The goal of this proposed dissertation training is to develop the knowledge and skills necessary to evaluate the effect of uncertainty, symptom burden, stress and successful coping strategies employed by HIV-infected women as they integrate the maternal role during the first six months postpartum. The impact of these factors on maternal and infant health outcomes will also be assessed. The specific components to be examined are: 1) HIV-infected women's perception of uncertainty about their illness and their infant's health status; 2) the women's perception of stress; 3) psychological and physical symptoms associated with stress; 4) identification and utilization of support systems by the women in an attempt to cope with stressors; and 5) assessment of women's abilities to maintain adherence to complex drug regimens and utilization of health services. Through analysis of the interrelationship of these components it is anticipated that there will be a better understanding of how these factors impact the successful integration of the maternal role and the overall health of the women and their infants. Clinical interventions to reduce maternal stress and improve coping during this critical period of time can be developed and tested in future research.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31NR008181-01
Application #
6552565
Study Section
Special Emphasis Panel (ZNR1-REV-A (44))
Program Officer
Hare, Martha L
Project Start
2002-09-01
Project End
Budget Start
2002-09-01
Budget End
2003-08-31
Support Year
1
Fiscal Year
2002
Total Cost
$26,026
Indirect Cost
Name
University of California San Francisco
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
073133571
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Shannon, Maureen T (2015) HIV-infected mothers' experiences during their infants' HIV testing. Res Nurs Health 38:142-51
Shannon, Maureen; Kennedy, Holly Powell; Humphreys, Janice C (2008) HIV-infected mothers'foci of concern during the viral testing of their infants. J Assoc Nurses AIDS Care 19:114-26
Shannon, Maureen; Lee, Kathryn A (2008) HIV-infected mothers'perceptions of uncertainty, stress, depression and social support during HIV viral testing of their infants. Arch Womens Ment Health 11:259-67
Shannon, Maureen; King, Tekoa L; Kennedy, Holly Powell (2007) Allostasis: a theoretical framework for understanding and evaluating perinatal health outcomes. J Obstet Gynecol Neonatal Nurs 36:125-34