HIV
Conditions
Keywords
HIV, Parenting, self-care, disclosure, medication adherence, mother, child, adolescent
Brief summary
The IMAGE intervention was developed to improve parenting and self-care skills in mothers infected with HIV. It is expected that an improvement in these areas will in turn improve the mother's physical and mental health as well as the child's mental health and behavioral adjustment.
Detailed description
Worldwide, close to half the adults living with HIV are women and a large proportion of these women are of child-bearing age. Whereas anyone living with HIV faces the physical challenges of living with a chronic disease, as well as the material and social impact of the stigma associated with the disease, mothers living with HIV must also meet the demands of childrearing while mitigating the negative impact of the disease upon their family. Mothers with HIV report that this is their greatest source of stress. Moreover, children of these mothers, growing up with a parent with a chronic, stigmatized, and often fatal disease, are considered a high-risk group. The IMAGE intervention was designed to improve parenting and self-care skills in mothers with HIV in order to improve the mother's physical and mental health as well as the child's mental health and behavioral adjustment.
Interventions
BEHAVIORALIMAGE Intervention
Mothers in the intervention will receive four individual intervention sessions with a facilitator. The sessions will cover parenting and self care skills.
Sponsors
National Institute of Mental Health (NIMH)
University of California, Los Angeles
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* mother has confirmed diagnosis of HIV * well (HIV-) child, 6 to 14 years of age * mother is English or Spanish speaking * child is English speaking
Exclusion criteria
* low cognitive/intellectual functioning (\<75) in mother or child * psychosis in mother or child
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Targeted Behaviors, Practices, and Skills and Maternal and Child Health | 3-months, 6-months, and 12-months | Specific targets of the intervention, including parenting practices, parenting behaviors, and self care skills, will be evaluated. In addition, the mother's physical and mental health and the child's mental health and behavioral adjustment will be evaluated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parenting Self-efficacy | 3-months, 6-months, and 12-months | Perceptions of effectiveness in the parental role and general parenting self-efficacy will be assessed. |
Countries
United States
Outcome results
None listed