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

基本信息

批准号：
8484447
负责人：
Trace S Kershaw
金额：
$ 21.97万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-07-26 至 2015-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8484447
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 risk 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 man young mother young woman

项目摘要

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.

描述（由申请人提供）：本研究旨在开发，实施和评估创新的15条经营夫妇干预措施，以小组格式提供给年轻父母，旨在加强关系并降低艾滋病毒的风险。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。我们将使用依恋理论的指导框架和以情绪为中心的疗法的原理，我们将直接解决情感，亲密关系和关系功能的问题，以创造一种干预措施，以增强浪漫关系并减少艾滋病毒的风险行为。我们的干预措施将与现有的基于社区的育儿计划集成。我们干预的最终目的是减少艾滋病毒/性病风险（并发，伴侣的数量，不受保护的性别），加强关系并改善年轻育儿异性恋夫妇的育儿。该研究将首先包括干预的发展。这将通过举办8-10个年轻育儿男人和女人的4个焦点小组来收集有关干预的内容，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次关键的线人访谈，以评估实施干预的可能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线人访谈的结果来开发和修改干预内容和送货材料。我们将与六对夫妇进行干预试点，然后对42对育儿夫妇进行一项小型飞行员随机对照试验，然后随机分配了随机的育儿夫妇，从而增强了HIV预防干预或主动控制。我们将在基线，4个月和8个月的性风险（并发，性伴侣的数量，无保护的性别）和关系功能上评估夫妇。我们还将评估干预措施的可行性，可接受性和保真度。