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MOMS: formative evaluation and subsequent intervention for mothers living with HIV.

机译:MOMS:针对感染艾滋病毒的母亲的形成性评估和后续干预措施。

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摘要

The Making Our Mothers Stronger (MOMS) Project is a randomized controlled behavioral trial, comparing a stress-reduction and social support intervention (Healthy MOMS) to a parenting skills intervention (Parenting Skills for MOMS) for mothers living with HIV. Outcomes include maternal mental and physical health, parenting behaviors, and children's behavior. To ensure that these interventions were tailored to the needs of HIV+ mothers, extensive formative work was conducted with members of the intended audience and relevant service providers. Findings from focus groups and semi-structured interviews highlighted the need for Healthy MOMS to: (1) include appropriate approaches to group discussion and problem solving; (2) address the stressors of being both a parent and a woman living with HIV; and (3) enhance social support. Six weekly group sessions focused on topics including coping with stress and anxiety; enhancing nutrition, exercise, and sexual health; improving medical adherence; improving communication with health care providers; and communicating health needs to family, friends, and co-workers. Initial anecdotal responses from participants suggest that the Healthy MOMS intervention addresses several salient issues for the growing population of HIV+ mothers who can benefit from long-term support in adapting to this chronic disease.
机译:“使我们的母亲变得更坚强”(MOMS)项目是一项随机对照行为试验,将针对艾滋病毒携带者的母亲的压力减轻和社会支持干预措施(健康MOMS)与育儿技能干预措施(MOMS父母技能)进行了比较。结果包括产妇的心理和身体健康,养育子女的行为以及孩子的行为。为了确保这些干预措施适合于HIV +母亲的需求,与目标受众和相关服务提供者进行了广泛的形成性工作。焦点小组的调查结果和半结构化访谈强调了健康MOMS的必要性:(1)包括进行小组讨论和解决问题的适当方法; (2)解决既是父母又是艾滋病毒携带者的压力; (三)加强社会支持。每周六次小组会议的主题是应对压力和焦虑。加强营养,锻炼和性健康;提高医疗依从性;改善与医疗保健提供者的沟通;并向家人,朋友和同事传达健康需求。参与者最初的轶事反应表明,健康MOMS干预措施为越来越多的HIV +母亲群体解决了几个突出问题,这些母亲可以从长期支持中受益,以适应这种慢性疾病。

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