Intervening with Haitian HIV+ Alcohol Abusers: An Environmental Psychosocial Fram

对海地艾滋病毒酗酒者进行干预：环境心理社会框架

• 批准号: 8274910
• 负责人: JESSY G DEVIEUX
• 金额: $ 40.92万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8274910
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Acute; Address; Adherence; Adult; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Area; Behavior; Behavioral; Caring; Centers for Disease Control and Prevention (U.S.); Characteristics; Chronic; Civil Disorders; Clinic; Clinical; Clinical Research; Cognitive; Cognitive Therapy; Cohort Studies; Collaborations; Communicable Diseases; Communication; Communities; Comorbidity; Conflict (Psychology); Consensus; Coping Skills; Country; Developing Countries; Dimensions; Disadvantaged; Discipline; Drug usage; Drug user; Economics; Elements; Environment; Epidemic; Equilibrium; Evidence based intervention; Female; Funding; Gap Junctions; Grant; Guidelines; HIV; Haiti; Health; Health Promotion; Health behavior; Healthcare; Hour; Housing; Individual; Institution; International; Intervention; Kaposi Sarcoma; Laws; Life; Low Income Population; Measurement; Mediating; Modeling; Motivation; National Institute on Alcohol Abuse and Alcoholism; Opportunistic Infections; Outcome; Patients; Pharmaceutical Preparations; Pilot Projects; Play; Policies; Population; Population Heterogeneity; Population Intervention; Poverty; Prevention; Preventive; Preventive Intervention; Probability; Problem Solving; Provider; Psychiatric Social Work; Psychosocial Factor; Randomized; Research; Research Design; Research Personnel; Research Training; Resources; Risk; Risk Reduction; Role; Rural Community; Safe Sex; Sampling; Self Management; Sentinel; Sexual Transmission; Social support; Specific qualifier value; Staging; Stress; Stress and Coping; System; Testing; Therapeutic; Time; To specify; Translating; Translational Research; Translations; Trauma; Treatment Factor; Trust; United States National Institutes of Health; Urban Population; Urbanization; Violence; Virus; Work; abstracting; alcohol abstinence; alcohol and other drug; alcohol intervention; base; clinical practice; clinical research site; community based treatment; community setting; condoms; contextual factors; coping; design; disorder control; evidence base; experience; follow-up; high risk; high risk behavior; improved; indexing; intervention effect; knowledge base; male; medication compliance; parent grant; primary outcome; psychosocial; public health relevance; randomized trial; safer sex; scale up; secondary outcome; sex risk; skills; social; stress management; success; theories; transmission process

Project Summary/Abstract The proposed study is an adaptation and randomized trial of a Cognitive-Behavioral Stress Management (CBSM) intervention for simultaneously enhancing safer sex practices, adherence to ARV medication, and reducing alcohol or other drugs (AOD) use, in a predominantly poor urban population in Haiti. With our on- site clinical research partner, the GHESKIO Centers, a key focus will be how HIV intervention outcomes are influenced by Environmental and PsychoSocial (Env-Psy-Soc) factors. Performing this study in Haiti with GHESKIO presents a unique opportunity to contribute an EnvPsySoc dimension to the HIV/AIDS prevention and treatment scale-up that is ongoing there and in the region. GHESKIO is unique and unparalleled in Haiti and the region as a socially trusted infectious disease control institution that has been there since the discovery of the HIV virus and that has successfully adapted an academically disciplined HIV/AIDS clinical research and training model into the urban and rural communities of Haiti. GHESKIO operates using an integrated care model similar to a typical U.S. VA center, and serves a population reflective of the fault lines of the epidemic in resource-constrained countries: poverty and disempowerment, the trauma and violence of chaotic urbanization and frequent civil disorder and inadequate rule of law. Using the vehicle of CBSM, a potentially efficacious prevention intervention for reducing HIV transmission risk among People Living with HIV (PLWH) in this clinical venue enhances the probability of success. CBSM-A, the adapted intervention to be evaluated, is based on an NIH pilot study in Haiti that was guided by Information-Motivation-Behavior (IMB) theory. It is a small-group design for HIV+ AOD using populations, which also addresses their cognitive/self management and coping barriers that may impede sustainable outcomes, particularly in resource-constrained settings as Haiti. HLM/SEM analyses will be used to explore adherence to safer sex and ARV medication guidelines as well as how intervention effects are influenced by traditional IMB variables, AOD use, and EnvPsySoc factors. The proposed project responds to the NIH priority on integrating environmental-psychosocial research and on bridging clinical research and practice, by adapting and translating effective research-based intervention strategies for the "real world" conditions faced by community based providers. If successful, this research will present an HIV intervention strategy that can be practically implemented for HIV+ adults with high risk behaviors (alcohol use and unsafe sexual practices) in Haiti and other resource-constrained settings, while advancing the knowledge base of how to tailor interventions for such settings.

