Caregiver mental health and HIV-infected child wellness: perspectives from Ugandan caregivers

Murray, Sarah M.; Familiar, Itziar; Nakasujja, Noeline; Winch, Peter J.; Gallo, Joseph J.; Opoka, Robert O.; Caesar, Julius; Boivin, Michael J.; Bass, Judith K.

doi:10.1080/09540121.2016.1263722

Cited by 39 publications

(40 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Specific investigations of caregiver mental health and its impact on psychosocial adjustment, QOL or overall well‐being of HIV‐affected school‐aged adolescents from sub‐Saharan Africa are few . A recent qualitative study among Ugandan caregivers and their young children highlighted the potentially adverse impact of impaired caregiver mental health on child well‐being .…”

Section: Introductionmentioning

confidence: 99%

Caregiver socioemotional health as a determinant of child well‐being in school‐aged and adolescent Ugandan children with and without perinatal HIV exposure

Webster

Bruyn

Zalwango

et al. 2019

Tropical Med Int Health

View full text Add to dashboard Cite

Objective Caregiver socio‐emotional attributes are major determinants of child well‐being. This investigation in vulnerable school‐aged Ugandan children estimates relationships between children's well‐being and their caregiver's anxiety, depression and social support. Methods Perinatally HIV‐infected, HIV‐exposed uninfected and HIV‐unexposed Ugandan children and their caregivers were enrolled. Perinatal HIV status was determined by 18 months of age using DNA‐polymerase chain‐reaction test; status was confirmed via HIV rapid diagnostic test when children were 6–18 years old. Five indicators of child well‐being (distress, hopelessness, positive future orientation, esteem and quality of life (QOL)) and caregivers’ socioemotional status (depressive symptoms, anxiety and social support) were measured using validated, culturally adapted and translated instruments. Categories based on tertiles of each caregiver psychosocial indicator were defined. Linear regression analyses estimated percent differences (β) and corresponding 95% confidence intervals (CI) for child well‐being in relation to caregiver's psychosocial status. Results As per tertile increment, caregiver anxiety was associated with 2.7% higher distress (95%CI:0.2%, 5.3%) and lower self‐esteem/QOL (β = −1.3%/−2.6%; 95%CI: −5.0%,‐0.2%) in their children. Child distress/hopelessness increased (β = 3.3%/7.6%; 95%CI:0.4%, 14.7%) and self‐esteem/QOL decreased 2.3% (β = −2.3%/−4.4%; 95%CI: −7.2%, −1.3%) as per tertile increment in caregiver depression. Higher caregiver social support was associated with lower distress and higher positive outlook (β = 3%; 95%CI:1.4%, 4.5%) in their children. HIV‐infected/exposed children had most caregiver depression‐related QOL deficit (β = −5.2%/−6.8%; 95%CI: −12.4%, −0.2%) and HIV‐unexposed children had most caregiver social support‐related enhancements in positive outlook (β=4.5%; 95%CI:1.9%, 7.1%). Conclusions Caregiver anxiety, depressive symptoms and low social support were associated with worse well‐being in school‐aged and adolescent children. Improvement of caregiver mental health and strengthening caregiver social support systems may be a viable strategy for improving well‐being of vulnerable children and adolescents in this setting.

show abstract

Section: Introductionmentioning

confidence: 99%

Caregiver socioemotional health as a determinant of child well‐being in school‐aged and adolescent Ugandan children with and without perinatal HIV exposure

Webster

Bruyn

Zalwango

et al. 2019

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

“…In Uganda, the prevalence of HIV was 7.6% among women ages 15 to 64 in 2017 (PHIA Project, ). Adverse effects of caregiver mental health problems on parenting, child health, and caregiver reporting of child development outcomes have been described among female HIV‐affected Ugandan caregivers (i.e., a child's primary caregiver who may or may not be the biological parent) (Familiar, Murray, et al., ; Familiar, Nakasujja, et al., ; Murray et al., ). Parenting self‐efficacy, which also affects parent–child interaction, has received far less attention.…”

Section: Introductionmentioning

confidence: 99%

Parenting self‐efficacy in the context of poverty and HIV in Eastern Uganda: A qualitative study

