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Community Data Collection with Children of Mothers Living with HIV: Boundaries of the Researcher Role

机译:与感染艾滋病毒的母亲的孩子的社区数据收集:研究人员角色的边界

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摘要

The TRACK-II program is a multi-site, community-based randomized controlled trial evaluating an intervention to assist mothers living with HIV (MLH) in disclosing their HIV status to their young children. Many participants—both mothers and children—reported significant depression and/or suicidal ideation, a phenomenon that presented ethical challenges. This article focuses on participants at one site (Atlanta). Through the vignette of “Jordan,” we describe ethical challenges that may arise when faced with the responsibility of maximizing participants’ safety while maintaining the boundaries of the researcher role. Guided by community psychology values, our team has taken measures within our role as researchers to empower and protect children and mothers endorsing suicidal ideation. For example, we have relied on relationships with community-based organizations and AIDS service organizations to connect HIV-affected families to mental health services. Further, we have expanded our system of documentation in order to follow up adequately with families at risk, and we track family resources in order to promote a strengths-based framework. We have solicited families’ feedback about their supports and needs in order to understand how we may best serve them by connecting them to the resources they report needing most and empowering them to care for themselves.
机译:TRACK-II计划是一项基于社区的多站点随机对照试验,旨在评估一项干预措施,以帮助艾滋病毒携带者(MLH)的母亲向幼儿披露其艾滋病毒状况。许多参与者(包括母亲和儿童)都报告了严重的抑郁和/或自杀念头,这种现象提出了道德挑战。本文重点关注一个站点(亚特兰大)上的参与者。通过“乔丹”的插图,我们描述了在承担最大限度地提高参与者安全性,同时保持研究人员角色界限的责任时可能出现的道德挑战。在社区心理学价值观的指导下,我们的团队已采取研究人员的职责范围内的措施,以授权和保护认可自杀观念的儿童和母亲。例如,我们依靠与社区组织和艾滋病服务组织的关系来将受艾滋病毒感染的家庭与精神卫生服务联系起来。此外,我们扩展了文档系统,以便对处于风险中的家庭进行充分跟进,并跟踪家庭资源,以促进基于优势的框架。我们已经征求了家庭对他们的支持和需求的反馈,以了解我们如何通过将他们与他们报告的最需要的资源联系起来并赋予他们照顾自己的能力来最好地为他们提供服务。

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