Pilot Trial of a Disclosure Intervention for HIV+ Mothers: The TRACK Program

Autor/inn/en	Murphy, Debra A.; Armistead, Lisa; Marelich, William D.; Payne, Diana L.; Herbeck, Diane M.
Titel	Pilot Trial of a Disclosure Intervention for HIV+ Mothers: The TRACK Program
Quelle	In: Journal of Consulting and Clinical Psychology, 79 (2011) 2, S.203-214 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0022896
Schlagwörter	Acquired Immunodeficiency Syndrome (AIDS); Control Groups; Intervention; Mothers; Self Efficacy; Sexually Transmitted Diseases; Depression (Psychology); Longitudinal Studies; Children; Child Health; Mental Health; Family Relationship; Interpersonal Communication; Parent Child Relationship; Disclosure; Anxiety; Attachment Behavior + Suchen Sie Ihr Suchwort? Mother; Mutter; Self-efficacy; Selbstwirksamkeit; Sexual transmitted disease; Geschlechtskrankheit; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Child; Kind; Kinder; Psychohygiene; Interpersonale Kommunikation; Parents-child relationship; Parent-child-relation; Parent-child relationship; Eltern-Kind-Beziehung; Angst; Attachment; Bindungsverhalten
Abstract	Objective: The "T"eaching, "R"aising, "A"nd "C"ommunicating with "K"ids (TRACK) program was a longitudinal pilot-trial intervention designed to assist mothers living with HIV (MLHs) to disclose their serostatus to their young children (age 6-12 years). Method: MLH and child dyads (N = 80 dyads) were recruited and randomized to intervention or control; the intervention group had 3 individual sessions and 1 follow-up phone call. The sessions focused on preparing MLHs for disclosure through behavioral exercises using Derlega's model (V. J. Derlega, B. A. Winstead, K. Greene, J. Serovich, & W. N. Elwood, 2004) of HIV disclosure. Both MLHs and their child were assessed across multiple time points (baseline, 3, 6, and 9 months) regarding disclosure of HIV status, and specific outcome variables (i.e., relationship context, mother's health, child's mental health, and family outcomes). Results: MLHs in the intervention group were 6 times more likely to disclose their HIV status than those in the control group (OR = 6.33, 95% CI [1.64, 24.45]), with 33% disclosing in the intervention group compared with 7.3% in the control group. MLHs in the intervention group showed increases in disclosure self-efficacy across time, increased communication with their child, and improvement in emotional functioning. Children of MLHs in the intervention group exhibited reductions in depression and anxiety, and increases in happiness. Conclusions: TRACK was found to be successful in helping MLHs disclose their HIV status to their children, with positive outcomes noted for both MLHs and their children. (Contains 4 figures and 2 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10