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- Title
Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial.
- Authors
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
- Abstract
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).' ; NCT01509573?term=Pilot+Feasibility+Trial+of+the+Family+Strengthening+Intervention+in+Rwanda+%28 FSI- 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.
- Subjects
RWANDA; PREVENTION of mental depression; MENTAL depression; FAMILIES; HEALTH promotion; HIV infections; LONGITUDINAL method; MENTAL health; PARENT-child relationships; PARENTING; PROBABILITY theory; STATISTICAL sampling; SELF-evaluation; PILOT projects; FAMILY relations; RANDOMIZED controlled trials; PRE-tests &; post-tests; CHILDREN
- Publication
Journal of Child Psychology, 2017, Vol 58, Issue 8, p922
- ISSN
0021-9630
- Publication type
Article
- DOI
10.1111/jcpp.12729