HIV
Conditions
Keywords
Disclosure, Serostatus
Brief summary
This study will develop and evaluate the effectiveness of an intervention designed to assist HIV-infected mothers of young children in determining whether and how to appropriately disclose their HIV serostatus to their children.
Detailed description
HIV is a serious, life threatening illness that requires a lifetime of treatment and disease management. Studies have shown that it can be very difficult for infected mothers to decide whether and/or when to disclose their HIV serostatus to their uninfected children. HIV-infected parents struggle with the fear that their children will be forced to grow up too quickly, become worried or depressed, or be angry with their parents once they learn that their parents have HIV. Family-based intervention programs have been successful in helping facilitate the disclosure process. This study will develop and evaluate the effectiveness of an intervention designed to assist HIV-infected mothers of young children in determining whether and how to appropriately disclose their HIV serostatus to their children. Participants in this study will be randomly assigned to either the intervention or a standard of care condition. The intervention will consist of three 75-minute sessions that will focus on exploring mothers' concerns, determining children's readiness to receive the news, planning for disclosure, and practicing disclosure. Participants will also receive one follow-up phone call from the therapist about 3 weeks after the last session. Sessions will be scheduled at times that are convenient for the participants and therapists. Follow-up visits will include both mothers and their children, and will be held at Months 3, 6, and 9 following the end of the intervention. Assessments will include readiness to disclose HIV serostatus, mental health indicators, and family functioning.
Interventions
BEHAVIORALTeaching, Raising, and Communicating with Kids (TRACK)
TRACK is cognitive-behavioral treatment designed to improve mother-child communication and parenting skills and prepare caregiver for disclosure of HIV serostatus to child. The treatment consists of three 75-minute sessions that focus on exploring mothers' concerns, determining children's readiness to receive the news, planning for disclosure, and practicing disclosure.
OTHERTreatment as usual
Treatment as usual includes standard care for HIV infected mothers.
Sponsors
National Institute of Mental Health (NIMH)
University of California, Los Angeles
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Confirmation of mother's HIV/AIDS status * Healthy child (i.e., HIV uninfected) who is between 6 and 12 years of age and is unaware of maternal serostatus * Mother is primary caregiver and child resides with her * English- or Spanish-speaking
Exclusion criteria
* Child does not meet screening criteria (e.g., diagnosed with depression or suicide attempt, IQ score less than 75) * Psychosis of parent or child (as advised by recruitment site clinicians) * Child refuses to give assent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Readiness to disclose HIV serostatus | Measured at Months 3, 6, and 9 |
| Disclosure of HIV serostatus | Measured at Months 3, 6, and 9 |
Secondary
| Measure | Time frame |
|---|---|
| Mothers' mental health indicators | Measured at Months 3, 6, and 9 |
| Children's mental health indicators | Measured at Months 3, 6, and 9 |
| Children's behavioral problems | Measured at Months 3, 6, and 9 |
| Parent-child relationship and family functioning | Measured at Months 3, 6, and 9 |
Countries
United States
Outcome results
None listed