: 7183543
• 负责人: JULIANNE M SEROVICH
• 金额: $ 21.77万
• 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/7183543
• 关键词: AIDS prevention; Address; Behavior; Behavioral; Case Manager; Condition; Consequences of HIV; Data; Decision Making; Depth; Development; Diagnosis; Disclosure; Evaluation; Family; Family Relationship; Family member; Focus Groups; Friends; Goals; Guidelines; HIV; HIV Seropositivity; Health Status; Individual; Intention; Intervention; Interview; Lead; Length; Life; Light; Location; Methodology; Modeling; Nature; Nuclear Family; Outcome; Outcome Measure; Participant; Persons; Pilot Projects; Positioning Attribute; Principal Investigator; Process; Randomized; Range; Research; Research Personnel; Rewards; Risk; Risk Reduction; Scheme; Services; Sex Orientation; Social support; Specialist; Stress; Structure; Testing; Voice; Waiting Lists; Work; base; cost; disorder prevention; experience; follow-up; high risk sexual behavior; human subject; insight; interest; men; men who have sex with men; novel; programs; skills; success; theories; therapy 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.

说明（由申请人提供）：向家庭成员披露自己的血清状况会给艾滋病毒阳性的人带来相当大的压力。当披露是多方面的，需要同时进行多项披露时，这似乎尤其正确；尤其是性取向。在初步研究中，我们发现了向家人、社会支持和危险的性行为意图之间的有趣联系。更具体地说，我们的研究表明，向家人，特别是核心家庭成员透露，可能是防止社会支持减少和有意从事危险性行为的保护因素。鉴于此，采取干预措施，帮助艾滋病毒阳性者和艾滋病毒阳性的男男性行为者（MSM），特别是发展向家庭成员披露其血清状况的技能，具有重要意义，值得发展。我们的长期目标是了解男男性行为者向其家庭成员透露艾滋病毒信息的潜在机制，然后利用这种了解来制定和告知干预措施，以帮助男性进行披露过程。我们计划通过以下三个具体目标来实现这一建议的目标：就披露和不披露的考虑因素进行形成性研究，这将有助于为披露干预措施的制定和实施提供信息。2. 制定一个手动的披露干预措施。我们将根据自己的初步研究和上述提出的形成性研究，制定一项简短的艾滋病毒披露干预措施。3. 试点测试干预措施和相关的结果测量。在研究的最后一部分，将进行干预的试点研究。试点研究的参与者将包括60名艾滋病毒阳性的男男性行为者，随机分为实验组（n = 30）和等候名单对照组（n = 30）。干预的有效性、强度和效用将在完成和3个月随访时进行评估。