Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial

Autor: Catherine M. Kirk, Beatha Nyirandagijimana, Vincent Sezibera, Sylvere Mukunzi, Christine Mushashi, Cyamatare F. Rwabukwisi, Estella Nduwimana, William R. Beardslee, Theresa S. Betancourt, Robert T. Brennan, Sara Stulac, Godfrey Kalisa, Lauren C. Ng
Rok vydání: 2017
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
media_common.quotation_subject
Human immunodeficiency virus (HIV)
HIV Infections
Pilot Projects
Health Promotion
medicine.disease_cause
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Promotion (rank)
Randomized controlled trial
Child of Impaired Parents
law
Intervention (counseling)
Developmental and Educational Psychology
medicine
Humans
0501 psychology and cognitive sciences
Single-Blind Method
030212 general & internal medicine
Parent-Child Relations
Psychiatry
Child
Depression (differential diagnoses)
media_common
Problem Behavior
Social work
Parenting
business.industry
Depression
05 social sciences
Multilevel model
Middle Aged
Mental health
Psychiatry and Mental health
Treatment Outcome
Pediatrics
Perinatology and Child Health
Family Therapy
Female
Family Relations
business
050104 developmental & child psychology
Follow-Up Studies
Zdroj: Journal of child psychology and psychiatry, and allied disciplines. 58(8)
ISSN: 1469-7610
Popis: Background Children 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. Methods Eighty 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 Registration: NCT01509573, ‘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. Results At 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. Conclusions Family-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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