Enhancing Parenting Skills Among HIV+ Mothers

简介(申请人提供)：感染爱滋病病毒的人数为 在美国育龄的异性恋女性中，这一比例正在上升。 艾滋病毒治疗的进步使这些人的寿命延长 随着病毒的传播，以及垂直领域发病率的下降 变速箱。艾滋病毒携带者报告称，她们最大的压力来源 将她们作为母亲的角色与她们的医疗和心理需求结合起来 应对一种慢性的、危及生命的疾病。社会孤立， 抑郁和对育儿技能缺乏信心是很常见的，而且 对女性有重大影响吗？S的生活质量。尽管这一演变发生在 流行病、干预措施与帮助艾滋病毒+母亲的需求相结合 家长和病人的角色很少见。这样的干预是当务之急 这些负担沉重但服务不足的人群。该计划的主要目标是 拟议的5年计划是进行一项随机临床试验，以评估 为期6周的以理论为基础的行为干预的有效性 艾滋病毒携带者母亲的积极育儿技能。我们将招募240名参与者 在UAB1917诊所接受服务的妇女中，儿童？S 医院家庭诊所、阿拉巴马州艾滋病或少数民族艾滋病。参与者将 被随机分配到注意力控制条件或基于理论的 系统地解决特定心理社会问题的技能培训条件 作为艾滋病毒携带者的母亲，与育儿相关的问题。主要结果衡量标准 评估育儿结果将使用积极的育儿行为， 由Parent Practice量表衡量。次要结果衡量标准将是 通过MOS-HIV衡量的产妇身心健康状况，以及 儿童？S的行为，由CBCL测量。收取的额外措施将 包括育儿自我效能感、总体育儿压力、子女？S报道 父母行为和亲子行为观察 互动。抑郁症状、绝望、家庭结构、孩子 性情和血清状态，父母呢？还将评估社会支持 来检验关于这两者之间关系的理论假设 构建和养育子女。结果衡量标准将在基线和 第6、18和30周。这个应用程序汇集了一组强大的 具有个人和合作研究相关历史的调查人员 对调查行为和社会问题的拟议研究的进行 受艾滋病毒影响的家庭所面临的挑战。

DESCRIPTION (provided by applicant): The incidence of HIV infection is increasing among heterosexual women of childbearing age in the United States. Advances in the treatment of HIV have resulted in longer lifespans for those with the virus, as well as reductions in the incidence of vertical transmission. Women living with HIV report that their greatest source of stress is combining their role as mother with the medical and psychological demands of coping with a chronic, life-threatening condition. Social isolation, depression, and a lack of confidence in parenting skills are common, and significantly affect women?s quality of life. Despite this evolution in the epidemic, interventions to assist HIV+ mothers with the demands of the combined parent and patient roles are rare. Such interventions are urgently needed by this highly burdened yet underserved population. The primary objective of the proposed 5-year project is to conduct a randomized clinical trial to evaluate the efficacy of a 6-week, theory-based, behavioral intervention to enhance positive parenting skills among HIV+ mothers. We will recruit 240 participants from among women receiving services at the UAB 1917 Clinic, the Children?s Hospital Family Clinic, AIDS Alabama, or AIDS in Minorities. Participants will be randomized either to an attention control condition or to a theory-based skills training condition that systematically addresses specific psychosocial issues associated with parenting as an HIV+ mother. The primary outcome measure to evaluate parenting outcomes will be use of positive parenting behaviors, measured by the Parent Practices Scale. The secondary outcome measures will be physical and mental maternal health status, measured by the MOS-HIV, and children?s behavior, measured by the CBCL. Additional measures collected will include parenting self-efficacy, overall parenting stress, children?s reports of parental behaviors, and behavioral observations of parent-child interactions. Depressive symptoms, hopelessness, household composition, child temperament and serostatus, and parents? social support will also be assessed to examine theoretical assumptions regarding the relationships between these constructs and parenting. Outcome measures will be collected at baseline and at weeks 6, 18, and 30. This application brings together a strong group of investigators with a history of individual and collaborative research relevant to the conduct of the proposed study examining the behavioral and social issues faced by HIV-affected families.