A multilevel intervention for HIV-affected families in China: Together for Empowerment Activities (TEA)

Li, Li; Ji, Guoping; Liang, Li‐Jung; Ding, Yingying; Tian, Jun-Ru; Xiao, Yunhua

doi:10.1016/j.socscimed.2011.07.013

Cited by 48 publications

(60 citation statements)

References 42 publications

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“…Our results resonate with those of other family-focused interventions that have shown promise for HIV-prevention in South Africa [57] and for HIV-affected families in the United States [25,58,59] and Asia [60,61]. The FSI expands upon these important interventions by extending a focus to family-based mental health promotion for school-age children affected by HIV in rural sub-Saharan Africa using a family home visiting model.…”

Section: Discussionsupporting

confidence: 81%

Family-based prevention of mental health problems in children affected by HIV and AIDS

Betancourt

Kirk

et al. 2014

Aids

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Objective The objective of this study is to assess the feasibility and acceptability of an intervention to reduce mental health problems and bolster resilience among children living in households affected by caregiver HIV in Rwanda. Design Pre-post design, including 6-month follow-up. Methods The Family Strengthening Intervention (FSI) aims to reduce mental health problems among HIV-affected children through improved child–caregiver relationships, family communication and parenting skills, HIV psychoeducation and connections to resources. Twenty families (N=39 children) with at least one HIV-positive caregiver and one child 7–17 years old were enrolled in the FSI. Children and caregivers were administered locally adapted and validated measures of child mental health problems, as well as measures of protective processes and parenting. Assessments were administered at pre and postintervention, and 6-month follow-up. Multilevel models accounting for clustering by family tested changes in outcomes of interest. Qualitative interviews were completed to understand acceptability, feasibility and satisfaction with the FSI. Results Families reported high satisfaction with the FSI. Caregiver-reported improvements in family connectedness, good parenting, social support and children's pro-social behaviour (P<0.05) were sustained and strengthened from postintervention to 6-month follow-up. Additional improvements in caregiver-reported child perseverance/self-esteem, depression, anxiety and irritability were seen at follow-up (P<.05). Significant decreases in child-reported harsh punishment were observed at postintervention and follow-up, and decreases in caregiver reported harsh punishment were also recorded on follow-up (P<0.05). Conclusion The FSI is a feasible and acceptable intervention that shows promise for improving mental health symptoms and strengthening protective factors among children and families affected by HIV in low-resource settings.

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Section: Discussionsupporting

confidence: 81%

Family-based prevention of mental health problems in children affected by HIV and AIDS

Betancourt

Kirk

et al. 2014

Aids

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“…Family members were found to have a greater understanding of the condition and empathise with the patient. Although in some cases, this was found to result in psychological distress for the family members involved, it also directly enhanced the support family members provided 47. Our patient clearly described the importance of having an understanding family with her current husband and mother preventing her suicide and facilitating her decision to start ART.…”

Section: Global Health Problem Analysismentioning

confidence: 68%

“…In addition to the studies cited above based in Africa, group support for those with HIV has been found to be successful throughout the world 47–51. In China, family sessions have been implemented with great success 47. Those who underwent the group sessions were found to have a significant improvement in family functioning and support and decrease in the symptoms of depression at both 3-month and 6-month follow-up.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Stigma kills! The psychological effects of emotional abuse and discrimination towards a patient with HIV in Uganda

Ruffell¹

2017

BMJ Case Reports

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Our patient is a 58-year-old Ugandan woman. After her husband's death in 1994, the patient was forced to leave her home by her late husband's family and arrangements were made for her mother to provide care until her inevitable death. The patient suffered from multiple mental health disturbances as a result of discrimination. Socially isolated after years of self-neglect, she prepared to overdose. In 2007, she became open regarding her status after receiving psychosocial support from various sources. She opened her home as an HIV clinic with the help of a local doctor, and subsequently the majority of her psychological symptoms were resolved. This case illustrates the negative impact that stigma and discrimination can have on mental and consequently physical health, both acutely and chronically. It also highlights the importance of social and psychological support in maintaining the well-being of patients with HIV globally.

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“…A detailed description of the intervention pilot has been reported previously [34]. The study was conducted in Anhui Province, China.…”

Section: Methodsmentioning

confidence: 99%

Exploring Coping and Social Support with Gender and Education Among People Living with HIV in China

Lin

Liang

et al. 2015

AIDS Behav

Self Cite

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Social support promotes positive coping strategies among people living with HIV (PLH); however, little is known about the various aspects of social support and their distinct effects on coping. The present study investigates the specific links between coping and perceived social support with respect to gender and education among PLH. A total of 522 PLH in Anhui, China, participated in an assessment that collected data on demographics, perceived tangible and emotional support, and cognitive and behavioral coping. The assessment was conducted using the computer-assisted personal interviewing method. The data were analyzed using linear mixed models. Emotional support was significantly associated with both cognitive and behavioral coping. Tangible support was significantly associated with behavioral coping but not with emotional coping. Women reported significantly lower levels of emotional support, cognitive coping, and behavioral coping than men did. Significant associations between tangible support and coping were found only among illiterate males. Women living with HIV are in greater need of social support and coping strategies. Future interventions should be gender specific, with targeted support for women with lower education levels to enhance their coping strategies.

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A multilevel intervention for HIV-affected families in China: Together for Empowerment Activities (TEA)

Cited by 48 publications

References 42 publications

Family-based prevention of mental health problems in children affected by HIV and AIDS

Family-based prevention of mental health problems in children affected by HIV and AIDS

Stigma kills! The psychological effects of emotional abuse and discrimination towards a patient with HIV in Uganda

Exploring Coping and Social Support with Gender and Education Among People Living with HIV in China

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