Family Group Psychotherapy to Support the Disclosure of HIV Status to Children and Adolescents

Nicastro, Emanuele; Continisio, Grazia Isabella; Storace, Cinzia; Bruzzese, Eugenia; Mango, C.; Liguoro, Ilaria; Guarino, Alfredo; Officioso, Annunziata

doi:10.1089/apc.2012.0465

Cited by 19 publications

(17 citation statements)

References 25 publications

(24 reference statements)

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“…Seven of those reported on an HIV disclosure-related intervention but they did not include disclosure to a sexual partner as their outcome. Rather, outcomes for these studies were disclosure intention [59] disclosure efficacy and anxiety [60], disclosure to children [61, 62] or disclosure to any adults in their social network [63-65]. The remaining three studies were excluded because they did not use an experimental or quasi experimental design [66-68].…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Interventions Promoting HIV Serostatus Disclosure to Sexual Partners: A Systematic Review

2015

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Disclosure of HIV serostatus to sexual partners is mandated within certain states in the United States and other countries. Despite these laws implemented and public health efforts to increase disclosure, rates of disclosure to sexual partners among people living with HIV (PLWH) remain low, suggesting the need for interventions to assist PLWH with the disclosure process. We conducted a systematic review of studies testing whether HIV serostatus disclosure interventions increase disclosure to sexual partners. We searched six electronic databases and screened 484 records. Five studies published between 2005 and 2012 met inclusion criteria and were included in this review. Results showed that three of the HIV serostatus disclosure-related intervention studies were efficacious in promoting disclosure to sexual partners. Although all three studies were conducted in the United States the intervention content and measurements of disclosure across the studies varied, so broad conclusions are not possible. The findings suggest that more rigorous HIV serostatus disclosure-related intervention trials targeting different populations in the United States and abroad are needed to facilitate disclosure to sexual partners.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of Interventions Promoting HIV Serostatus Disclosure to Sexual Partners: A Systematic Review

2015

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“…This approach affirms previously published studies demonstrating the importance of providing caregiver and family support for disclosure. 37,38 To provide support to caregivers, providers in our study attempted to empower caregivers to lead disclosure and emphasized the need to help caregivers come to terms with their own HIV status, an issue that is underappreciated in current guidelines. 23 Current guidelines emphasize age as the primary trigger for disclosure.…”

Section: Discussionmentioning

confidence: 99%

Using Health Provider Insights to Inform Pediatric HIV Disclosure: A Qualitative Study and Practice Framework from Kenya

Beima‐Sofie

John‐Stewart

Shah

et al. 2014

AIDS Patient Care and STDs

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“…22,23 There is evidence to support the efficacy of disclosure-oriented counseling from providers in increasing the likelihood of disclosure in romantic relationships among adults with HIV as well as the disclosure to children. 24,25 Most providers (73.1%) reported pregnancies among female patients with PHIV at their clinics (Table 4). This indicates the importance of broader conversations about pregnancy to supplement prevention-focused discussions with support for patients trying to conceive or who may become pregnant unintentionally despite contraceptive use/knowledge.…”

Section: Discussionmentioning

confidence: 99%

Providers Caring for Adolescents with Perinatally-Acquired HIV: Current Practices and Barriers to Communication About Sexual and Reproductive Health

Albright

Fair

2014

AIDS Patient Care and STDs

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The population of adolescents and young adults (AYA) with perinatally-acquired HIV (PHIV) present challenges to HIV healthcare providers (HHCPs). Originally not expected to survive childhood, they are now living well into young adulthood. Little is known about the type of sexual and reproductive (SRH) information/services offered to AYA with PHIV by HHCPs. HHCPs (n=67) were recruited using snowball sampling, and completed an online survey. Providers' most frequently endorsed SRH topics discussed with both male and female patients included condom use (77.3%), STD prevention (73.1%), and screening (62.1%). Providers' reports indicated that females received significantly more education about SRH topics overall. The most frequently noted barriers to SRH communication included more pressing health concerns (53.0%), parent/guardian not receptive (43.9%), and lack of time during appointment (43.9%). Provider-reported SRH conversations with HHCPs were highly focused on horizontal transmission and pregnancy prevention. Salient social aspects of SRH promotion for AYAs with PHIV (e.g., managing disclosure and romantic relationships) were less commonly discussed, though such conversations may serve to reduce secondary transmission and enhance the overall well-being of AYA with PHIV. Findings indicated that further work must be done to identify strategies to address unmet SRH needs of the aging population of AYA with PHIV.

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Family Group Psychotherapy to Support the Disclosure of HIV Status to Children and Adolescents

Cited by 19 publications

References 25 publications

Effectiveness of Interventions Promoting HIV Serostatus Disclosure to Sexual Partners: A Systematic Review

Effectiveness of Interventions Promoting HIV Serostatus Disclosure to Sexual Partners: A Systematic Review

Using Health Provider Insights to Inform Pediatric HIV Disclosure: A Qualitative Study and Practice Framework from Kenya

Providers Caring for Adolescents with Perinatally-Acquired HIV: Current Practices and Barriers to Communication About Sexual and Reproductive Health

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