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：
8739570
负责人：
Ameeta Shivdas Kalokhe
金额：
$ 13.77万
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/8739570
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

DESCRIPTION (provided by applicant): 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 accessing 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 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.

描述（由申请人提供）：此 IRSDA 申请体现了 Fogarty 的使命，即通过建立国际间的合作来促进全球健康研究健康研究机构和培训新的全球健康科学家。该奖项将使 Ameeta Kalokhe 博士成为一名独立资助的全球健康研究员，她是国家艾滋病研究所（印度浦那 NARI）2012-2013 年福格蒂全球健康研究员和埃默里大学传染病医生有能力制定和实施有效的、适合文化的干预措施，以遏制印度的亲密伴侣暴力 (IPV)。职业发展计划将为 Kalokhe 博士提供 1) 增强的 IPV 理论知识及其在印度背景下设计预防干预措施中的应用、开发和获取行为干预措施的方法以及定性研究设计和分析，2) 深入掌握进行国际 IPV 研究时的伦理考虑，以及 3) 提高口头和书面研究报告技巧，以向多学科的国际受众传播结果。 Kalokhe 博士组建了一支多元化的导师团队，他们在开展 IPV 研究（在包括印度在内的低收入和中等收入国家）、利用行为理论制定行为健康干预措施以及深入了解印度文化方面拥有丰富的知识和经验。其中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，以及联合导师 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。这项研究将通过 NARI 在印度浦那进行，旨在 1) 探讨新婚女性在 IPV 流行率、接受度、资源利用以及性健康知识方面因财富不同而存在的差异，以及 2) 开发和 3) 试点对低财富夫妻进行因文化定制的 IPV 初级预防干预，以初步评估可行性、可接受性、安全性和有效性。第一阶段（定量）涉及对 200 名随机抽样的新婚女性进行横断面调查，按财富分层，评估 12 个月的 IPV 频率（使用我们最近开发的印度家庭暴力和控制量表）、性健康知识、 IPV 接受度、使用情况以及使用 IPV 支持服务的障碍。第二阶段（定性）使用关键知情者访谈和焦点小组，通过检查社区对重要干预组成部分、可接受性和可行性以及参与障碍的看法来制定干预措施。第三阶段在一个月内对 20 名夫妻进行试点干预，并评估 1) 使用与参与者和干预人员进行半结构化访谈的方式干预后的可接受性和可行性，以及 2) 使用半结构化访谈在 3 个月时的安全性和有效性调查量化了二人对 IPV 可接受性和性别平等的态度以及性健康知识和 IPV 资源相对于干预前水平的变化。