HIV-Related Behavioral Interventions (2012-2014)


A Parenting Intervention for HIV+ Moms:
The IMAGE Program

Debra A. Murphy, Ph.D., Principal Investigator
(dmurphy@mednet.ucla.edu)
Diana Payne, Ph.D., Project Director

The purpose of this R01 pilot study was to develop and then test the feasibility of implementing an intervention (IMAGE:  Improving Mothers’ parenting Abilities, Growth, and Effectiveness) for HIV-infected mothers with well children aged 6–14 years old. The intervention was designed to improve parenting skills and maternal self-care skills in order to improve child and maternal outcomes.  A randomized pretest-posttest two-group design with repeated assessments was used.  MLH (n = 62) and their children ages 6–14 (n = 62; total N = 124) were recruited for the trial and randomized to the theory-based skills training condition or a standard-care control condition.  Assessments were made at baseline with follow-ups at 3, 6, and 12 months.  Intervening variables included parenting and self-care behaviors (e.g., parent-child communication, family routines).  Maternal outcomes included parenting efficacy and skills, maternal mental/physical health, and self-care.  Child and family outcomes were also assessed, including depression, child-behavior problems, self-concept, and parent-child relationship.  Results show significant effects of the intervention for improving parenting practices for mothers.  The intervention also improved, to a lesser extent, self-care skills of the mothers.  Regarding family outcomes, the intervention showed improvements in the parent-child relationship.  Overall, IMAGE had a positive impact on parenting and self-care behaviors, and on maternal, child, and family outcomes.  Given MLH can be challenged by their illness and also live in under-resourced environments, IMAGE may be viewed as a viable way to improve quality of life and family outcomes.  The IMAGE outcome paper is currently in submission (Murphy et al., in submission). 

A Parenting Intervention for HIV+ Moms: The IMAGE Program was funded by the National Institute of Mental Health, grant 1 R01 MH086329, from April 2010 to December 2013.


Center for HIV Identification,
Prevention and Treatment Services

Mary Jane Rotheram-Borus, Ph.D., Principal Investigator (rotheram@ucla.edu)
Debra A. Murphy, Ph.D., Co-Investigator

This Center comprises an interdisciplinary group from UCLA, Drew University, RAND, and the Los Angeles County community (Department of Health and community-based agencies) with the aim of enhancing understanding of HIV and promoting early detection and effective prevention and treatment programs for HIV at the societal, community, and individual levels.

Center for HIV Identification, Prevention and Treatment Services is funded by the National Institute of Mental Health, grant 5 P30 MH58107, from September 1997 through January 2017.


Longitudinal Study of Maternal HIV on their
Late Adolescent/Early Adult Children

Debra A. Murphy, Ph.D., Principal Investigator
(dmurphy@mednet.ucla.edu)
Diane Herbeck, M.A., Project Coordinator

This study was designed to extend and expand a longitudinal study (R01-MH057207-10), “Parents And Children Coping Together” (PACT). The original study was designed to longitudinally assess mothers living with HIV (MLHs) and their young, well children 6 to 11 years old.  Five follow-up interviews were conducted at 6-month intervals in the PACT study.  A subsequent longitudinal study, “Parents and Adolescents Coping Together” (PACT II), followed up the majority of these families when the children were transitioning to early and middle adolescence; there were 6 follow-ups.  This study  (“PACT III”) continued to follow the MLHs and adolescents one last time, to investigate outcomes as the adolescents transitioned to late adolescence/young adulthood.  Both qualitative and quantitative interviews at 7 time points were conducted.  This is the first cohort of children in the United States to be followed almost continuously as they grow up to adulthood while living with a mother with HIV/AIDS.  Further description of the study can be found in the following publications:

Murphy, D.A., Marelich, W.D., Herbeck, D.M. (2012). Impact of maternal HIV health:  A 12-year study in the Parents and Children Coping Together project. Journal of Adolescent Health, 51(4), 313-318. PMID: 22999830

Marelich, W.D., Murphy, D.A., Payne, D.L., Herbeck, D.M., & Schuster, M.A.  (2012).  Self-competence among early and middle adolescents affected by maternal HIV/AIDS.  International Journal of Adolescence and Youth, 17(1), 21-33. PMID: 22485061

Murphy, D.A., Roberts, K.J., & Herbeck, D.M. (2012). HIV-positive mothers’ communication about safer sex and STD prevention with their children. Journal of Family Issues, 33(2), 136-157. PMID: 22368316

Murphy, D.A., Herbeck, D.M., Marelich, W.D., & Schuster, M.A. (2010). Predictors of sexual behavior among early and middle adolescents affected by maternal HIV. International Journal of Sexual Health, 22, 195-204. PMID: 21998620

The Longitudinal Study of Maternal HIV on their Late Adolescent/Early Adult Children was funded by the National Institute of Mental Health, grant R01 MH57207-11, from 2008 to 2013


Maternal HIV: Multisite Trial to Assist Disclosure to Children
Debra A. Murphy, Ph.D., Principal Investigator (dmurphy@mednet.ucla.edu)
Lisa Armistead, Ph.D., Co-Investigator (lparmistead@gsu.edu)
Diana Payne, Ph.D., Project Director

This project is a full-scale trial examining the efficacy of a three-session cognitive-behavioral intervention designed to assist mothers living with HIV with disclosure to their children.  Two sites, Los Angeles and Atlanta, will enroll a total of 220 HIV+ mothers and their well child, age 6-14.  Mothers and children will be assessed four times, including baseline and follow-ups at 3 months, 9 months, and 15 months.  Half of the mothers will be randomly assigned to the intervention following the baseline evaluation, while the remaining half will be offered a disclosure workshop based on TRACK following the final 15-month evaluation (wait list control).   The aims of the intervention are to facilitate disclosure of the mothers’ HIV status to the children, and to improve, over time, indicators of the following: mother’s mental health, child mental health, and family functioning.

Maternal HIV: Multisite Trial to Assist Disclosure to Children was funded by the National Institute of Mental Health, grant 5 R01 MH094148, from September 2012 through May 2017.


Strengthening the Circle (STC) Developmental Project

Daniel Dickerson, D.O., M.P.H., Principal Investigator (daniel.dickerson@.ucla.edu)

Very few theoretically grounded, culturally based HIV prevention programs exist for urban AI/AN men who have sex with men (MSM) and/or Two Spirit (2S; a culturally appropriate self-identifying term for Native gay men) individuals. To this end, the overarching aim of this project is to adapt/expand a new theoretically grounded, culturally appropriate HIV prevention program for urban AI/AN MSM/2S(Strengthening the Circle [STC]) by targeting mental health outcomes. We believe that the STC intervention can help decrease the risk of HIV among urban AI/AN MSM/2S. This completed study consisted of research activities that assisted in completing the STC curriculum, an HIV prevention program for urban AI/AN MSM/2S. Three focus groups among urban AI/AN MSM/2S who are HIV-negative, urban AI/AN MSM/2S who are HIV-positive, and mental health/medical health providers who work with urban AI/AN MSM/2S, as well as 3 key informant interviews were conducted.  Feedback and suggestions were collected that will aide  in enhancing STC specifically for urban AI/AN MSM/2S, better understand potential HIV risk factors among urban AIs/ANs, and to obtain information relating to specific mental health issues within this population in order to enhance mental health outcomes. Data generated from this study resulted in obtaining useful information aiding in the completion of the STC manual.

Strengthening the Circle (STC) Developmental Project was funded by the University of Washing, grant R25 MH084565, from July 2013 to June 2014.

 

Last Updated:  08/06/2015

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