This is a proposal for a Mentored Research Scientist Development Award. It is the investigator's long-term goal is to be a research leader who works closely with the community to design and implement behavioral interventions for HIV-affected families. HIV disclosure is a key stressor among HIV-affected families in Thailand, and the impact radiates throughout the family. By addressing HIV disclosure as a family matter, the proposed study aims to apply the Integrative Model of HIV Disclosure Decision Making in order to develop and pilot a culturally tailored intervention in Northeastern Thailand that is a combination of group sessions and home-based activities. To ensure the feasibility and sustainability, the proposed intervention will be designed to be integrated within the existing health care infrastructure of the district hospitals in Northeastern Thailand selected for the proposed study. The training goals of the proposed study are: 1. To gain expertise in qualitative research methodology, especially in-depth interviewing and focus group techniques used in behavioral intervention research. 2. To gain expertise in behavioral intervention design, with focus on family-focused interventions. 3. To gain additional expertise in quantitative research methodology, particularly on multi-level repeated measures analysis. Upon completion of the training goals, the specific aims of the proposed study are: 1. To explore the concerns, barriers and motivators within cultural attitudes and contextual factors around HIV disclosure from the perspectives of PLH, family members, and service providers (Phase 1). 2. To develop a family-focused intervention focusing on HIV disclosure (Phase 2), based on the findings from Phase 1. 3. To pilot test and assess the impact of the intervention on HIV disclosure, and social, physical, mental health, and behavioral outcomes (Phase 3).

Public Health Relevance

The proposed study will be conducted in collaboration with the Thai Ministry of Public Health and the local district hospital teams in Northeastern Thailand. The overall goal of the proposed study is to develop and pilot an intervention for PLH to help them make thoughtful, well-informed decisions about HIV disclosure to their family members. The proposed intervention will improve the adjustment of PLH and their families.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Scientist Development Award - Research & Training (K01)
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Study Section
Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
Program Officer
Grossman, Cynthia I
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University of California Los Angeles
Schools of Medicine
Los Angeles
United States
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Ford, Chandra L; Lee, Sung-Jae; Wallace, Steven P et al. (2015) HIV testing among clients in high HIV prevalence venues: disparities between older and younger adults. AIDS Care 27:189-97
Lee, Sung-Jae; Li, Li; Lin, Chunqing et al. (2015) Challenges facing HIV-positive persons who use drugs and their families in Vietnam. AIDS Care 27:283-7
Newman, Peter A; Lee, Sung-Jae; Rudy, Ellen T et al. (2014) Endorsement of compulsory HIV vaccination policy among populations at high risk of HIV exposure (LA VOICES). Prev Sci 15:428-35
Lee, Sung-Jae; Newman, Peter A; Duan, Naihua et al. (2014) Development of an HIV vaccine attitudes scale to predict HIV vaccine acceptability among vulnerable populations: L.A. VOICES. Vaccine 32:5013-8
Lee, Sung-Jae; Li, Li; Iamsirithaworn, Sopon et al. (2013) Disclosure challenges among people living with HIV in Thailand. Int J Nurs Pract 19:374-80
Lee, Sung-Jae; Li, Li; Thammawijaya, Panithee (2013) Parenting styles and emotional intelligence of HIV-affected children in Thailand. AIDS Care 25:1536-43
Lee, Sung-Jae; Brooks, Ronald; Bolan, Robert K et al. (2013) Assessing willingness to test for HIV among men who have sex with men using conjoint analysis, evidence for uptake of the FDA-approved at-home HIV test. AIDS Care 25:1592-8
Newman, Peter A; Lee, Sung-Jae; Roungprakhon, Surachet et al. (2012) Demographic and behavioral correlates of HIV risk among men and transgender women recruited from gay entertainment venues and community-based organizations in Thailand: implications for HIV prevention. Prev Sci 13:483-92
Li, Li; Liang, Li-Jung; Lee, Sung-Jae et al. (2012) Efficacy of an intervention for families living with HIV in Thailand: a randomized controlled trial. AIDS Behav 16:1276-85
Brooks, Ronald A; Landovitz, Raphael J; Kaplan, Rachel L et al. (2012) Sexual risk behaviors and acceptability of HIV pre-exposure prophylaxis among HIV-negative gay and bisexual men in serodiscordant relationships: a mixed methods study. AIDS Patient Care STDS 26:87-94

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