Efficacy of a Computerized Stress Management Training Program for HIV+ Women

针对艾滋病毒女性的计算机化压力管理培训计划的功效

• 批准号: 7491465
• 负责人: Jennifer L Brown
• 金额: $ 3.01万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-15 至 2009-07-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7491465
• 关键词: Address; Alcohol or Other Drugs use; Ambulatory Care Facilities; Anxiety; Caring; Centers for Disease Control and Prevention (U.S.); Child Care; Chronic; Clinic; Communicable Diseases; Computers; Control Groups; Data; Depressed mood; Development; Disease; Disease Management; Educational Intervention; Educational process of instructing; Effectiveness; Elements; Evaluation; Face; Feedback; Female; Focus Groups; Fright; Goals; HIV; Health; Health Priorities; Highly Active Antiretroviral Therapy; Individual; Intervention; Intervention Studies; Investigation; Life; Medical; Mental Depression; Mental Health; Modeling; NIH Program Announcements; Needs Assessment; Outcome; Outpatients; Participant; Patient Self-Report; Patients; Phase; Poverty; Predoctoral Individual National Research Service Award; Public Health; Quality of life; Randomized; Range; Rate; Reporting; Research; Sampling; Self Efficacy; Social support; Stress; Stress and Coping; Structure; Symptoms; Testing; Time; Training; Training Programs; Woman; austin; base; burden of illness; computer program; computerized; coping; cost; cost effective; design; experience; improved; innovation; intimate partner violence; men; programs; psychoeducational; psychologic; psychosocial; response; skills; stress management; stressor; theories; therapy development

DESCRIPTION (provided by applicant): The overarching goal of the proposed research is to develop and pilot test a brief, computer-administered stress management training program for HIV+ women. HIV+ women represent a growing proportion of people living with HIV in the U.S. and experience disproportionate disease burden. Although HIV treatment advances have increased survival time and improved quality of life, HIV+ women continue to face a myriad of stressors that contribute to elevated rates of mental health difficulties and poor disease management. Previous stress management interventions for HIV+ individuals have primarily targeted men and have typically relied upon a multi-session group format, an approach that shows promise but is expensive and difficult to disseminate widely. To develop and pilot test a computerized stress management training program for HIV+ women, the proposed research will involve three phases. First, focus groups will be conducted with HIV+ women (n = 28) to assist in the development of intervention content and format. Second, a brief, interactive, computerized, educational stress management intervention will be designed based on the formative research, past empirical studies of stress and coping interventions with HIV+ individuals, and Lazarus and Folkman's Transactional Model of Stress and Coping. Third, the intervention will be implemented in a sample of HIV+ female outpatients to provide preliminary data regarding the feasibility, acceptability, and efficacy of the program. Participants will be randomly assigned to either an immediate intervention (n = 30) or time-lagged intervention control (n = 30) group. We predict that the intervention will result in: (a) improved coping self-efficacy; (b) lower levels of perceived stress; (c) decreased use of avoidant coping strategies; and (d) a reduction in self-reported symptoms of anxiety and depressed mood. This study addresses an important public health priority. If shown to be feasible and efficacious, the use of a computerized stress management training program has the potential to improve HIV+ women's ability to cope with health and life stressors and could be widely disseminated for use in busy outpatient clinic settings. Ultimately, by improving stress management skills, the proposed intervention may contribute to improved disease management skills and better health outcomes among HIV+ women.

描述（由申请人提供）：拟议的研究的总体目标是开发和试点测试HIV+女性的简短，计算机管理的压力管理培训计划。艾滋病毒+妇女代表着越来越多的艾滋病毒感染者，并且经历了不成比例的疾病负担。尽管艾滋病毒治疗的进步增加了生存时间和生活质量的改善，但艾滋病毒+妇女继续面临无数压力源，导致心理健康困难率提高和疾病管理差。对艾滋病毒+个体的以前的压力管理干预措施主要针对男性，并且通常依赖于多课程组的格式，这种方法表现出了希望，但很昂贵且难以广泛传播。为了开发和试点测试HIV+女性的计算机压力管理培训计划，拟议的研究将涉及三个阶段。首先，将与HIV+女性（n = 28）一起进行焦点小组，以帮助开发干预含量和格式。其次，将根据形成性研究，与HIV+个体的压力和应对干预措施以及Lazarus和Folkman的压力和应对交易模型进行简短，计算机化的教育压力管理干预措施。第三，干预措施将在HIV+女性门诊病人样本中实施，以提供有关该计划的可行性，可接受性和功效的初步数据。参与者将被随机分配给立即干预措施（n = 30）或时置干预控制（n = 30）组。我们预测干预措施将导致：（a）提高应对自我效能感； （b）较低的感知压力； （c）减少了回避应对策略的使用； （d）自我报告的焦虑症状和情绪低落的症状减轻。这项研究旨在解决重要的公共卫生优先事项。如果证明是可行有效的，使用计算机压力管理培训计划有可能提高艾滋病毒+女性应对健康和生活压力源的能力，并且可以广泛传播以在繁忙的门诊诊所环境中使用。最终，通过提高压力管理技能，拟议的干预措施可能有助于提高艾滋病毒+妇女的疾病管理技能和改善健康状况。