2004 — 2005 |
Pantalone, David W |
F31Activity Code Description: To provide predoctoral individuals with supervised research training in specified health and health-related areas leading toward the research degree (e.g., Ph.D.). |
Intimate Partner Violence Among Hiv-Infected Outpatients @ University of Washington
DESCRIPTION (provided by applicant): Individuals with HIV face a variety of long-term health and mental health issues related to their disease, including indefinite antiretroviral adherence with numerous side effects, the stigma around HIV status disclosure, and highly prevalent anxiety and depression, among others. Affecting 29-68% of HIV-infected outpatients in recent studies, intimate partner violence (IPV) is likely an important barrier to achieving optimal health. With such high prevalence and with well-documented decrements in physical and mental health as consequences, it is likely that IPV plays a role in increased negative health outcomes in HIV-infected individuals because of their increased psychological and immunological vulnerability. The proposed study will develop a program of research for the applicant that investigates the abuses of power in the intimate relationships of HIV-infected outpatients in an urban setting. Specifically, a qualitative phase will provide a qualitative description of four domains of relationship violence among HIV-infected individuals (physical, sexual, emotional, and the novel category "HIV-related"), while a survey phase will investigate the health related outcomes of multiple domains of interpersonal violence and test a hypothesized mediated model.
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1 |
2018 — 2019 |
Faja, Susan [⬀] Pantalone, David W |
R03Activity Code Description: To provide research support specifically limited in time and amount for studies in categorical program areas. Small grants provide flexibility for initiating studies which are generally for preliminary short-term projects and are non-renewable. |
Developing An Intervention to Improve Independent Functioning and Health and Reduce Victimization Risk For Adults With Autism @ Boston Children's Hospital
PROJECT SUMMARY/ABSTRACT As individuals with autism spectrum disorders (ASD) transition to adulthood, there is a steep decline in existing, evidence-based interventions at a time when new challenges arise. Two particular challenges faced by young adults with ASD are (a) developing functional adult relationships and (b) poor health outcomes, including the risk of sexual victimization, which is three times higher than the rate of the general population. During adolescence and emerging adulthood, relationships outside the family begin to include intimate partners, and the ?difficulties developing, maintaining, and understanding relationships? that characterize ASD in the DSM-5 severely limit functioning in these adult relationships. Related problematic behaviors limit independence by reducing access to housing, community participation, and employment. This two-year R03 will conduct the formative work needed to develop a behavioral intervention to improve social function and health outcomes, and decrease victimization risk, for young adults with ASD. Improving functioning in adult relationships and health outcomes is critical for independence of adults with ASD. Specifically, the proposed project has the following scientific goals: (1) to determine which ASD-specific social cognitive factors mediate access to, and skillful use of, information about adult relationships and intimate behaviors in ASD; (2) to conduct a needs assessment in close collaboration with young adults with ASD, their parents, and education and health service providers about goals and preferences for intervention format and content; (3) to develop the initial treatment manual that integrates critical stakeholder perspectives and goals with evidence-based information about methods and content. Throughout the study, we will work in close collaboration with adults with ASD and their family members by forming an advisory board. Project goals will be addressed using a set of established measures of knowledge, behavior, and motivation related to intimate relationships and health. Sixty young adults with ASD, 60 parents and 15 service providers will provide information about the particular challenges faced by young adults with ASD in sexual and romantic functioning and provide recommendations for desirable features of an intervention targeting these challenges. In addition, we will evaluate social communication and social cognition as potential ASD-specific factors that contribute to intimate functioning and knowledge. In the second year, we will use this information to develop the intervention manual and obtain feedback about each session and the overall program from a stakeholder advisory board including a small group of young adults with ASD and their parents. The long-term objective of this project is aligned with NIMH's goal of developing and testing strategies to interrupt negative trajectories for young adults with ASD, including preventing or ameliorating contact with the criminal justice system, treating and reducing victimization, and improving the likelihood of independent living.
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0.907 |