A Family-Based HIV Prevention Intervention for Preadolescents Affected by HIV

针对受艾滋病毒影响的青春期前儿童的基于家庭的艾滋病毒预防干预措施

• 批准号: 8658703
• 负责人: Nicholas Tarantino
• 金额: $ 3.84万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8658703
• 关键词: 15 year old; AIDS prevention; Academia; Accounting; Acquired Immunodeficiency Syndrome; Address; Adolescent; Adult; Affect; African American; Age; American; Anti-Retroviral Agents; Area; Attitude; Behavior; Behavior Therapy; Behavioral; Caregivers; Caring; Centers for Disease Control and Prevention (U.S.); Child; Child Development; Collaborations; Communication; Communities; Data; Developed Countries; Disclosure; Early Diagnosis; Environment; Environmental Risk Factor; Epidemic; Evidence based intervention; Exposure to; Face; Family; Fellowship; Focus Groups; Foundations; Future; Genetic; Genetic Risk; Goals; HIV; HIV Infections; HIV risk; Health; Health Knowledge, Attitudes, Practice; Heterosexuals; High Prevalence; Individual; Infection; Intervention; Interview; Investigation; Kenya; Knowledge; Life; Life Expectancy; Life Experience; Methodology; Monitor; Mothers; New York; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Pattern; Phase; Population; Positioning Attribute; Prevention; Preventive Intervention; Process; Public Health; Quality of life; Recruitment Activity; Research; Research Design; Risk; Risk Behaviors; Risk Reduction; Sampling; Science; Scientist; Self Perception; Sexuality; South Africa; Structure; Supervision; Testing; Training; Universities; Validation; Virus; Vulnerable Populations; Well in self; Woman; Work; Youth; base; career; cohort; comparison group; evidence base; experience; foster child; graduate student; improved; infancy; innovation; intergenerational; intervention effect; lens; member; post intervention; programs; psychosocial; public health relevance; sex; social; social stigma; success; theories; therapy design; therapy development; transmission process

DESCRIPTION (provided by applicant): The overarching goal of this application is to advance a programmatic line of research investigating behavioral interventions for vulnerable youth populations, specifically those at-risk for HIV, to serve as the foundation for a career in academia as an independent research scientist. The proposed project specifically addresses two areas of high priority put forth by NIMH's Division of AIDS Research (DAR): (1) innovative research designed to better understand unique multilevel factors related to HIV-risk reduction, and (2) prevention science aimed at understanding the psychosocial needs of children affected by HIV. In addressing these objectives the proposed study examines a specific population of youth vulnerable to HIV infection, preadolescent (and adolescent) children of mothers living with HIV (MLH). These children are at risk for behaviorally-acquired HIV infection through genetic and environmental transmission of HIV-related risk behaviors. Because MLH are living longer than they were in previous decades, more children are living with MLH than ever before. Research that examines this growing population of youth under a lens of HIV prevention is scarce. To address NIMH's objectives, the project proposes adapting an existing evidence-based intervention to children of MLH. In doing so it examines specific HIV-related family-level factors associated with the sexual risk of youth affected by HIV. It proposes that MLH are in a unique position to reduce their children's HIV risk through protective parenting practices-including, facilitating discussions about HIV, HIV disclosure, and sexuality, providing structure i the form of monitoring and supervision, and building a healthy parent-child relationship. It is hypothesized that through strengthening protective parenting practices, children of MLH will have shifts in sexual attitudes, knowledge, intentions, and behavior, which will reduce their risk for HIV infection. To test this hypothesis, three Specific Aims are proposed: (1) adapt a family-based intervention for youth of MLH through a structured process of adaptation, (2) implement the intervention with a cohort of youth (ages 10 to 15 years-old) and their MLH, and (3) evaluate the effects of the intervention. The project focuses on MLH-child dyads, primarily African-American, living in and around Atlanta, GA, and through collaboration with local non-governmental organizations (NGOs), recruits these dyads for two phases of the study. Phase I uses qualitative methodology in the form of focus groups and individual interviews with MLH and their children to inform the development of the intervention. Phase II samples 60 MLH dyads, half will receive the intervention and half will serve as controls. All Phase II participants are assessed pre- and post-intervention and parenting and youth sexual risk outcomes are explored. Results will inform (1) the expansion of this intervention to a larger-scale, (2) the process of adapting EBI's to specific, vulnerable populations, and (3) our understanding of youth HIV risk in children affected by HIV, including family factors.

