Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA 90024, USA.
Soc Sci Med. 2011 Oct;73(8):1214-21. doi: 10.1016/j.socscimed.2011.07.013. Epub 2011 Aug 2.
This article analyzes the efficacy of the Together for Empowerment Activities (TEA) intervention in decreasing depressive symptoms and improving social support for persons living with HIV (PLH) and their family members. A total of 79 families, consisting of 88 PLH and 79 family members, were recruited from Anhui province, China, and randomized to the TEA intervention (n = 38) or a control condition (n = 41). The intervention was delivered at three levels: 1) TEA Gathering (small group for PLH and family members); 2) TEA Time (home-based family activities with children that accompany each TEA Gathering); and 3) TEA Garden (community events that build social integration). Face-to-face interviews were administered at baseline, 3, and 6 months. Mixed-effects regression models and kernel density estimation were used for data analysis. PLH and their family members in the intervention reported significant improvements in depressive symptoms, social support, and family functioning at the 3-month and 6-month follow-up assessments compared to those in the control condition. Heterogeneous intervention effects on social support and family functioning were indicated at the 6-month follow-up. The intervention could have various effect patterns for different subgroups within the intervention condition. This study provides preliminary data to support the feasibility and efficacy of a multilevel intervention.
本文分析了赋权活动（TEA）干预对降低 HIV 感染者（PLH）及其家庭成员抑郁症状和改善社会支持的效果。共有 79 个家庭，包括 88 名 PLH 和 79 名家庭成员，来自中国安徽省，被随机分配到 TEA 干预组（n=38）或对照组（n=41）。干预在三个层面进行：1）TEA 聚会（PLH 和家庭成员的小组活动）；2）TEA 时间（有孩子陪伴的家庭活动，伴随每次 TEA 聚会）；3）TEA 花园（促进社会融合的社区活动）。在基线、3 个月和 6 个月时进行面对面访谈。采用混合效应回归模型和核密度估计进行数据分析。与对照组相比，干预组的 PLH 及其家庭成员在 3 个月和 6 个月的随访评估中报告抑郁症状、社会支持和家庭功能显著改善。在 6 个月的随访中，社会支持和家庭功能的干预效果存在异质性。干预对干预条件内的不同亚组可能具有不同的影响模式。本研究提供了初步数据，支持多层次干预的可行性和有效性。
