Family-Focused HIV Disclosure Intervention in Thailand

描述（由申请人提供）：这是一份指导研究科学家发展奖的提案。研究者的长期目标是成为一名研究领导者，与社区密切合作，为受艾滋病毒影响的家庭设计和实施行为干预。艾滋病毒披露是泰国受艾滋病毒影响家庭的一个主要压力源，其影响辐射到整个家庭。通过将艾滋病毒披露作为一个家庭问题来解决，拟议的研究旨在应用艾滋病毒披露决策的综合模型，以便在泰国东北部开发和试点一种适合文化的干预措施，即小组会议和家庭活动的结合。为了确保可行性和可持续性，拟议的干预措施将被设计成与泰国东北部为拟议研究选择的地区医院的现有保健基础设施相结合。拟建研究的培养目标是：1。获得定性研究方法方面的专业知识，特别是在行为干预研究中使用的深度访谈和焦点小组技术。2. 获得行为干预设计方面的专业知识，重点是以家庭为中心的干预。3. 在定量研究方法方面获得额外的专业知识，特别是在多层次重复测量分析方面。在完成培训目标后，建议研究的具体目的是：1。从艾滋病患者、家庭成员和服务提供者的角度探讨文化态度和环境因素中艾滋病信息披露的关注点、障碍和激励因素（第1阶段）。根据第一阶段的结果，制定以家庭为重点的艾滋病毒披露干预措施（第二阶段）。3. 试点测试和评估干预措施对艾滋病毒披露以及社会、身体、心理健康和行为结果的影响（第3阶段）。与公共卫生的相关性：拟议的研究将与泰国公共卫生部和泰国东北部的地方地区医院小组合作进行。拟议研究的总体目标是为艾滋病患者开发和试点一种干预措施，以帮助他们在向家人披露艾滋病信息方面做出深思熟虑、知情的决定。建议的干预措施将会改善残疾人士及其家庭的调整。

DESCRIPTION (provided by applicant): This is a proposal for a Mentored Research Scientist Development Award. It is the investigator's long-term goal is to be a research leader who works closely with the community to design and implement behavioral interventions for HIV-affected families. HIV disclosure is a key stressor among HIV-affected families in Thailand, and the impact radiates throughout the family. By addressing HIV disclosure as a family matter, the proposed study aims to apply the Integrative Model of HIV Disclosure Decision Making in order to develop and pilot a culturally tailored intervention in Northeastern Thailand that is a combination of group sessions and home-based activities. To ensure the feasibility and sustainability, the proposed intervention will be designed to be integrated within the existing health care infrastructure of the district hospitals in Northeastern Thailand selected for the proposed study. The training goals of the proposed study are: 1. To gain expertise in qualitative research methodology, especially in-depth interviewing and focus group techniques used in behavioral intervention research. 2. To gain expertise in behavioral intervention design, with focus on family-focused interventions. 3. To gain additional expertise in quantitative research methodology, particularly on multi-level repeated measures analysis. Upon completion of the training goals, the specific aims of the proposed study are: 1. To explore the concerns, barriers and motivators within cultural attitudes and contextual factors around HIV disclosure from the perspectives of PLH, family members, and service providers (Phase 1). 2. To develop a family-focused intervention focusing on HIV disclosure (Phase 2), based on the findings from Phase 1. 3. To pilot test and assess the impact of the intervention on HIV disclosure, and social, physical, mental health, and behavioral outcomes (Phase 3). PUBLIC HEALTH RELEVANCE: The proposed study will be conducted in collaboration with the Thai Ministry of Public Health and the local district hospital teams in Northeastern Thailand. The overall goal of the proposed study is to develop and pilot an intervention for PLH to help them make thoughtful, well-informed decisions about HIV disclosure to their family members. The proposed intervention will improve the adjustment of PLH and their families.