Efficacy of an Intervention for Families Living with HIV in Thailand: A Randomized Controlled Trial

Li, Li; Liang, Li‐Jung; Lee, Sung–Jae; Iamsirithaworn, Sopon; Wan, Dai

doi:10.1007/s10461-011-0077-x

Cited by 11 publications

(20 citation statements)

References 41 publications

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“…Our results resonate with those of other family-focused interventions that have shown promise for HIV-prevention in South Africa [57] and for HIV-affected families in the United States [25,58,59] and Asia [60,61]. The FSI expands upon these important interventions by extending a focus to family-based mental health promotion for school-age children affected by HIV in rural sub-Saharan Africa using a family home visiting model.…”

Section: Discussionsupporting

confidence: 81%

Family-based prevention of mental health problems in children affected by HIV and AIDS

Betancourt

Kirk

et al. 2014

Aids

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Objective The objective of this study is to assess the feasibility and acceptability of an intervention to reduce mental health problems and bolster resilience among children living in households affected by caregiver HIV in Rwanda. Design Pre-post design, including 6-month follow-up. Methods The Family Strengthening Intervention (FSI) aims to reduce mental health problems among HIV-affected children through improved child–caregiver relationships, family communication and parenting skills, HIV psychoeducation and connections to resources. Twenty families (N=39 children) with at least one HIV-positive caregiver and one child 7–17 years old were enrolled in the FSI. Children and caregivers were administered locally adapted and validated measures of child mental health problems, as well as measures of protective processes and parenting. Assessments were administered at pre and postintervention, and 6-month follow-up. Multilevel models accounting for clustering by family tested changes in outcomes of interest. Qualitative interviews were completed to understand acceptability, feasibility and satisfaction with the FSI. Results Families reported high satisfaction with the FSI. Caregiver-reported improvements in family connectedness, good parenting, social support and children's pro-social behaviour (P<0.05) were sustained and strengthened from postintervention to 6-month follow-up. Additional improvements in caregiver-reported child perseverance/self-esteem, depression, anxiety and irritability were seen at follow-up (P<.05). Significant decreases in child-reported harsh punishment were observed at postintervention and follow-up, and decreases in caregiver reported harsh punishment were also recorded on follow-up (P<0.05). Conclusion The FSI is a feasible and acceptable intervention that shows promise for improving mental health symptoms and strengthening protective factors among children and families affected by HIV in low-resource settings.

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Section: Discussionsupporting

confidence: 81%

Family-based prevention of mental health problems in children affected by HIV and AIDS

Betancourt

Kirk

et al. 2014

Aids

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“…We have used this strategy of involving healthcare providers to assist families living with HIV in northern and northeastern Thailand (Li et al, 2010, 2012). The standard of care of providing monthly support groups for PLH in the district hospitals in Thailand facilitates healthcare providers to interact with PLH on a regular basis, and they can play a key role in assisting and supporting PLH with parenting skills.…”

Section: Discussionmentioning

confidence: 99%

“…This study uses data from a randomized controlled family intervention trial in Thailand (Li et al, 2010; Li et al, 2012). Initial screenings of children of PLH were conducted in the district hospitals by healthcare workers and research staff.…”

Section: Methodsmentioning

confidence: 99%

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Parenting styles and emotional intelligence of HIV-affected children in Thailand

Lee

Thammawijaya

2013

AIDS Care

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The purpose of this study was to examine the impact of parenting styles on emotional intelligence of HIV-affected children in Thailand. This study uses data from 205 HIV-affected children in northern and northeastern Thailand. Correlation and regression analyses were used to examine the predictors of emotional intelligence. Children reporting higher levels of stress reported less caring parenting style (Standardized beta [B] = −0.18, p=0.050). Children with higher self-esteem were also more likely to perceive their parents as caring (B = 0.48, p = 0.002). Children who scored lower on their self-esteem reported their parents to be more overprotective (B = −0.30, p = 0.030), and children reporting higher levels of stress reported their parents to be more overprotective (B = 0.12, p = 0.010). Children reporting caring parenting style were significantly more likely to report higher emotional intelligence (B = 0.66, p = 0.001). Parenting styles play an important role in the emotional intelligence. Identifying and testing interventions to help parents improve their parenting styles, while helping their HIV-affected children cope with stress and self-esteem, are essential in promoting mental health of HIV-affected children in Thailand.

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“…Literature has suggested that HIV disrupts the family structure and places stress on the entire family (Dejman et al, 2015; Li et al, 2012). Since the introduction of antiretroviral therapy (ART), HIV infection has become a lifelong chronic disease (Deeks, Lewin, & Havlir, 2013).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a multilevel intervention on the mental health of people living with HIV and their family members in rural China.

Li¹,

Ji²,

Liang³

et al. 2017

Health Psychology

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Objective HIV has a profound impact on infected individuals and their families. This study evaluated the efficacy of an intervention aimed at improving the mental health of people living with HIV (PLH) and their family members. Methods A randomized controlled trial of 475 PLH and 522 family members was conducted in Anhui, China. The intervention comprised of activities at individual-, family-, and community- levels. The study outcomes, which included depressive symptoms and coping with illness for the PLH and depressive symptoms and caregiver burden for the family members, were assessed at baseline and at 6-, 12-, 18-, and 24-month follow-up. We used a mixed-effects regression model with village- and participant-level random effects to assess the intervention effect on the improvement of outcome measures. Results Relative to the control condition, the PLH and family members of the intervention group reported a significant reduction in depressive symptoms. The largest difference in depressive symptoms was observed at the 6-month for the PLH and at the 12-month for family members. Decreases in perceived caregiver burden over time were observed for family members in both conditions; however, the group difference did not reach statistical significance. Significant intervention effect on the coping with illness was reported by the PLH. Conclusions The study highlights the importance of empowering families affected by HIV to confront the challenges together rather than individually. It may be optimal for future programs to include both PLH and their family members to maximize intervention effects through strengthening interactions and support within a family.

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Efficacy of an Intervention for Families Living with HIV in Thailand: A Randomized Controlled Trial

Cited by 11 publications

References 41 publications

Family-based prevention of mental health problems in children affected by HIV and AIDS

Family-based prevention of mental health problems in children affected by HIV and AIDS

Parenting styles and emotional intelligence of HIV-affected children in Thailand

Efficacy of a multilevel intervention on the mental health of people living with HIV and their family members in rural China.

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