Enhancing Parenting Skills Among HIV+ Mothers

提高艾滋病毒母亲的育儿技巧

• 批准号: 6449827
• 负责人: Katharine E. Stewart
• 金额: $ 29.94万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-03-01 至 2007-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6449827
• 关键词: HIV infections; behavior; behavioral /social science research tag; child rearing; clinical research; cognitive behavior therapy; coping; female; human subject; mother child interaction; outcomes research; parents; patient oriented research; stress; stress management; women's health

DESCRIPTION (provided by applicant): The incidence of HIV infection is increasing among heterosexual women of childbearing age in the United States. Advances in the treatment of HIV have resulted in longer lifespans for those with the virus, as well as reductions in the incidence of vertical transmission. Women living with HIV report that their greatest source of stress is combining their role as mother with the medical and psychological demands of coping with a chronic, life-threatening condition. Social isolation, depression, and a lack of confidence in parenting skills are common, and significantly affect women?s quality of life. Despite this evolution in the epidemic, interventions to assist HIV+ mothers with the demands of the combined parent and patient roles are rare. Such interventions are urgently needed by this highly burdened yet underserved population. The primary objective of the proposed 5-year project is to conduct a randomized clinical trial to evaluate the efficacy of a 6-week, theory-based, behavioral intervention to enhance positive parenting skills among HIV+ mothers. We will recruit 240 participants from among women receiving services at the UAB 1917 Clinic, the Children?s Hospital Family Clinic, AIDS Alabama, or AIDS in Minorities. Participants will be randomized either to an attention control condition or to a theory-based skills training condition that systematically addresses specific psychosocial issues associated with parenting as an HIV+ mother. The primary outcome measure to evaluate parenting outcomes will be use of positive parenting behaviors, measured by the Parent Practices Scale. The secondary outcome measures will be physical and mental maternal health status, measured by the MOS-HIV, and children?s behavior, measured by the CBCL. Additional measures collected will include parenting self-efficacy, overall parenting stress, children?s reports of parental behaviors, and behavioral observations of parent-child interactions. Depressive symptoms, hopelessness, household composition, child temperament and serostatus, and parents? social support will also be assessed to examine theoretical assumptions regarding the relationships between these constructs and parenting. Outcome measures will be collected at baseline and at weeks 6, 18, and 30. This application brings together a strong group of investigators with a history of individual and collaborative research relevant to the conduct of the proposed study examining the behavioral and social issues faced by HIV-affected families.

描述（由申请人提供）：HIV感染的发生率为 美国育龄的异性恋妇女的增加。 艾滋病毒治疗的进步已导致寿命更长 病毒以及垂直发生率的降低 传播。患有艾滋病毒的妇女报告说，她们最大的压力来源 将他们作为母亲的角色与医学和心理要求相结合 应对慢性，威胁生命的状况。社交隔离， 抑郁，对育儿技能缺乏信心很普遍，并且 显着影响女性的生活质量。尽管在 流行病，以协助艾滋病毒+母亲的干预措施 父母和患者角色很少见。迫切需要这样的干预措施 这个高负担但服务不足的人口。的主要目标 拟议的5年项目将进行一项随机临床试验以评估 基于理论的6周，行为干预的功效以增强 艾滋病毒+母亲的积极育儿技能。我们将招募240名参与者 在UAB 1917诊所接受服务的妇女中，孩子们 医院家庭诊所，阿拉巴马州艾滋病或少数民族的艾滋病。参与者会 被随机分为注意力控制条件或基于理论的条件 技能培训条件系统地解决特定的社会心理 与育儿+母亲相关的问题。主要结果度量 评估育儿结果将是使用积极的育儿行为， 通过父练习量表来衡量。次要结果措施将是 通过MOS-HIV衡量的身体和精神孕产妇健康状况， 儿童的行为，由CBCL衡量。收集的其他措施将 包括育儿自我效能感，整体育儿压力，儿童报告 父母行为和亲子的行为观察 互动。抑郁症状，绝望，家庭组成，儿童 气质和血清，父母？社会支持也将被评估 检查有关这些关系之间关系的理论假设 结构和育儿。结果指标将在基线和 第6、18和30周。此应用程序汇集了一组强大的 具有个人和协作研究历史的研究人员相关 拟议的研究进行了研究行为和社会问题 面对受艾滋病毒影响的家庭。