A Couple-Based Relationship Strengthening HIV Intervention for Young Parents

描述（由申请人提供）：本研究旨在制定，实施和评估一个创新的15届夫妇为基础的干预，以小组形式提供给年轻的父母，旨在加强关系，减少艾滋病毒的风险。很少有艾滋病毒预防干预措施将情感和关系因素纳入减少风险的工作。使用依恋理论的指导框架和情绪集中疗法的原则，我们将直接解决情绪，亲密关系和关系功能的问题，以创建一个加强浪漫关系和减少艾滋病毒风险行为的干预措施。我们的干预措施将与现有的社区育儿计划相结合。我们干预的最终目标是减少艾滋病毒/性传播疾病的风险（并发症，伴侣数量，无保护的性行为），加强关系，并改善年轻的异性恋夫妇的养育方式。这项研究将首先包括干预措施的发展。为此，将组织4个由8-10名年轻父母组成的重点小组，收集有关干预措施的内容、结构和执行情况的信息。我们还将对临床医生、社会工作者和社区领导人进行8-10次关键的知情人访谈，以评估实施干预的可能障碍，以及有关干预结构的信息。我们将使用焦点小组和关键知情人访谈的结果来开发和修改干预内容和交付材料。我们将进行一个试点的干预与六对夫妇采用严格的定性评估，然后进行一个小型的试点随机对照试验，42父母的夫妇随机的关系，加强艾滋病毒预防干预或积极控制。我们将在基线、4个月和8个月时评估夫妻的性风险（并发性行为、性伴侣数量、无保护性行为）和关系功能。我们还将评估干预的可行性、可接受性和保真度。

DESCRIPTION (provided by applicant): This study seeks to develop, implement and assess an innovative 15-session couple-based intervention to be delivered in a group format to young parents that aims to strengthen relationships and reduce HIV risk. Few HIV prevention interventions incorporate emotion and relationship factors into risk reduction. Using the guiding framework of Attachment Theory and the principles of Emotion Focused Therapy, we will directly address issues of emotion, intimacy, and relationship functioning to create an intervention that strengthens romantic relationships and reduces HIV risk behavior. Our intervention will be integrated with an existing community based parenting program. The ultimate goal of our intervention is to reduce HIV/STD risk (concurrency, number of partners, unprotected sex), strengthen relationships, and improve parenting among young parenting heterosexual couples. The study will first consist of the development of the intervention. This will be achieved by conducting 4 focus groups of 8-10 young parenting men and women to gather information about the content, structure and implementation of the intervention. We will also conduct 8-10 key informant interviews of clinicians, social workers, and community leaders to assess possible barriers to intervention implementation, as well as information about intervention structure. We will use the results from the focus groups and key informant interviews to develop and modify intervention content and delivery materials. We will conduct a pilot of the intervention with six couples employing rigorous qualitative evaluation before conducting a small pilot randomized controlled trial of 42 parenting couples randomized to either the relationship strengthening HIV prevention intervention or an active control. We will assess couples at baseline, 4-months, and 8-months on sexual risk (concurrency, number of sex partners, unprotected sex) and relationship functioning. We will also assess the feasibility, acceptability and fidelity of the intervention.