A Couple-Based Relationship Strengthening HIV Intervention for Young Parents

以夫妻为基础的关系加强对年轻父母的艾滋病毒干预

• 批准号: 8216845
• 负责人: Trace S Kershaw
• 金额: $ 24.45万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-26 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8216845
• 关键词: AIDS prevention; Address; Adolescent; Age; Behavior; Child; Climacteric; Cognitive; Communities; Conflict (Psychology); Control Groups; Couples; Development; Effectiveness; Emotions; Evaluation; Family Planning; Feedback; Focus Groups; Goals; HIV; HIV/STD; Health; Heterosexuals; Incidence; Individual; Intervention; Interview; Life; Manuals; Meta-Analysis; Minority; Motivation; Outcome; Outcome Measure; Parenting behavior; Parents; Participant; Personal Satisfaction; Persons; Population; Postpartum Period; Prevalence; Preventive Intervention; Process; Process Measure; Qualitative Evaluations; Randomized; Randomized Controlled Trials; Research; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Sexual Health; Sexual Partners; Social Workers; Source; Staging; Stress; Structure; Time; Training; Unmarried person; Unsafe Sex; Woman; Writing; active control; base; condoms; experience; high risk; improved; informant; information gathering; innovation; intimate behavior; men; pandemic disease; prevent; programs; satisfaction; sexual relationship; skills; success; theories; therapy development; urban area; young mother

DESCRIPTION (provided by applicant): This study seeks to develop, implement and assess an innovative 15-session couple-based intervention to be delivered in a group format to young parents that aims to strengthen relationships and reduce HIV risk. Few HIV prevention interventions incorporate emotion and relationship factors into risk reduction. Using the guiding framework of Attachment Theory and the principles of Emotion Focused Therapy, we will directly address issues of emotion, intimacy, and relationship functioning to create an intervention that strengthens romantic relationships and reduces HIV risk behavior. Our intervention will be integrated with an existing community based parenting program. The ultimate goal of our intervention is to reduce HIV/STD risk (concurrency, number of partners, unprotected sex), strengthen relationships, and improve parenting among young parenting heterosexual couples. The study will first consist of the development of the intervention. This will be achieved by conducting 4 focus groups of 8-10 young parenting men and women to gather information about the content, structure and implementation of the intervention. We will also conduct 8-10 key informant interviews of clinicians, social workers, and community leaders to assess possible barriers to intervention implementation, as well as information about intervention structure. We will use the results from the focus groups and key informant interviews to develop and modify intervention content and delivery materials. We will conduct a pilot of the intervention with six couples employing rigorous qualitative evaluation before conducting a small pilot randomized controlled trial of 42 parenting couples randomized to either the relationship strengthening HIV prevention intervention or an active control. We will assess couples at baseline, 4-months, and 8-months on sexual risk (concurrency, number of sex partners, unprotected sex) and relationship functioning. We will also assess the feasibility, acceptability and fidelity of the intervention. PUBLIC HEALTH RELEVANCE: This study develops a couple-based HIV prevention intervention that is innovative and important because it integrates an intervention that improves sexual health, relationship functioning, family planning skills, and parenting skills. By targeting high risk heterosexual couples experiencing an important life transition that increases their stress, conflict, and sexual risk, we can provide maximum benefit to the men, women, and children in our communities.

描述（由申请人提供）：本研究旨在开发、实施和评估一项以夫妻为基础的创新干预措施，为期 15 次，以小组形式向年轻父母提供，旨在加强关系并降低艾滋病毒风险。很少有艾滋病毒预防干预措施将情绪和关系因素纳入降低风险的范围。利用依恋理论的指导框架和情绪聚焦治疗的原则，我们将直接解决情绪、亲密关系和关系功能问题，以制定一种干预措施，加强浪漫关系并减少艾滋病毒危险行为。我们的干预措施将与现有的基于社区的育儿计划相结合。我们干预的最终目标是降低艾滋病毒/性病风险（同时性、伴侣数量、无保护性行为）、加强关系并改善年轻育儿异性夫妇的育儿方式。该研究首先包括干预措施的制定。这将通过举办 4 个由 8-10 名年轻育儿男女组成的焦点小组来实现，以收集有关干预措施的内容、结构和实施的信息。我们还将对临床医生、社会工作者和社区领袖进行 8-10 次关键知情人访谈，以评估干预实施可能存在的障碍以及有关干预结构的信息。我们将利用焦点小组和关键知情人访谈的结果来制定和修改干预内容和交付材料。我们将采用严格的定性评估对 6 对夫妇进行干预试点，然后对 42 对育儿夫妇进行小型试点随机对照试验，随机分配到加强关系的 HIV 预防干预或主动对照。我们将在基线、4 个月和 8 个月时评估夫妻的性风险（并发性、性伴侣数量、无保护性行为）和关系功能。我们还将评估干预措施的可行性、可接受性和保真度。 公共卫生相关性：本研究开发了一种基于夫妇的艾滋病毒预防干预措施，该干预措施具有创新性且重要，因为它整合了改善性健康、关系功能、计划生育技能和育儿技能的干预措施。通过针对正在经历重要人生转变、增加压力、冲突和性风险的高风险异性恋夫妇，我们可以为社区中的男性、女性和儿童提供最大的利益。