HIV and Child Sexual Abuse in Zambia: An Intervention Feasibility Study

赞比亚的艾滋病毒和儿童性虐待：干预可行性研究

• 批准号: 7120980
• 负责人: Laura Kay Murray
• 金额: $ 14.24万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7120980
• 关键词: AIDS education /prevention; Africa; HIV infections; adolescence (12-20); child abuse; child mental health service; clinical research; culture; female; health care service evaluation; health services research tag; human subject; middle childhood (6-11); patient oriented research; psychological shock; sex abuse

DESCRIPTION (provided by applicant): Child sexual abuse (CSA) is a devastating experience that has negative short and long-term consequences on the psychological and physical well-being of youth, leading to risky sexual behaviors that increase HIV risk. Most HIV prevention programs consist of education and behavioral interventions aimed at reducing sexual risk behaviors. Recent research suggests that many HIV prevention programs are not as effective for those with sexual abuse histories and emphasizes the need to address CSA in the context of HIV and violence prevention. Extensive research from the West shows a significant reduction in symptoms and risky sexual behaviors after implementation of an evidence-based trauma-focused treatment (TF-CBT) for sexually abused children. The urgency of the HIV crisis in sub-Saharan Africa and the increasing awareness of CSA demand attention to these critical and overlapping areas. CSA and HIV are rarely studied due to concerns about cultural factors and the difficulty of conducting research in low-resource countries. Cross- cultural researchers suggest a step-wise approach that incorporates qualitative methods and a feasibility study to increase the likelihood of successful implementation and treatment effectiveness. The primary goal of the proposed Mentored Patient-Oriented Research Career Development Award (K23) is integrate the areas of HIV prevention, trauma-focused treatments, and cross-cultural mental health into a training plan that prepares the Candidate to be an independent investigator of the effectiveness of child-focused mental health interventions in HlV-affected populations. Primary training goals include obtaining: 1) a Masters in Public Health, 2) specialized training in the socio-biologic issues of global HIV/AIDS, cross-cultural mental health assessment (qualitative and quantitative), and affective neuroscience as a framework, and 3) advanced training in TF-CBT for sexually abused children including its adaptation and implementation feasibility. The primary research goals include: 1) To develop culturally appropriate and locally valid measures of cognitive, affective and behavioral symptomatology of HlV-affected sexually-abused children in Zambia, 2) To adapt TF-CBT for HlV-affected sexually abused Zambian children (TF-CBT-AZ), and 3) To assess the acceptability and feasibility of implementing TF-CBT-AZ. Findings will be used in the Candidate's application for an R01.

描述（由申请人提供）：儿童性​​虐待（CSA）是一种毁灭性的经历，对年轻人的心理和身体健康产生负面的短期和长期后果，从而导致风险增加艾滋病毒风险的性行为。大多数艾滋病毒预防计划包括旨在减少性风险行为的教育和行为干预措施。最近的研究表明，许多预防艾滋病毒预防计划对患有性虐待历史的人并不那么有效，并强调需要在艾滋病毒和暴力预防的情况下解决CSA。西方的广泛研究表明，在实施针对性虐待儿童的基于证据的以创伤为重点的治疗（TF-CBT）后，症状和危险性行为的大幅减少。撒哈拉以南非洲艾滋病毒危机的紧迫性以及对CSA的越来越多的意识要求关注这些关键和重叠地区。由于对文化因素的担忧以及在低资源国家进行研究的困难，因此很少研究CSA和HIV。跨文化研究人员提出了一种逐步的方法，该方法结合了定性方法和一项可行性研究，以提高成功实施和治疗效果的可能性。拟议的注重患者的研究职业发展奖（K23）的主要目标是整合了预防艾滋病毒的领域，以创伤为中心的治疗和跨文化心理健康融入了一项培训计划，该计划使候选人成为HLV受与HLV受孩子健康干预措施的独立研究者的独立研究者。主要培训目标包括获得：1）公共卫生的硕士学位，2）全球艾滋病毒/艾滋病的社会生物学问题的专业培训，跨文化心理健康评估（定性和定量），情感神经科学作为框架，以及3）3）在包括其适当的儿童（包括其适当性和实施性）中，在TF-CBT中进行了高级培训。主要的研究目标包括：1）在赞比亚开发适当和有效的局部有效措施，以对受HLV影响的性虐待儿童进行认知，情感和行为症状学，2）2）适应TF-CBT的HLV影响性滥用性虐待的赞比亚儿童（TF-CBT-AZ）（TF-CBT-az），以评估可接受性和菲斯特（TF）的可接受性。调查结果将在候选人的R01申请中使用。