This 2-year project is a preparation and pilot phase for a randomized controlled trial of the TEA (Together for Empowerment Activities) intervention, a family intervention for HIV-affected families in China. TEA intervention will have 10 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 that accompany each TEA Gathering), and 3) TEA Garden (community events that build social integration for families living with HIV). Built on the extensive pilot work by the collaborative team, this study will focus on the preparation and pilot activities, including finalizing the TEA intervention, implementation and assessment procedures and a pilot with 40 HIV-affected families in 4 villages (2 in the intervention group and 2 in the control group). The feasibility, acceptability, and accessibility of the intervention will be assessed through process evaluation. The preliminary impact of the intervention will be assessed by comparing the outcomes measures at baseline and 3-month follow-up. The primary outcomes are children's health, mental health, and behavioral adjustment. The secondary outcomes will be the PLH's and family members'health, mental health, and quality of life, as well as family indicators such as consistent daily routines, positive interactions, parenting, coping, and community integration.

Public Health Relevance

Interventions that address the challenges that families face, provide information, build families'skills, and form supportive local community networks are needed. This project will provide such an intervention. The goal of this study is to develop and pilot an intervention for PLH and their family members in order to improve the long term health, mental health and behavioral adjustment of the children in poor, rural areas in China.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH080606-02
Application #
7788830
Study Section
Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
Program Officer
Pequegnat, Willo
Project Start
2009-04-01
Project End
2012-03-31
Budget Start
2010-04-01
Budget End
2012-03-31
Support Year
2
Fiscal Year
2010
Total Cost
$365,408
Indirect Cost
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; Liang, Li-Jung; Ji, Guoping et al. (2014) Effect of a family intervention on psychological outcomes of children affected by parental HIV. AIDS Behav 18:2051-8
Ji, Guoping; Li, Li; Ding, Yingying et al. (2012) Parents living with HIV and children's stress and delinquent behaviors in China. Vulnerable Child Youth Stud 7:249-259
Li, Li; Ji, Guoping; Ding, Yingying et al. (2012) Perceived burden in adherence of antiretroviral treatment in rural China. AIDS Care 24:502-8
Ding, Yingying; Li, Li; Ji, Guoping (2011) HIV disclosure in rural China: predictors and relationship to access to care. AIDS Care 23:1059-66
Li, Li; Liang, Li-Jung; Ding, Ying Ying et al. (2011) Facing HIV as a family: predicting depressive symptoms with correlated responses. J Fam Psychol 25:202-9
Li, Li; Ji, Guoping; Liang, Li-Jung et al. (2011) A multilevel intervention for HIV-affected families in China: Together for Empowerment Activities (TEA). Soc Sci Med 73:1214-21