This 5-year project is a randomized controlled trial of the TEA (Together for Empowerment Activities) intervention. TEA intervention is an innovative, theoretically-based, culturally sensitive family intervention for HIV-affected families in rural China. The intervention will have six sessions (plus a preparation session) delivered at three levels simultaneously: 1) TEA Gathering (small group for parents living with HIV (PLH) and their family members), 2) TEA Time (home-based family activities with children), and 3) TEA Garden (community events). Built on the extensive pilot work by the collaborative team in the past 5 years, we propose to conduct the randomized controlled trial of TEA intervention with 480 HIV-affected families in 24 villages in Anhui, China, including 480 PLH, 480 sero-negative family members, and 720 children aged 6-18. We will randomly assign villages to either: 1) TEA intervention group (with all three levels of activity), or 2) a control group (with limited activities). The efficacy the intervention will be determined over 24 months at five time points: baseline, 6, 12, 18, and 24 month follow-ups. The primary outcomes are children's physical health, mental health and behavioral adjustment. Secondary outcomes will be the PLH's and family members'physical health, mental health, and quality of life, as well as family indicators such as consistent daily routines, positive family interactions, parenting, coping, and community integration.

Public Health Relevance

The need to respond to the HIV epidemic is a global public health priority. The proposed study responds to the urgent need for interventions for PLH, family members, and children impacted by HIV/AIDS in China. Resulting data will provide an evidence-based intervention that can be delivered to HIV-affected families in China and other countries.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD068165-02
Application #
8259415
Study Section
Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
Program Officer
Newcomer, Susan
Project Start
2011-05-01
Project End
2016-02-29
Budget Start
2012-03-01
Budget End
2013-02-28
Support Year
2
Fiscal Year
2012
Total Cost
$517,249
Indirect Cost
$104,005
Name
University of California Los Angeles
Department
Type
Schools of Medicine
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Li, Li; Comulada, W Scott; Lan, Chiao-Wen et al. (2018) Behavioral Problems Reported by Adolescents and Parents from HIV Affected Families in China. J Child Fam Stud 27:365-373
Luo, Sitong; Lin, Chunqing; Ji, Guoping et al. (2017) Post-traumatic Stress Disorder Symptoms Among People Living with HIV/AIDS in Rural China. AIDS Behav 21:3202-3208
Hsieh, Julie; Li, Li; Lin, Chunqing et al. (2017) Spousal role and caregiver burden in HIV affected families in Anhui Province, China. AIDS Care 29:1270-1274
Li, Li; Lin, Chunqing; Ji, Guoping (2017) Gendered aspects of perceived and internalized HIV-related stigma in China. Women Health 57:1031-1043
Li, Li; Ji, Guoping; Liang, Li-Jung et al. (2017) Efficacy of a multilevel intervention on the mental health of people living with HIV and their family members in rural China. Health Psychol 36:863-871
Li, Li; Liang, Li-Jung; Lin, Chunqing et al. (2017) Gender Differences in Depressive Symptoms Among HIV-Positive Concordant and Discordant Heterosexual Couples in China. Psychol Women Q 41:89-99
Lan, Chiao-Wen; Li, Li; Lin, Chunqing et al. (2016) Community Disclosure by People Living With HIV in Rural China. AIDS Educ Prev 28:287-98
Li, Li; Liang, Li-Jung; Ji, Guoping et al. (2016) Perceived Bonding by Parents Living with HIV and Their Adolescent Children. J Res Adolesc 26:880-888
Li, Li; Ji, Guoping; Lin, Chunqing et al. (2016) Antiretroviral Therapy Initiation Following Policy Changes: Observations From China. Asia Pac J Public Health 28:416-22
Li, Li; Lin, Chunqing; Liang, Li-Jung et al. (2016) Exploring Coping and Social Support with Gender and Education Among People Living with HIV in China. AIDS Behav 20:317-24

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