Primary prevention of intimate partner violence in India

印度亲密伴侣暴力的初级预防

基本信息

批准号：
8630614
负责人：
Ameeta Shivdas Kalokhe
金额：
$ 10.95万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-20 至 2018-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8630614
关键词：
Acquired Immunodeficiency Syndrome Age Asthma Attitude Award Behavior Behavior Therapy Behavioral Child health care Chronic Collaborations Communicable Diseases Communities Country Couples Courtship Cross-Sectional Studies Development Development Plans Disease Doctor of Philosophy Economics Epidemiology Ethics Family Violence Family health status Fatigue Focus Groups Frequencies Funding Gender HIV Health Health Surveys High Prevalence Husband Income India Injury International Intervention Interview Knowledge Link Low income Marriage Maternal Health Measures Mediation Mental Health Mentors Mentorship Methods Mission Oral Outcome Participant Pathway interactions Pattern Phase Physicians Population Poverty Predisposition Prevalence Prevention strategy Preventive Intervention Primary Prevention Psyche structure Questionnaires Reporting Research Research Design Research Institute Research Personnel Research Training Resources Safety Sampling Schools Scientist Services Sexual Health Sexually Transmitted Diseases Structure Surveys Taboo Universities Violence Wife Woman Writing behavioral health career development design experience follow-up global health grasp health knowledge high risk improved indexing informant insight intimate behavior intimate partner violence physical conditioning post intervention prevent programs psychologic public health relevance sexual relationship skills social socioeconomics staff intervention theories therapy development trend violence prevention

项目摘要

This IRSDA application embodies the Fogarty mission of facilitating global health research through building collaboration between international health research institutes and training new global health scientists. The award will enable Dr. Ameeta Kalokhe, a 2012-2013 Fogarty Global Health Fellow at the National AIDS Research Institute (NARI, Pune, India) and infectious diseases physician at Emory University, to establish herself as an independently-funded, global health researcher with capacity to develop and implement effective, culturally-tailored interventions to curb intimate partner violence (IPV) in India. The career development plan will provide Dr. Kalokhe with 1) enhanced knowledge of IPV theories and their application in designing prevention interventions in the Indian context, methods for developing and assessing behavioral interventions, and qualitative study design and analysis, 2) a strong grasp of the ethical considerations in conducting international IPV research, and 3) improved oral and written research presentation skills to disseminate results to multi-disciplinary, international audiences. Dr. Kalokhe has assembled a diverse mentorship team that collectively has extensive knowledge and experience in conducting IPV research (in low- and middle-income countries including India), utilizing behavioral theory to develop behavioral health interventions, and in-depth Indian cultural understanding. This includes primary Emory and India mentors, Rob Stephenson, PhD and Seema Sahay, PhD, and co-mentors Carlos del Rio, MD, Kristin Dunkle, PhD, and Anuradha Paranjape, MD. IPV is prevalent among women in India and associated with poor mental and physical health. This study will be conducted in Pune, India through NARI and aims to 1) explore differences by wealth in IPV prevalence, acceptance, and resource utilization, and sexual health knowledge among recently-married women, and 2) to develop and 3) pilot a culturally-tailored primary IPV prevention intervention in low-wealth husband-wife dyads to preliminarily evaluate feasibility, acceptability, safety, and efficacy. Phase I (quantitative) involves cross-sectional survey administration to 200 randomly-sampled, recently-married women stratified by wealth to assess 12-month frequency of IPV (using our recently-developed Indian Family Violence and Control Scale), sexual health knowledge, IPV acceptance, and use and barriers to use of IPV support services. Phase II (qualitative) uses key informant interviews and focus groups to develop the intervention by examining community perspectives on vital intervention components, acceptability and feasibility, and barriers to participation. Phase III pilots the intervention in 4 sessions over a month to 20 husband-wife dyads and assesses 1) acceptability and feasibility post-intervention using semi-structured interviews with participants and intervention staff and 2) safety and efficacy at 3 months using semi-structured interviews and surveys quantifying the change in the dyad's attitudes toward IPV acceptability and gender equality and knowledge of sexual health and IPV resources from pre-intervention levels.

该 IRSDA 应用程序体现了 Fogarty 的使命，即通过以下方式促进全球健康研究：建立国际卫生研究机构之间的合作并培训新的全球卫生科学家。该奖项将使 Ameeta Kalokhe 博士成为国家艾滋病中心 2012-2013 年度福格蒂全球健康研究员研究所（NARI，印度浦那）和埃默里大学传染病医师，建立她自己作为一名独立资助的全球健康研究人员，有能力制定和实施有效的、印度根据文化量身定制的干预措施遏制亲密伴侣暴力 (IPV)。职业发展计划将为 Kalokhe 博士提供 1) 增强的 IPV 理论知识及其在设计中的应用印度背景下的预防干预措施、制定和评估行为干预措施的方法、和定性研究设计和分析，2）强有力地掌握进行研究时的伦理考虑国际 IPV 研究，以及 3) 提高口头和书面研究演示技能以传播结果面向多学科的国际观众。 Kalokhe 博士组建了一支多元化的指导团队在进行 IPV 研究（低收入和中等收入国家）方面共同拥有丰富的知识和经验包括印度在内的国家），利用行为理论来制定行为健康干预措施，并深入印度文化的理解。这包括埃默里大学和印度大学的主要导师 Rob Stephenson 博士和 Seema Sahay 博士和共同导师 Carlos del Rio 医学博士、Kristin Dunkle 博士和 Anuradha Paranjape 医学博士。 IPV 在印度女性中普遍存在，并与心理和身体健康状况不佳有关。这研究将通过 NARI 在印度浦那进行，旨在 1) 探索 IPV 中财富的差异新婚人群的普及率、接受度、资源利用以及性健康知识女性，以及 2) 制定和 3) 在低财富人群中试点针对文化的 IPV 初级预防干预措施夫妻双方初步评估可行性、可接受性、安全性和有效性。第一阶段（定量）涉及对 200 个随机抽样的最近结婚的人进行横断面调查按财富分层的女性评估 12 个月的 IPV 频率（使用我们最近开发的 Indian Family 暴力与控制量表）、性健康知识、IPV 接受度、IPV 使用及使用障碍支持服务。第二阶段（定性）使用关键知情人访谈和焦点小组来制定通过检查社区对重要干预组成部分的看法、可接受性和可行性和参与障碍。第三阶段在一个月内分 4 次进行试点干预，至 20 次夫妻二人并评估 1) 使用半结构化干预后的可接受性和可行性对参与者和干预人员进行访谈，2) 使用半结构化方法 3 个月后的安全性和有效性访谈和调查量化了两人对 IPV 可接受性和性别态度的变化干预前水平的性健康和 IPV 资源的平等和知识。