描述（由申请人提供）：本申请的总体目标是促进对弱势青年人口的行为干预措施，尤其是艾滋病毒危险的人群的行为干预措施，以作为独立研究科学家的学术界的基础。拟议的项目专门针对NIMH的艾滋病研究部（DAR）提出的两个高优先级领域：（1）旨在更好地了解与艾滋病毒降低有关的独特多层次因素，以及（2）预防科学，旨在理解受HIV影响的儿童的心理社会需求。在解决这些目标时，拟议的研究研究了容易受到艾滋病毒感染的特定青年人群，艾滋病毒（MLH）的母亲的前（和青少年）儿童。这些儿童通过与HIV相关风险行为的遗传和环境传播通过行为可获得的HIV感染的风险。由于MLH的寿命比过去几十年的寿命更长，因此比以往任何时候都有更多的儿童与MLH相比。在预防艾滋病毒范围内检查了越来越多的青年人群的研究很少。为了解决NIMH的目标，该项目提议调整对MLH儿童的现有基于证据的干预。通过这样做，它研究了与艾滋病毒影响青年的性风险相关的与艾滋病毒相关的特定家庭水平因素。它建议MLH处于独特的位置，可以通过保护性育儿做法，包括有关艾滋病毒，艾滋病毒披露和性行为的讨论，从而减少孩子的艾滋病毒风险，从而提供监测和监督的结构，并建立健康的父母关系。假设，通过加强保护性育儿惯例，MLH的孩子将在性态度，知识，意图和行为上发生转变，这将降低其HIV感染的风险。为了检验这一假设，提出了三个具体目的：（1）通过适应的结构化过程调整基于家庭的干预措施，（2）与一群青年（10至15岁）及其MLH及其MLH及其（3）评估干预措施的影响。该项目侧重于MLH-Child Dyads，主要是非裔美国人，居住在佐治亚州亚特兰大及其周边地区，并通过与当地非政府组织（NGOS）合作，将这些二元组招募为研究的两个阶段。第一阶段使用定性方法，以焦点小组的形式以及与MLH及其子女进行的个人访谈，以告知干预措施的发展。 II期样本60 mlh二元组，一半将接受干预，一半将作为对照。探讨了所有第二阶段参与者的干预前和育儿，并探讨了青年性风险结果。结果将告知（1）将这种干预措施扩展到大规模的，（2）将EBI适应特定，脆弱人群的过程，以及（3）我们对受艾滋病毒影响的儿童（包括家庭因素）的儿童的了解。

项目成果

A Parent-Based Intervention to Prevent HIV Among Adolescent Children of Mothers Living with HIV: The Ms. Now! Program.

• DOI: 10.1080/17450128.2016.1189021
• 发表时间: 2016
• 期刊: Vulnerable children and youth studies
• 影响因子: 1.1
• 作者: Tarantino N;Armistead LP
• 通讯作者: Armistead LP

Neighborhood disorder, spiritual well-being, and parenting stress in African American women.

• DOI: 10.1037/a0036373
• 发表时间: 2014-12
• 期刊: Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)
• 作者: Lamis DA;Wilson CK;Tarantino N;Lansford JE;Kaslow NJ
• 通讯作者: Kaslow NJ

Parent-child conflict and drug use in college women: a moderated mediation model of self-control and mindfulness.

• DOI: 10.1037/cou0000013
• 发表时间: 2015-04
• 期刊: JOURNAL OF COUNSELING PSYCHOLOGY
• 影响因子: 3.9
• 作者: Tarantino, Nicholas;Lamis, Dorian A.;Ballard, Elizabeth D.;Masuda, Akihiko;Dvorak, Robert D.
• 通讯作者: Dvorak, Robert D.