Primary prevention of intimate partner violence in India

描述（由申请人提供）：该IRSDA申请体现了Fogarty的使命，即通过在国际医学研究机构之间建立合作，促进全球健康研究。 卫生研究机构和培训新的全球卫生科学家。该奖项将使Ameeta Kalokhe博士，2012-2013年Fogarty全球健康研究员在国家艾滋病研究所（NARI，浦那，印度）和埃默里大学的传染病医生，建立自己作为一个独立资助的，全球健康研究人员有能力开发和实施有效的，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）增强IPV理论及其在印度背景下设计预防干预措施的应用，开发和访问行为干预措施的方法，以及定性研究设计和分析，2）在进行国际IPV研究时，以及3）提高口头和书面研究报告的技能，以向多学科的国际受众传播研究成果。Kalokhe博士组建了一个多元化的导师团队，他们在进行IPV研究（在包括印度在内的中低收入国家）方面拥有丰富的知识和经验，利用行为理论制定行为健康干预措施，并深入了解印度文化。这包括主要埃默里和印度导师，罗布斯蒂芬森，博士和西玛萨海，博士，和共同导师卡洛斯德尔里奥，医学博士，克里斯汀邓克尔，博士和阿努拉达Paranjape，医学博士。 IPV在印度妇女中很普遍，与精神和身体健康状况不佳有关。本研究将通过NARI在印度浦那进行，目的是1）探索新婚妇女IPV患病率、接受程度、资源利用和性健康知识的财富差异，2）开发和3）在低财富夫妇中试行文化定制的IPV初级预防干预措施，以初步评估可行性、可接受性、安全性和有效性。第一阶段（定量）涉及横截面调查管理200随机抽样，最近结婚的妇女分层财富评估12个月的IPV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的接受程度，使用和障碍使用IPV支持服务。第二阶段（定性）采用关键的知情人访谈和焦点小组，通过审查社区对重要干预措施组成部分、可接受性和可行性以及参与障碍的看法，制定干预措施。第三阶段对20对夫妻进行为期一个月的干预试验，并评估1）使用参与者和干预人员的半结构化访谈进行干预后的可接受性和可行性，以及2）使用半结构化访谈进行3个月的安全性和有效性。结构化访谈和调查，量化二人对IPV可接受性和性别平等以及性健康和IPV资源知识的态度变化干预前的水平。

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.