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，会对青少年的心理和身体健康产生短期和长期的负面影响，导致危险的性行为，增加感染艾滋病毒的风险。大多数艾滋病毒预防计划包括旨在减少危险性行为的教育和行为干预措施。最近的研究表明，许多艾滋病毒预防计划对于有性虐待史的人来说并不那么有效，并强调需要在艾滋病毒和暴力预防的背景下解决 CSA 问题。西方的广泛研究表明，对遭受性虐待的儿童实施循证创伤重点治疗（TF-CBT）后，症状和危险性行为显着减少。撒哈拉以南非洲艾滋病毒危机的紧迫性和 CSA 意识的提高要求我们关注这些关键和重叠领域。由于对文化因素的担忧以及在资源匮乏国家开展研究的困难，CSA 和 HIV 的研究很少。跨文化研究人员提出了一种逐步的方法，结合定性方法和可行性研究，以增加成功实施和治疗效果的可能性。拟议的以患者为导向的研究职业发展奖（K23）的主要目标是将艾滋病毒预防、创伤重点治疗和跨文化心理健康领域纳入培训计划，使候选人做好成为独立调查员的准备。在艾滋病毒感染人群中以儿童为中心的心理健康干预措施的有效性。主要培训目标包括获得：1) 公共卫生硕士学位，2) 全球艾滋病毒/艾滋病社会生物学问题、跨文化心理健康评估（定性和定量）以及情感神经科学作为框架的专门培训，以及3) 针对性虐待儿童的 TF-CBT 高级培训，包括其适应和实施的可行性。主要研究目标包括：1) 针对赞比亚受艾滋病毒影响的性虐待儿童的认知、情感和行为症状制定适合文化且当地有效的措施，2) 为受艾滋病毒影响的受性虐待赞比亚儿童采用 TF-CBT（ TF-CBT-AZ)，以及 3) 评估实施 TF-CBT-AZ 的可接受性和可行性。调查结果将用于候选人的 R01 申请。