Primary prevention of intimate partner violence in India

描述(由申请人提供)：这份IRSDA申请体现了Fogarty的使命，即通过建立国际合作促进全球卫生研究 卫生研究机构和培养新的全球卫生科学家。该奖项将使印度国家艾滋病研究所(印度浦那纳里)2012-2013年福格蒂全球卫生研究员、埃默里大学传染病内科医生阿米塔·卡洛赫博士成为一名独立资助的全球卫生研究人员，有能力开发和实施有效的、根据文化定制的干预措施，以遏制印度的亲密伴侣暴力(IPV)。职业发展计划将为Kalokhe博士提供1)加强对IPV理论及其在印度背景下设计预防干预措施的应用的知识，开发和获得行为干预的方法，以及定性研究设计和分析，2)对进行国际IPV研究的伦理考虑的深刻把握，以及3)提高口头和书面研究陈述技能，向多学科的国际受众传播结果。Kalokhe博士组建了一支多元化的导师团队，他们共同拥有进行IPV研究(在包括印度在内的低收入和中等收入国家)、利用行为理论开发行为健康干预措施以及深入了解印度文化方面的丰富知识和经验。这包括主要的Emory和India导师Rob Stephenson博士和Seema Sahay博士，以及共同导师Carlos del Rio医学博士、Kristin Dunkle博士和Anuradha ParanJapan医学博士。IPV在印度妇女中很普遍，并与心理和身体健康不良有关。这项研究将通过Nari在印度浦那进行，旨在1)探索新婚妇女在IPV流行率、接受度、资源利用和性健康知识方面因财富而异的差异，2)开发和试点针对低财富夫妇的文化定制初级IPV预防干预措施，初步评估可行性、可接受性、安全性和有效性。第一阶段(定量)涉及对200名随机抽样的新婚妇女进行横断面调查，按财富分层，以评估12个月内IPV的频率(使用我们最近开发的印度家庭暴力和控制量表)、性健康知识、IPV接受度以及IPV支持服务的使用和障碍。第二阶段(定性)使用关键的线人访谈和焦点小组，通过审查社区对重要干预内容、可接受性和可行性以及参与障碍的看法来制定干预措施。第三阶段对20对夫妻双方进行为期一个月的干预试验，评估1)干预后的可接受性和可行性，使用对参与者和干预工作人员的半结构化访谈，以及2)3个月后的安全性和有效性，使用半结构化访谈和调查，量化双方对IPV可接受性和性别平等以及性健康知识和IPV资源的态度与干预前水平的变化。

DESCRIPTION (provided by applicant): This IRSDA application embodies the Fogarty mission of facilitating global health research through building collaboration between international health research institutes and training new global health scientists. The award will enable Dr. Ameeta Kalokhe, a 2012-2013 Fogarty Global Health Fellow at the National AIDS Research Institute (NARI, Pune, India) and infectious diseases physician at Emory University, to establish herself as an independently-funded, global health researcher with capacity to develop and implement effective, culturally-tailored interventions to curb intimate partner violence (IPV) in India. The career development plan will provide Dr. Kalokhe with 1) enhanced knowledge of IPV theories and their application in designing prevention interventions in the Indian context, methods for developing and accessing behavioral interventions, and qualitative study design and analysis, 2) a strong grasp of the ethical considerations in conducting international IPV research, and 3) improved oral and written research presentation skills to disseminate results to multi-disciplinary, international audiences. Dr. Kalokhe has assembled a diverse mentorship team that collectively has extensive knowledge and experience in conducting IPV research (in low- and middle-income countries including India), utilizing behavioral theory to develop behavioral health interventions, and in-depth Indian cultural understanding. This includes primary Emory and India mentors, Rob Stephenson, PhD and Seema Sahay, PhD, and co-mentors Carlos del Rio, MD, Kristin Dunkle, PhD, and Anuradha Paranjape, MD. IPV is prevalent among women in India and associated with poor mental and physical health. This study will be conducted in Pune, India through NARI and aims to 1) explore differences by wealth in IPV prevalence, acceptance, and resource utilization, and sexual health knowledge among recently-married women, and 2) to develop and 3) pilot a culturally-tailored primary IPV prevention intervention in low-wealth husband-wife dyads to preliminarily evaluate feasibility, acceptability, safety, and efficacy. Phase I (quantitative) involves cross-sectional survey administration to 200 randomly-sampled, recently-married women stratified by wealth to assess 12-month frequency of IPV (using our recently-developed Indian Family Violence and Control Scale), sexual health knowledge, IPV acceptance, and use and barriers to use of IPV support services. Phase II (qualitative) uses key informant interviews and focus groups to develop the intervention by examining community perspectives on vital intervention components, acceptability and feasibility, and barriers to participation. Phase III pilots the intervention in sessions over a month to 20 husband-wife dyads and assesses 1) acceptability and feasibility post-intervention using semi-structured interviews with participants and intervention staff and 2) safety and efficacy at 3 months using semi-structured interviews and surveys quantifying the change in the dyad's attitudes toward IPV acceptability and gender equality and knowledge of sexual health and IPV resources from pre-intervention levels.