Readiness to Disclose Mother's HIV Diagnosis to Their Children in Beijing, China
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5
- 试验地点
- 1
- 主要终点
- readiness to disclose
研究概览
简要总结
Specific aims of the 1-year project are to pilot test the disclosure support intervention by (a) evaluating acceptability and feasibility with a preliminary randomized trial among 10 HIV+ mothers (5 in the intervention group and 5 in the treatment as usual (TAU) group) and (b) assessing outcomes in mothers (quality of life and mental health indicators, adherence, social support, and disclosure stress, efficacy, readiness, and completion). The intervention will be compared to treatment as usual, with baseline (0 weeks), immediate post-intervention (4 weeks), and 12-week follow-up (16 weeks) assessments.
详细描述
HIV disclosure to children has been shown to strengthen family relations and increase assistance with medical care, reinforcing the parent's willingness to live. Some Chinese children aware of their parents HIV diagnosis do exhibit emotional and social dysfunction; however, adequate support from caregivers (e.g., grandparents or even their HIV+ parents) can improve the children's quality of life and academic performance. There is a clear need for practical interventions to address parental distress around HIV disclosure in China, where cultural norms often emphasize family identity and cohesion and underscore the need for family-based programs, which have been shown to be feasible and efficacious for HIV-affected families.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •HIV+ mother ≥18 years of age,
- •not psychotic or demented;
- •receiving clinical care at the Ditan hospital,
- •a mother of an HIV-negative child of age 13-25 years who does not know about the mother's infection;
- •well enough to attend study sessions as the clinic.
排除标准
- •no psychotic or demented
研究组 & 干预措施
disclosure-support counseling
干预措施: disclosure-support counseling intervention (Behavioral)
Treatment as Usual
结局指标
主要结局
readiness to disclose
时间窗: 16 weeks
This data will be collected and evaluated with qualitative methods using the Disclosure Distress Questionnaire
次要结局
- quality of life via Medical Outcomes Study HIV Health Survey(16 weeks)
- depression via the Center for Epidemiologic Studies Depression Scale (CES-D)(16 weeks)
- adherence(16 weeks)
- social support using the HIV Social Support tool(16 weeks)