Augustinavicius

Familiar‐Lopez

Winch

et al. 2019

Infant Mental Health Journal

View full text Add to dashboard Cite

We sought to understand social representations of effective parenting and parenting self‐efficacy among female HIV‐affected caregivers in rural Eastern Uganda. We conducted in‐depth interviews (n = 21) to describe parenting experiences and caregivers’ perceptions of their own parenting abilities and to create vignettes for use in directed focus groups. We carried out open focus groups (n = 2) to gain social perspectives on parenting, and directed focus groups (n = 2) concentrated on parenting self‐efficacy. Analysis involved memoing and inductive and deductive coding of transcripts. Caregivers’ perceptions of their own parenting were grounded in parenting values such as providing children with basic needs, having well‐behaved children, and having good relationships with children. Caregivers’ perceptions were influenced by challenges, including single parenthood, living with HIV, limited family resources, and mental health problems. When facing challenges, caregivers relied on social support and faith as well as their own parenting confidence. Caregivers’ perceptions of their parenting abilities were influenced by how they felt others perceived them, their satisfaction in the parenting role, their perseverance despite challenges, and the extent to which they had a vision for their family. Our findings contextualize parenting self‐efficacy within parenting values, challenges, and social perceptions among HIV‐affected caregivers in rural Uganda.

show abstract

“…This is in order to enhance the validity and reliability of this test by automating the measurement and scoring of the principal behavioral outcome for this test – which is the proportion of time gazing at the animated video presentation. This ECVT instrumentation substudy is embedded within a randomized controlled trial (RCT) of MISC with caregivers and children exposed to HIV (but not infected) at a study site of caregiver training to enhance early childhood development (ECD) in eastern Uganda (Bass et al, 2016; Murray et al, 2016). …”

mentioning

confidence: 99%

The feasibility of automated eye tracking with the Early Childhood Vigilance Test of attention in younger HIV-exposed Ugandan children.

Boivin¹,

Weiss²,

Chhaya³

et al. 2017

Neuropsychology

View full text Add to dashboard Cite

Objective Tobii eye tracking was compared to webcam-based observer scoring on an animation viewing measure of attention (ECVT) to evaluate the feasibility of automating measurement and scoring. Outcomes from both scoring approaches were compared to the Mullen Scales of Early Learning (MSEL), Color-Object Association Test (COAT), and Behavior Rating Inventory of Executive Function for preschool children (BRIEF-P). Method 44 children 44 to 65 months of age were evaluated with the ECVT, COAT, MSEL, and BRIEF-P. Tobii X2-30 portable infrared cameras were programmed to monitor pupil direction during the ECVT 6-minute animation, and compared to observer-based PROCODER webcam scoring. Results Children watched 78% of the cartoon (Tobii) compared to 67% (webcam scoring), although the two measures were highly correlated (r=0.90,P=0.001). It is possible for two such measures to be highly correlated even if one is consistently higher than the other (Bergemann et al., 2012). Both ECVT Tobii and webcam ECVT measures significantly correlated with COAT immediate recall (r=0.37,P=0.02 versus r=0.38,P=0.01 respectively) and total recall (r=0.33,P=0.06 versus r=0.42,P=0.005) measures. However, neither the Tobii eye tracking nor PROCODER webcam ECVT measures of attention correlated with MSEL composite cognitive performance or BRIEF-P global executive composite. Conclusion ECVT scoring using Tobii eye tracking is feasible with at-risk very young African children and consistent with webcam-based scoring approaches in their correspondence to one another and other neurocognitive performance-based measures. By automating measurement and scoring, eye tracking technologies can improve the efficiency and help better standardize ECVT testing of attention in younger children. This holds promise for other neurodevelopmental tests where eye movements, tracking, and gaze length can provide important behavioral markers of neuropsychological and neurodevelopmental processes associated with such tests.

show abstract

Caregiver mental health and HIV-infected child wellness: perspectives from Ugandan caregivers

Cited by 39 publications

References 22 publications

Caregiver socioemotional health as a determinant of child well‐being in school‐aged and adolescent Ugandan children with and without perinatal HIV exposure

Caregiver socioemotional health as a determinant of child well‐being in school‐aged and adolescent Ugandan children with and without perinatal HIV exposure

Parenting self‐efficacy in the context of poverty and HIV in Eastern Uganda: A qualitative study

The feasibility of automated eye tracking with the Early Childhood Vigilance Test of attention in younger HIV-exposed Ugandan children.

Contact Info

Product

Resources

About