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首页> 外文期刊>Social science and medicine >Psychosocial support intervention for HIV-affected families in Haiti: Implications for programs and policies for orphans and vulnerable children
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Psychosocial support intervention for HIV-affected families in Haiti: Implications for programs and policies for orphans and vulnerable children

机译：对海地受艾滋病毒影响家庭的社会心理支持干预措施：对孤儿和弱势儿童的计划和政策的影响

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Given the increased access of antiretroviral therapy (ART) throughout the developing world, what was once a terminal illness is now a chronic disease for those receiving treatment. This requires a paradigmatic shift in service provision for those affected by HIV/AIDS in low-resource settings. Although there is a need for psychosocial support interventions for HIV-affected youth and their caregivers, to date there has been limited empirical evidence on the effectiveness of curriculum-based psychosocial support groups in HIV-affected families in low-income countries. Therefore, the purpose of this study is to examine the feasibility and assess the preliminary effectiveness of a psychosocial support group intervention for HIV-affected youth and their caregivers in central Haiti. The study was conducted at six Partners In Health-affiliated sites between February 2006 and September 2008 and included quantitative as well as qualitative methods. HIV-affected youth (. n = 168) and their caregivers (. n = 130) completed a baseline structured questionnaire prior to participation in a psychosocial support group intervention. Ninety-five percent of families completed the intervention and a follow-up questionnaire. Psychological symptoms, psychosocial functioning, social support, and HIV-related stigma at baseline were compared with outcomes one year later. Qualitative methods were also used to assess the participants' perspectives of the intervention. Comparing pre- and post-intervention assessment, youth affected by HIV experienced decreased psychological symptoms as well as improved psychosocial functioning and social support. Caregivers (95% HIV-positive) demonstrated a significant reduction in depressive symptoms, improved social support, and decreased HIV-related stigma. Although further study is needed to assess effectiveness in a randomized controlled trial, corroborative findings from qualitative data reflected reduced psychological distress, less social isolation and greater hope for the future for families affected by HIV/AIDS following the intervention.
机译：鉴于整个发展中国家都越来越多地接受抗逆转录病毒疗法（ART），曾经是绝症的疾病现在对于那些接受治疗的人来说是一种慢性疾病。这要求在资源匮乏地区为受艾滋病毒/艾滋病影响的人提供服务的范式转变。尽管有必要为受艾滋病毒影响的青年及其照顾者提供心理支持干预措施，但迄今为止，关于基于课程的社会心理支持团体在低收入国家受艾滋病毒影响的家庭中有效性的经验证据有限。因此，本研究的目的是检验在海地中部受艾滋病毒影响的青年及其照顾者的社会心理支持小组干预措施的可行性并评估其初步有效性。该研究在2006年2月至2008年9月期间在六个与卫生相关的合作伙伴地点进行，包括定量和定性方法。受艾滋病毒影响的青年（n = 168）及其护理人员（n = 130）在参加社会心理支持小组干预之前完成了基线结构化问卷。 95％的家庭完成了干预和后续调查表。将基线时的心理症状，社会心理功能，社会支持和与艾滋病相关的污名与一年后的结果进行比较。定性方法也用于评估参与者对干预的看法。比较干预前后的评估，受艾滋病毒感染的青年人的心理症状有所减轻，心理社会功能和社会支持得到改善。护理人员（95％的HIV阳性）表现出抑郁症状的明显减轻，社会支持的改善以及与HIV相关的污名的减少。尽管需要进行进一步的研究以评估随机对照试验的有效性，但定性数据的确证结果反映出减少的心理困扰，较少的社会隔离以及干预后受艾滋病毒/艾滋病感染的家庭对未来的更大希望。

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