Bell Carl C, Bhana Arvin, Petersen Inge, McKay Mary M, Gibbons Robert, Bannon William, Amatya Anup
Community Mental Health Council Inc., 8704 S. Constance, Chicago, IL 60617, USA.
J Natl Med Assoc. 2008 Aug;100(8):936-44. doi: 10.1016/s0027-9684(15)31408-5.
To test the effectiveness of the CHAMP among black South Africans in KwaZulu-Natal, South Africa.
A randomized control trial was conducted in KwaDedangendlale, South Africa, among youths (ages 9-13) and their families (245 intervention families rearing 281 children and 233 control families rearing 298 children). The CHAMPSA intervention targeted HIV risk behaviors by strengthening family relationship processes as well as targeting peer influences through enhancing social problem solving and peer negotiation skills for youths.
Among caregivers in the control and experimental conditions, significant intervention group differences were revealed regarding HIV transmission knowledge, less stigma toward HIV-infected people, caregiver monitoring-family rules, caregiver communication comfort, caregiver communication frequency and social networks. Among youths, data revealed that control and experimental groups were significantly different for children in AIDS transmission knowledge and less stigma toward HIV-infected people.
CHAMPSA enhances a significant number individual, family and community protective factors that can help youths avoid risky behaviors leading to HIV-positive status.
在南非夸祖鲁 - 纳塔尔省的南非黑人中测试CHAMP的有效性。
在南非夸德丹根德莱对青少年(9至13岁)及其家庭进行了一项随机对照试验(245个干预家庭养育281名儿童,233个对照家庭养育298名儿童)。CHAMPSA干预通过加强家庭关系过程来针对艾滋病毒风险行为,并通过提高青少年的社会问题解决能力和同伴谈判技巧来针对同伴影响。
在对照和实验条件下的照料者中,干预组在艾滋病毒传播知识、对艾滋病毒感染者的歧视减少、照料者监督 - 家庭规则、照料者沟通舒适度、照料者沟通频率和社交网络方面存在显著差异。在青少年中,数据显示对照组和实验组在儿童艾滋病传播知识和对艾滋病毒感染者的歧视减少方面存在显著差异。
CHAMPSA增强了大量个人、家庭和社区保护因素,这些因素可以帮助青少年避免导致艾滋病毒阳性状态的危险行为。