A Parenting Intervention for HIV+ Moms: The IMAGE program

针对艾滋病毒妈妈的育儿干预：IMAGE 计划

基本信息

批准号：
8388801
负责人：
DEBRA A. MURPHY
金额：
$ 14.22万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-04-01 至 2014-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8388801
关键词：
14 year old AIDS/HIV problem Address Age Behavior Therapy Behavioral Child Chronic Data Development Disclosure Educational Intervention Effectiveness Epidemic Evaluation Family Female of child bearing age Future Goals Growth HIV HIV Seropositivity Health behavior change Incidence Individual Intervention Intervention Trial Interview Lead Learning Life Medical Mental Health Modeling Modification Mothers Motivation Observational Study Outcome Parent-Child Relations Parenting behavior Parents Perception Pilot Projects Prevention Problem behavior Randomized Recruitment Activity Reporting Research Research Design Research Personnel Risk Role Self Care Self Concept Social support Source Stress Testing Time Woman Work austin base coping design efficacy testing experience follow-up improved information processing medication compliance parent-child communication parental monitoring physical conditioning pilot trial programs prospective psychologic public health relevance secondary outcome skills skills training social stigma theories therapy development trend

项目摘要

DESCRIPTION (provided by applicant): The incidence of HIV is high among women of childbearing age in the U.S., and mothers living with HIV (MLH) report their greatest source of stress is combining the maternal role with the psychological and medical demands of coping with a chronic, life-threatening condition. The purpose of this R01 pilot study is to develop and then test the feasibility of implementing a parenting intervention for HIV-infected mothers with well children age 6 - 14 years old. The intervention is designed to improve parenting skills and maternal self-care skills in order to improve child and maternal outcomes. The basis for development of this intervention is work from two previous R01s (MH # 5R01MH057207, currently Yr. 12) designed to longitudinally assess HIV-positive mothers and their children. MLH (n = 60) and their children (total N = 120) will be recruited, randomized to a theory- based, skills training intervention or a control condition, and assessed at baseline and 3, 6, and 12-month follow-ups. The intervention ("Improving Mothers' parenting Abilities, Growth, & Effectiveness"-the IMAGE program) will consist of 5 sessions, and will be based on the Information - Motivation - Behavioral Skills (IMB) model of health behavior change, with specific skills selected based on our 10-year observational study of MLH and their children, which is on-going at UCLA. A random subset of 40% of the intervention mothers (n = 12) will be asked to participate in an in-depth qualitative interview after their last follow-up, to obtain detailed process information on their experiences in the intervention. The main aims of this randomized pilot trial are to: 1. develop the intervention and then evaluate the feasibility and acceptability of implementing the 5-week, theory based, individual behavior intervention to enhance positive parenting skills of MLH; and 2. conduct preliminary evaluation of the data for effect sizes and investigate trends in the data for: a. parenting practices outcomes (utilizing the parent practices scale), and secondary outcomes of parenting efficacy; b. parenting behaviors targeted (parent-child communication, parental monitoring, family routines, and appropriate parentification), and the self-care skills targeted (social support, disclosure, dealing with perceived stigma); c. maternal outcomes for mental health indicators and physical health indicators; d. child outcomes of mental health indicators, behavioral problems, and self-concept and coping; and e. family outcomes (family functioning, parent-child relationship). We are now in the third decade of the HIV epidemic, and few interventions, other than for prevention or medication adherence, are available for women living with HIV; this study will be the first step in the evaluation an intervention that will assist HIV-positive mothers in dealing with the stress of parenting while coping with HIV. The pilot data will lead to a future application for a full-scale trial of the intervention to test efficacy.

描述（由申请人提供）：在美国的育龄妇女中，艾滋病毒的发病率很高，艾滋病毒（MLH）的母亲报告说，他们最大的压力来源是将母性的作用与应对的心理和医疗需求与慢性生命，威胁生命的疾病相结合。这项R01试点研究的目的是开发和测试为6至14岁的艾滋病毒感染的母亲实施育儿干预措施的可行性。干预旨在提高育儿技能和母亲自我保健技能，以改善儿童和产妇的结果。此干预措施开发的基础是从前两个R01（MH＃5R01MH057207，目前12）的工作，旨在纵向评估HIV阳性母亲及其子女。 MLH（n = 60）及其子女（总n = 120）将被招募，随机分配到基于理论的，技能训练干预或控制状态，并在基线以及3、6、6和12个月的随访中进行评估。干预措施（“提高母亲的育儿能力，成长和有效性” - 图像计划）将包括5次会议，并将基于健康行为行为改变的信息 - 动机 - 行为技能（IMB）模型，并根据我们对MLH及其子女的10年观察性研究选择了特定的技能，这将在UCLA中正在进行中。将要求40％的干预母亲（n = 12）的随机子集在上次随访后参加深入的定性访谈，以获取有关其干预经验的详细过程信息。这项随机试验试验的主要目的是：1。开发干预措施，然后评估实施为5周，基于理论的个人行为干预以提高MLH积极育儿技能的可行性和可接受性；和2。对效应大小的数据进行初步评估，并研究以下数据的趋势：育儿实践结果（利用父母实践量表）和育儿效力的次要结果； b。育儿行为针对性（亲子沟通，父母监测，家庭例行程序和适当的父母化）以及针对性的自我保健技能（社会支持，披露，应对感知的污名）； c。心理健康指标和身体健康指标的孕产妇结果； d。心理健康指标，行为问题以及自我概念和应对的儿童结果；和e。家庭成果（家庭功能，亲子关系）。我们现在处于艾滋病毒流行的第三个十年，除了预防或药物依从性以外，很少有干预措施适用于艾滋病毒的妇女。这项研究将是评估干预措施的第一步，该干预措施将有助于HIV阳性母亲在应对HIV时应对育儿的压力。试点数据将导致将来的申请进行干预措施的全面试验，以测试功效。