Family-to-Family: Psychoeducation to Improve Children's Outcomes in HIV+ Families

家庭对家庭：通过心理教育改善艾滋病毒家庭儿童的结局

• 批准号: 7125979
• 负责人: Mary Jane Rotheram-Borus
• 金额: $ 58.95万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-23 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7125979
• 关键词: AIDS education /prevention; HIV infections; behavioral /social science research tag; belief; children; clinical research; coping; culture; education evaluation /planning; family structure /dynamics; human subject; psychological stressor; social adjustment; social support network; southeast Asia

DESCRIPTION (provided by applicant): HIV has a negative intergenerational impact on families, particularly children with HIV+ parents (Rotheram-Borus et al., 1997). In order to improve the social, behavioral and mental health outcomes for children affected by HIV, we have designed the Family-to-Family (F2F) intervention that includes the critical, universal, program components identified by the NIMH Intervention Workgroup (in revision). All efficacious intervention programs: frame the problem by providing information and shaping beliefs; enhance skills; establish supportive relationships; and remove environmental barriers to behavior change (e.g, HIV testing, ARV). We aim to evaluate a generic intervention approach that is culturally-tailored to families affected by HIV in a specific country, Thailand. The intervention builds on previous efficacious HIV family interventions, adapted to be sustainable in a developing country context. The F2F intervention for HIV+ parents and their family caregivers will assist families to cope with HIV-related stressors (disclosure, stigma, transmission, & custody), build skills for improving their own and their children's adjustment, and establish supportive community relationships with other families affected by HIV. Families in Thailand need such an intervention: 1 in 4 elderly adults in Thailand will raise an AIDS orphan, even with a relatively low national seroprevalence rate (1.2%). The study will proceed in 2 phases. In Phase 1, we will pilot and finalize the intervention, assessments, and procedures with 40 families, 10 of whom are "positive models." In Phase 2, families with HIV+ parents (400 HIV+ parents, 600 family caregivers) from 4 district hospitals in Chang Rai & Nakhon Ratchasima Provinces will be recruited to an intervention to benefit their 960 school-aged children aged 6-17 years. At their clinical care site, we will randomly assign families to either: 1) F2F, a psychoeducational intervention for HIV+ parents and family caregivers delivered in drop-in groups by healthcare providers (not including their children); or 2) a Standard Care intervention. The impact of the F2F intervention will be monitored over 24 months (baseline, 3, 6, 12, 18, & 24 months). The primary outcomes are school-age children's social, behavioral and mental health status. HIV+ parent's and family caregivers' health mental health, parenting skills, and family bonds are intermediate outcomes.

描述（由申请人提供）：艾滋病毒对家庭，尤其是艾滋病毒+父母的儿童具有负面的代际影响（Rotheram-Borus等，1997）。为了改善受艾滋病毒影响儿童的社会，行为和心理健康成果，我们设计了家庭对家庭（F2F）干预措施，其中包括NIMH干预工作组（修订版）确定的关键，通用的计划组件。所有有效的干预计划：通过提供信息和塑造信念来解决问题；提高技能；建立支持性关系；并消除行为改变的环境障碍（例如，艾滋病毒测试，ARV）。我们旨在评估一种通用干预方法，该方法对在泰国一个特定国家受艾滋病毒影响的家庭进行文化定制。这种干预措施是基于以前有效的艾滋病毒家庭干预措施，该干预措施适应发展中国家的背景下的可持续性。艾滋病毒+父母及其家庭护理人员的F2F干预将帮助家庭应对 与艾滋病毒相关的压力源（披露，污名，传播和监护权），建立改善自己和子女的调整的技能，并与受艾滋病毒影响的其他家庭建立支持性的社区关系。泰国的家庭需要这种干预：即使国家血清阳性率相对较低（1.2％），泰国四分之一的成年人中有1个也会提高艾滋病孤儿。该研究将分为两个阶段进行。在第1阶段，我们将与40个家庭进行干预，评估和程序，其中10个是“积极模型”。在第二阶段，来自Chang Rai和Nakhon Ratchasima Provinces的4家地区医院的HIV+父母（400名HIV+父母，600名家庭护理人员）将被招募进行干预，以使他们的960名6-17岁以上的学校受益。在他们的临床护理网站上，我们将随机分配家庭：1）F2F，艾滋病毒+父母的心理教育干预措施， 由医疗保健提供者（不包括孩子）分娩的家庭护理人员；或2）标准护理干预措施。 F2F干预的影响将受到监控 超过24个月（基线，3、6、12、18和24个月）。主要结果是学龄儿童的社会，行为和心理健康状况。艾滋病毒+父母和家庭护理人员的健康 心理健康，育儿技能和家庭纽带是中间结果。