HIV Risk Reduction for South African Youth: Creating a Trauma-Informed Family-Bas

描述(申请人提供)：后种族隔离时代令人惊叹的南非风景和弥漫在南非社会的明显的希望，与大约550万艾滋病感染者的负担形成鲜明对比(联合国艾滋病规划署，2006年)。艾滋病毒在南非青年中的流行情况尤其令人震惊。现有的研究表明，家庭总体上有可能塑造青少年的行为。因此，家庭可能掌握着减缓疫情的一把钥匙。我们的长期目标是推进以家庭为基础的预防干预措施，以遏制艾滋病毒的传播。我们的目标是为家庭制定一种有效的以家庭为基础的预防干预措施，使他们的孩子在性行为活跃之前得到干预。指导我们工作的中心假设是，提高照顾者的护理能力与降低儿童和青少年的风险和脆弱性有关。我们的第一个具体目标是设计一种以父母为本的文化敏感的家庭干预模式！项目，并从南部非洲现有的一般育儿干预措施以及与社区利益相关者、领导人和家庭的形成性研究中获得信息。我们的第二个具体目标是对通过当地非政府组织招募的80个家庭实施干预。我们的第三个具体目标是根据南非的情况，通过过程和结果措施评估干预措施的效力和效力。在我们提议的工作中，我们计划超越简单地传播现有的成功干预措施，彻底使其适应截然不同的文化，具体解决艾滋病毒和暴力在父母生活中的存在，包括这些因素如何影响育儿，以及如何克服它们，并将由研究人员、实践者、父母、儿童和社区领导人组成的不同团队聚集在一起，以开发、实施和评估干预措施。我们期待这项初步研究为以家庭为基础的全面干预试验奠定基础，最终结果是减少艾滋病毒在南非青年中的传播。 与公共卫生有关：南非面临艾滋病毒/艾滋病流行病构成的严重威胁，这危及公共卫生和550万南非人及其社区的福祉。该项目将制定、实施和评估以家庭为基础的干预措施，以遏制病毒在南非青年中的传播。

DESCRIPTION (provided by applicant): The stunning beauty of the South African landscape and the palpable sense of hope pervading South African society in the post-apartheid era contrast starkly to the burden of approximately 5.5 million people infected with AIDS (UNAIDS, 2006). HIV prevalence among South African youth is particularly alarming. Existing research illustrates the potential of families to shape adolescent behavior in general. Families may, therefore, hold one key to slowing the epidemic. Our long-range goal is to advance the state of family-based preventive interventions that stem the spread of HIV. Our objective is to develop an efficacious family-based preventive intervention for families before their children become sexually active. The central hypothesis that guides our work is that enhancing caregivers' capacity to care is related to reduced risk and vulnerability among children and young adolescents. Our first specific aim is to design a culturally sensitive family-based intervention modeled after the Parents Matter! Program and informed by existing general parenting interventions in Southern Africa and formative research with community stakeholders, leaders, and families. Our second specific aim is to implement the intervention with 80 families recruited through a local non-governmental organization. Our third specific aim is to evaluate the intervention's efficacy and effectiveness with process and outcome measures, tailored to the South African context. In our proposed work we plan to move beyond simple dissemination of an existing successful intervention to thoroughly adapting it to a vastly different culture, address concretely the existence of HIV and violence in parents' lives, including how these factors can compromise parenting, and how they can be overcome, and bring together a diverse team of researchers, practitioners, parents, children, and community leaders to develop, implement, and evaluate the intervention. We expect this initial study to lay the groundwork for a full-scale family-based intervention trial with an ultimate outcome of reducing HIV transmission among South African youth. PUBLIC HEALTH RELEVANCE: South Africa faces dire threats posed by the HIV/AIDS epidemic, which compromises public health and the well-being of over 5.5 million South Africans and their communities. This project will develop, implement, and evaluate a family-based intervention to stem the tide of the virus among South African youth.