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

描述（由申请人提供）：在后种族隔离时代，南非景观的惊人之美和南非社会弥漫的明显希望感与大约550万艾滋病感染者的负担形成鲜明对比（UNAIDS，2006）。南非青年中的艾滋病毒流行率特别令人震惊。现有的研究表明，家庭在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这一流行病的一把钥匙。我们的长期目标是促进以家庭为基础的预防性干预措施，以遏制艾滋病毒的传播。我们的目标是在儿童性活跃之前为家庭制定有效的以家庭为基础的预防干预措施。指导我们工作的核心假设是，提高照顾者的照顾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个文化敏感的家庭为基础的干预模仿父母的问题！计划和现有的一般养育干预措施在南部非洲和形成研究与社区利益相关者，领导人和家庭知情。我们的第二个具体目标是通过当地一个非政府组织招募80个家庭实施干预措施。我们的第三个具体目标是评估干预措施的效力和有效性，采用适合南非国情的过程和结果措施。在我们拟议的工作中，我们计划超越简单地传播现有的成功干预措施，彻底使其适应一个截然不同的文化，具体解决父母生活中存在的艾滋病毒和暴力问题，包括这些因素如何影响养育子女，以及如何克服这些因素，并汇集一个由研究人员、从业人员、父母、儿童和社区领导人组成的多元化团队，制定、实施、并评估干预措施。我们希望这项初步研究为全面的以家庭为基础的干预试验奠定基础，最终结果是减少南非青年中的艾滋病毒传播。 公共卫生相关性：南非面临着艾滋病毒/艾滋病流行病构成的严重威胁，它损害了公共卫生和550多万南非人及其社区的福祉。该项目将制定、实施和评估一项以家庭为基础的干预措施，以遏制南非青年中的病毒浪潮。

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.