Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial
| Autor: | Betancourt, Theresa S, Ng, Lauren C, Kirk, Catherine M, Brennan, Robert T, Beardslee, William R, Stulac, Sara, Mushashi, Christine, Nduwimana, Estella, Mukunzi, Sylvere, Nyirandagijimana, Beatha, Kalisa, Godfrey, Rwabukwisi, Cyamatare F, Sezibera, Vincent |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatric AIDS Comparative Effectiveness Research Pediatric Research Initiative Adolescent 6.6 Psychological and behavioural Clinical Trials and Supportive Activities Clinical Sciences HIV Infections Pilot Projects Developmental & Child Psychology Health Promotion Child of Impaired Parents 7.1 Individual care needs Clinical Research Behavioral and Social Science Humans Psychology Single-Blind Method adolescents Parent-Child Relations Child Problem Behavior Pediatric Parenting Depression Prevention Rwanda HIV Evaluation of treatments and therapeutic interventions Middle Aged Treatment Outcome Mental Health Good Health and Well Being HIV/AIDS Family Therapy Female Cognitive Sciences Family Relations Management of diseases and conditions Follow-Up Studies |
| Zdroj: | Journal of child psychology and psychiatry, and allied disciplines, vol 58, iss 8 |
| Popis: | BackgroundChildren affected by HIV are at risk for poor mental health. We conducted a pilot randomized controlled trial (RCT) of the Family Strengthening Intervention (FSI-HIV), a family home-visiting intervention to promote mental health and improve parent-child relationships in families with caregivers living with HIV, hypothesizing that child and family outcomes would be superior to usual care social work services.MethodsEighty two families (N=170 children, 48.24% female; N=123 caregivers, 68.29% female) with at least one HIV-positive caregiver (n=103, 83.74%) and school-aged child (ages 7-17) (HIV+ n=21, 12.35%) were randomized to receive FSI-HIV or treatment-as-usual (TAU). Local research assistants blind to treatment conducted assessments of child mental health, parenting practices, and family functioning at baseline, post-intervention, and 3-month follow-up. Multilevel modeling assessed effects of FSI-HIV on outcomes across three time points.Trial registrationNCT01509573, 'Pilot Feasibility Trial of the Family Strengthening Intervention in Rwanda (FSI-HIV-R).' https://clinicaltrials.gov/ct2/show/;NCT01509573?term=Pilot+Feasibility+Trial+of+the+Family+Strengthening+Intervention+in+Rwanda+%28FSI-HIV-R%29&rank=1.ResultsAt 3-month follow-up, children in FSI-HIV showed fewer symptoms of depression compared to TAU by both self-report (β= -.246; p=.009) and parent report (β=-.174; p=.035) but there were no significant differences by group on conduct problems, functional impairment, family connectedness, or parenting.ConclusionsFamily-based prevention has promise for reducing depression symptoms in children affected by HIV. Future trials should examine the effects of FSI-HIV over time in trials powered to examine treatment mediators. |
| Databáze: | OpenAIRE |
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