HIV 感染者家庭在 18 个月内的干预结果。
Intervention outcomes among HIV-affected families over 18 months.
机构信息
Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles, 10920 Wilshire Blvd., Ste. 350, Los Angeles, CA 90024, USA.
出版信息
AIDS Behav. 2012 Jul;16(5):1265-75. doi: 10.1007/s10461-011-0075-z.
Abstract
We evaluate the efficacy of a family-based intervention over time among HIV-affected families. Mothers living with HIV (MLH; n = 339) in Los Angeles and their school-aged children were randomized to either an intervention or control condition and followed for 18 months. MLH and their children in the intervention received 16 cognitive-behavioral, small-group sessions designed to help them maintain physical and mental health, parent while ill, address HIV-related stressors, and reduce HIV-transmission behaviors. At recruitment, MLH reported few problem behaviors related to physical health, mental health, or sexual or drug transmission acts. Compared to MLH in the control condition, intervention MLH were significantly more likely to monitor their own CD4 cell counts and their children were more likely to decrease alcohol and drug use. Most MLH and their children had relatively healthy family relationships. Family-based HIV interventions should be limited to MLH who are experiencing substantial problems.
摘要
我们评估了一种基于家庭的干预措施在 HIV 感染家庭中的长期疗效。在洛杉矶，患有 HIV 的母亲（MLH；n = 339）及其学龄儿童被随机分配到干预组或对照组，并随访 18 个月。干预组中的 MLH 和他们的孩子接受了 16 次认知行为、小组会议，旨在帮助他们保持身心健康、患病时照顾孩子、应对 HIV 相关压力源以及减少 HIV 传播行为。在招募时，MLH 报告的与身体健康、心理健康或性传播或药物传播行为相关的问题行为很少。与对照组中的 MLH 相比，干预组中的 MLH 更有可能监测自己的 CD4 细胞计数，而他们的孩子更有可能减少饮酒和吸毒。大多数 MLH 和他们的孩子都有相对健康的家庭关系。基于家庭的 HIV 干预措施应仅限于那些面临重大问题的 MLH。
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