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A cluster randomized controlled trial to evaluate a resilience-based intervention for caregivers of HIV-affected children in China
- Source :
- AIDS
- Publication Year :
- 2019
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2019.
-
Abstract
- OBJECTIVES: The Child-Caregiver-Advocacy Resilience (ChildCARE) intervention aims to enhance the psychosocial wellbeing of children affected by parental HIV by providing programing at three levels: child, caregiver, and community. The objective of the current study was to evaluate the intervention’s efficacy in improving mental health and parenting outcomes for participating caregivers. DESIGN: A cluster randomized controlled trial was used to evaluate initial efficacy of the intervention. METHODS: A total of 790 caregivers of children affected by parental HIV were recruited from Henan, China. Caregivers and their children were randomly assigned to one-of-four intervention arms (control, child-only, child + caregiver, child + caregicaregiver + community) to evaluate the multiple components of ChildCARE. Those assigned to receive the caregiver intervention participated in five 2-h intervention sessions designed to improve their parenting skills and enhance their ability to cope with daily stressors. Caregivers reported on their mental health and parenting behaviors at baseline, 12, 24, and 36 months, with mixed effect modeling used to examine intervention effects. RESULTS: Caregivers who participated in the intervention reported decreased anxiety and parental stress at 12 months (P < 0.05). Participants also reported increased use of structured parenting skills (i.e., parental demandingness) at 12 and 24 months (P < 0.05). However, by 36 months, they reported significantly lower levels of parental competence (P < 0.01) than those assigned to the control condition. CONCLUSION: Preliminary findings suggest that the caregiving component of ChildCARE yields initial improvements in some key parenting and mental health outcomes. However, the challenges of caring for children affected by HIV are complex and may require more intensive intervention to yield marked, positive changes across key caregiver outcomes.
- Subjects :
- Adult
Male
Parents
0301 basic medicine
Gerontology
China
Adolescent
media_common.quotation_subject
Immunology
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
Disease cluster
Article
law.invention
03 medical and health sciences
Social support
0302 clinical medicine
Quality of life (healthcare)
Randomized controlled trial
law
Intervention (counseling)
Adaptation, Psychological
Humans
Immunology and Allergy
Medicine
030212 general & internal medicine
Child
media_common
Parenting
business.industry
Social Support
Resilience, Psychological
030104 developmental biology
Infectious Diseases
Caregivers
Quality of Life
Female
Psychological resilience
business
Psychosocial
Subjects
Details
- ISSN :
- 02699370
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- AIDS
- Accession number :
- edsair.doi.dedup.....eae91a2b81b61054db652d8fc46fe182