项目摘要/摘要 拟议的研究是认知行为应力管理的适应和随机试验 （CBSM）干预同时增强更安全的性行为，遵守ARV药物和 在海地的城市人口中，减少酒精或其他药物（AOD）的使用（AOD）。与我们的 网站临床研究合作伙伴，Gheskio中心，重点是HIV干预结果 受环境和社会心理（ENV-PSY-SOC）因素的影响。在海地进行这项研究 Gheskio提供了一个独特的机会，可以为艾滋病毒/艾滋病预防贡献Envpsysoc维度 以及该地区正在进行的治疗规模。格斯基奥在海地独特且无与伦比 自从该地区是一个社会信任的传染病控制机构以来一直在那里的地区 发现艾滋病毒病毒，并成功地适应了学术纪律的艾滋病毒/艾滋病临床 对海地城市和农村社区的研究和培训模型。 Gheskio使用 类似于典型的美国弗吉尼亚中心的综合护理模型，并为人口提供反映的人群 资源受限国家的流行病：贫困和剥夺权力，创伤和暴力 混乱的城市化和频繁的民间疾病和法治不足。使用CBSM的车辆 潜在有效的预防干预措施，以降低患有艾滋病毒的艾滋病毒传播风险 在该临床场所，HIV（PLWH）提高了成功的可能性。 CBSM-A，改编的干预措施 待评估是基于海地的NIH试点研究，该研究以信息动机行为为指导 （IMB）理论。这是使用种群的艾滋病毒+ AOD的小组设计，这也解决了他们的 认知/自我管理和应对障碍可能阻碍可持续成果，特别是 资源约束的设置为海地。 HLM/SEM分析将用于探索对更安全性的依从性 和ARV药物指南以及干预效果如何受传统IMB变量的影响， AOD使用和Envpsysoc因素。拟议的项目对NIH的整合做出了回应 环境心理社会研究以及桥接临床研究和实践，适应和 为社区面临的“现实世界”条件转换有效的基于研究的干预策略 基于的提供商。如果成功，这项研究将提出一种艾滋病毒干预策略，可以实际上 针对海地具有高风险行为（饮酒和不安全性实践）的艾滋病毒+成年人 其他资源受限的设置，同时推进了如何为此量身定制干预措施的知识基础 设置。

项目成果

The impact of disaster on HIV in Haiti and priority areas related to the Haitian crisis.

• DOI: 10.1016/j.jana.2010.02.002
• 发表时间: 2010-05
• 期刊: JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
• 影响因子: 2
• 作者: Malow, Robert;Rosenberg, Rhonda;Lichtenstein, Bronwen;Devieux, Jessy G.
• 通讯作者: Devieux, Jessy G.

Determinants of HIV serostatus disclosure to sexual partner among HIV-positive alcohol users in Haiti.

• DOI: 10.1007/s10461-013-0685-8
• 发表时间: 2014-06
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Conserve DF;King G;Dévieux JG;Jean-Gilles M;Malow R
• 通讯作者: Malow R

The Continuing Challenge of Reducing HIV Risk among Haitian Youth: The Need for Intervention.

• DOI: 10.1177/2325957411418119
• 发表时间: 2015-05-01
• 期刊: Journal of the International Association of Providers of AIDS Care
• 作者: Devieux, Jessy G;Rosenberg, Rhonda;Malow, Robert M
• 通讯作者: Malow, Robert M

The Effects of Childhood Sexual Abuse: The Role of Anxiety and Alcohol Use among Haitian Women Living with HIV.

童年性虐待的影响：焦虑和酗酒对感染艾滋病毒的海地妇女的影响。

• DOI: 10.1080/10538712.2020.1801939
• 发表时间: 2020
• 期刊: Journal of child sexual abuse
• 影响因子: 1.9
• 作者: Villalba,Karina;Attonito,Jennifer;Jean-Gilles,Michele;Rosenberg,Rhonda;Sanchez,Mariana;Devieux,Jessy
• 通讯作者: Devieux,Jessy

Robert M. Malow 1953-2013.

罗伯特·M·马洛，1953-2013。

• DOI: 10.1007/s10461-013-0471-7
• 发表时间: 2013
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Kalichman,SethC;Dévieux,JessyG
• 通讯作者: Dévieux,JessyG