Religion, Culture, and HIV Secondary Prevention in India

印度的宗教、文化和艾滋病毒二级预防

• 批准号: 7360111
• 负责人: NALINI TARAKESHWAR
• 金额: $ 9.75万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7360111
• 关键词: AIDS education /prevention; AIDS therapy; HIV infections; India; behavioral /social science research tag; clinical research; communicable disease transmission; coping; culture; dyadic interaction; family structure /dynamics; focus groups; health behavior; high risk behavior /lifestyle; human subject; human therapy evaluation; mental health; model design /development; patient oriented research; psychological models; religion; self concept; sex behavior; spouses; therapy compliance

DESCRIPTION (provided by applicant): This application presents a program of research and training that focuses on religious and cultural factors relevant for HIV secondary prevention and mental health in India. The training objectives are to develop expertise in: (1) qualitative research methods that will be used to build a culturally integrated theory for HIV secondary prevention and mental health in India; (2) the development and implementation of secondary prevention interventions for HIV in India; and (3) the use of advanced quantitative methods for evaluating interventions. The training will be supervised by Dr. Suniti Solomon at YRG Center for AIDS Research and Education (CARE) in India and Drs. Michael Merson and Kathleen Sikkema at Yale University in the US. The training will be used to design, implement, and evaluate a pilot intervention for promoting HIV secondary prevention and mental health among serodiscordant couples (HIV-positive males and uninfected wives) in India. The specific aims of the study to be conducted at YRG CARE are: (1) To undertake formative research to refine a formative theoretical model for HIV secondary prevention and mental health that includes religious and cultural factors. Quantitative measures of model constructs will be pilot tested. Elicitation interviews will be conducted with 20 serodiscordant couples and separate focus groups with HIV-positive males and wives whose partners have HIV; (2) To develop an HIV secondary prevention intervention based on the model; and (3) To pilot test the intervention among 40 serodiscordant couples at YRG CARE and evaluate the feasibility of conducting a couple's intervention within the treatment setting. Assessments will be completed at baseline, post-intervention, and 3-month follow-up. A Within subjects Multiple Analyses of Variance will be used to assess changes. The award will provide a culturally sensitive theory and intervention protocol for HIV secondary prevention intervention that can be evaluated through a randomized, controlled intervention trial. The award will support the long-term goal of conducting research on mental health interventions that are comprehensive, effective, and sustainable in developing countries.

描述（由申请人提供）：本申请介绍了一项研究和培训计划，重点关注印度与艾滋病毒二级预防和心理健康相关的宗教和文化因素。培训目标是发展以下方面的专门知识：（1）定性研究方法，用于在印度建立艾滋病毒二级预防和心理健康的文化综合理论;（2）在印度制定和实施艾滋病毒二级预防干预措施;（3）使用先进的定量方法评估干预措施。培训将由印度YRG艾滋病研究和教育中心（CARE）的Suniti所罗门博士和美国耶鲁大学的Michael Merson和Kathleen Sikkema博士监督。培训将用于设计、实施和评价一项试点干预措施，以促进印度血清不一致夫妇（艾滋病毒阳性男性和未感染的妻子）的艾滋病毒二级预防和心理健康。将在YRG CARE进行的研究的具体目标是：（1）进行形成性研究，以完善包括宗教和文化因素在内的艾滋病毒二级预防和心理健康的形成性理论模型。将对模型构建的定量措施进行试点测试。将对20对血清不一致的夫妇和艾滋病毒阳性男性及其伴侣感染艾滋病毒的妻子的单独焦点小组进行启发式访谈;（2）根据该模型制定艾滋病毒二级预防干预措施;（3）在YRG CARE的40对血清不一致的夫妇中对干预措施进行试点测试，并评估在治疗环境中进行夫妇干预的可行性。将在基线、干预后和3个月随访时完成评估。A受试者内多重方差分析将用于评估变化。该奖项将为艾滋病二级预防干预提供一个具有文化敏感性的理论和干预方案，可以通过随机对照干预试验进行评估。该奖项将支持在发展中国家开展全面、有效和可持续的心理健康干预研究的长期目标。