HIV Risk Reduction for South African Youth: Creating a Trauma-Informed Family-Bas

降低南非青少年的艾滋病毒风险：创建一个了解创伤的家庭基地

基本信息

批准号：
7757190
负责人：
LISA P ARMISTEAD
金额：
$ 17.98万
依托单位：
GEORGIA STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-15 至 2011-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7757190
关键词：
14 year old 19 year old AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Adolescent Adolescent Behavior Affect African Age Beauty Caregivers Caring Child Collaborations Communication Communities Data Development Effectiveness Epidemic Face Family Foundations Funding Gender Role Goals HIV Incidence Individual Intervention Intervention Studies Intervention Trial Life Living Wills Measurement Modeling Mothers Outcome Outcome Measure Palpable Parent-Child Relations Parenting behavior Parents Personal Satisfaction Prevalence Preventive Intervention Process Public Health Randomized Clinical Trials Recruitment Activity Research Research Personnel Risk Risk Reduction Shapes Societies South Africa Southern Africa Supervision Testing Time Trauma Treatment Efficacy United States Validation Violence Virus Work Youth base community organizations design experience family structure innovation meetings member parental influence programs public health relevance sex risk sexually active skills social stem successful intervention transmission process violence against women

项目摘要

DESCRIPTION (provided by applicant): The stunning beauty of the South African landscape and the palpable sense of hope pervading South African society in the post-apartheid era contrast starkly to the burden of approximately 5.5 million people infected with AIDS (UNAIDS, 2006). HIV prevalence among South African youth is particularly alarming. Existing research illustrates the potential of families to shape adolescent behavior in general. Families may, therefore, hold one key to slowing the epidemic. Our long-range goal is to advance the state of family-based preventive interventions that stem the spread of HIV. Our objective is to develop an efficacious family-based preventive intervention for families before their children become sexually active. The central hypothesis that guides our work is that enhancing caregivers' capacity to care is related to reduced risk and vulnerability among children and young adolescents. Our first specific aim is to design a culturally sensitive family-based intervention modeled after the Parents Matter! Program and informed by existing general parenting interventions in Southern Africa and formative research with community stakeholders, leaders, and families. Our second specific aim is to implement the intervention with 80 families recruited through a local non-governmental organization. Our third specific aim is to evaluate the intervention's efficacy and effectiveness with process and outcome measures, tailored to the South African context. In our proposed work we plan to move beyond simple dissemination of an existing successful intervention to thoroughly adapting it to a vastly different culture, address concretely the existence of HIV and violence in parents' lives, including how these factors can compromise parenting, and how they can be overcome, and bring together a diverse team of researchers, practitioners, parents, children, and community leaders to develop, implement, and evaluate the intervention. We expect this initial study to lay the groundwork for a full-scale family-based intervention trial with an ultimate outcome of reducing HIV transmission among South African youth. PUBLIC HEALTH RELEVANCE: South Africa faces dire threats posed by the HIV/AIDS epidemic, which compromises public health and the well-being of over 5.5 million South Africans and their communities. This project will develop, implement, and evaluate a family-based intervention to stem the tide of the virus among South African youth.

描述（由申请人提供）：后种族隔离时代南非令人惊叹的美丽风景和南非社会弥漫的明显希望感与大约 550 万艾滋病感染者的负担形成鲜明对比（联合国艾滋病规划署，2006 年）。南非青年中的艾滋病毒感染率尤其令人担忧。现有研究表明家庭总体上具有塑造青少年行为的潜力。因此，家庭可能掌握着减缓疫情的一把钥匙。我们的长期目标是推进以家庭为基础的预防干预措施，阻止艾滋病毒的传播。我们的目标是在孩子发生性行为之前为家庭制定有效的家庭预防干预措施。指导我们工作的核心假设是，提高护理人员的护理能力与降低儿童和青少年的风险和脆弱性有关。我们的第一个具体目标是设计一种以“父母很重要”为模型的文化敏感的基于家庭的干预措施！该计划的依据是南部非洲现有的一般育儿干预措施以及与社区利益相关者、领导人和家庭的形成性研究。我们的第二个具体目标是通过当地非政府组织招募 80 个家庭来实施干预措施。我们的第三个具体目标是通过适合南非国情的过程和结果措施来评估干预措施的效力和有效性。在我们拟议的工作中，我们计划超越简单传播现有成功的干预措施，使其彻底适应截然不同的文化，具体解决父母生活中艾滋病毒和暴力的存在，包括这些因素如何损害养育子女，以及它们如何影响父母的生活。可以克服，并汇集由研究人员、从业者、家长、儿童和社区领导者组成的多元化团队来制定、实施和评估干预措施。我们预计这项初步研究将为全面的家庭干预试验奠定基础，最终结果是减少南非青年中的艾滋病毒传播。公共卫生相关性：南非面临艾滋病毒/艾滋病流行带来的严峻威胁，该流行病损害了超过 550 万南非人及其社区的公共卫生和福祉。该项目将制定、实施和评估基于家庭的干预措施，以遏制南非年轻人中的病毒流行。