Hugging My Uncle: The Impact of a Parent Training on Children’s Comfort Interacting with Persons Living with HIV

Krauss, Beatrice J.; Godfrey, Christopher; O'Day, J; Freidin, Elizabeth

doi:10.1093/jpepsy/jsj099

Cited by 16 publications

(23 citation statements)

References 24 publications

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“…Of the 9 RCTs, six were conducted in the United States or in other North American or European countries [26, 27, 29–32], two in Asian countries [25, 33], and one in an African country [28]. Four of the RCTs focused on student populations [27–29, 31], two focused on health care provider populations [32, 33], one was a community level intervention [25], and the remaining two focused on families [30] and women [26]. Their interventions’ durations ranged from 15 minutes to 2 years.…”

Section: Resultsmentioning

confidence: 99%

“…Seven of these 19 studies also measured enacted stigma, mainly in the form of asking respondents whether they agree or disagree with different discriminatory behaviors towards PLWHA [24, 25, 30, 33, 35, 36, 39]. None of the 19 studies measured internalized or compounded stigma.…”

Section: Resultsmentioning

confidence: 99%

“…Nine of the 19 studies used either a previously/originally developed and validated, multi-item scale/index in which a summary or mean score was calculated, ranging from 4 to 30 items [22, 23, 25, 27–30, 32, 38]. Of these nine studies, however, three did not provide a score range and its interpretation for their measures to adequately assess if HIV/AIDS stigma was reduced or had increased as a result of the intervention [22, 27, 32].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review

et al. 2010

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We reviewed the literature to determine the effectiveness of HIV-related interventions in reducing HIV/AIDS stigma. Studies selected had randomized controlled trial (RCT), pretest–posttest with a non-randomized control group, or pretest–posttest one group study designs in which HIV-related interventions were being evaluated, and in which HIV/AIDS stigma was one of the outcomes being measured. A checklist was used to extract data from accepted studies, assess their internal validity, and overall quality. Data were extracted from 19 studies, and 14 of these studies demonstrated effectiveness in reducing HIV/ AIDS stigma. Only 2 of these 14 effective studies were considered good studies, based on quality, the extent to which the intervention focused on reducing HIV/AIDS stigma, and the statistics reported to demonstrate effectiveness. Future studies to reduce HIV/AIDS stigma could improve by designing interventions that pay greater attention to internal validity, use validated HIV/AIDS stigma instruments, and achieve both statistical and public health significance.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review

et al. 2010

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“…As the above studies and the observations by Cluver and Orkin (2009), Delva et al (2009), and Mbaye et al (2009 underscore, such fears may have some foundation. Using policy, law and social norms to prevent discrimination may be an integral part of promoting disclosure and enhancing HIV care (Krauss, Godfrey, O'Day, & Freidin, 2006;Mbaye et al, 2009). At the family level, Delaney, Serovich, and Lim (2009) in a study of HIV' women in the United States found mothers were interested in taking leadership roles in decision-making about disclosure to their children.…”

Section: Additional Disclosure Considerationsmentioning

confidence: 99%

Caregiver's HIV disclosure to children 12 years and under: A review and analysis of the evidence

et al. 2012

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A systematic review and analysis of the empirical evidence through June 2010 on HIV disclosure to children 12 and under was conducted using methods validated by the Cochrane group. Fifteen articles focusing on caregiver disclosure (255 total) were analyzed using GradePro 3 software. Results suggest that there is evidence of health and future care planning benefit for HIV+ and healthy children (12 and under) of HIV+ caregivers if the caregiver discloses his/her HIV status to them. Children of the maturity of school age youth (e.g., beginning at 6 years and continuing through 12) can be told of their caregivers' HIV status, while younger children may be informed partially in an age-appropriate manner.

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“…Having parents teach children about HIV has been effective in reducing children's misconceptions about the disease, 27 and exposure to HIV-infected individuals has helped reduce fears about contagion. 28 It is also important not only to provide children with information about how HIV is transmitted, but also to clear up any misconceptions.…”

Section: Discussionmentioning

confidence: 99%

Fears About HIV Transmission in Families With an HIV-Infected Parent: A Qualitative Analysis

et al. 2008

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Objective Children of HIV-infected parents may be affected by their parents' disease even if not infected themselves. Due to advances in HIV treatment that have reduced the risk of vertical HIV transmission from mother to child, more HIV-infected adults are having children. Few studies have examined whether families with an HIV-infected parent experience fears about transmission to children and how they address such fears. In this paper, we describe transmission-related fears in families with an HIV-infected parent. Participants and Methods This study uses semi-structured qualitative interviews, conducted in-person from March 2004-March 2005, with 33 HIV-infected parents, 27 minor children 9-17 years old, 19 adult children, and 15 caregivers (adult family members or friends who helped care for the children and/or parents) to investigate their fears about HIV transmission. The parents are a subset from the HIV Cost and Services Utilization Study (HCSUS), a study of people in care for HIV throughout the US. We analyzed the interview transcripts for themes related to transmission fears. Results In many of the families, participants identified ≥1HIV transmission-related fear. Themes included specific fears related to blood contact, bathroom items, kissing/hugging, and food. Families addressed their fears by educating children about modes of HIV transmission and establishing rules or taking precautions to reduce the risk of HIV transmission in the household. HIV-infected parents were also concerned about catching opportunistic infections from a sick child. Conclusions Many of the fears experienced by HIV-infected parents and their children were based on misconceptions about modes of HIV transmission. Pediatricians and others treating these children may be able to offer counseling to allay fears that family members have about household transmission of HIV.

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Hugging My Uncle: The Impact of a Parent Training on Children’s Comfort Interacting with Persons Living with HIV

Abstract: Training parents to be HIV health educators of their children significantly impacts youth and shows promise for reducing HIV-related stigma and social isolation.

Cited by 16 publications

References 24 publications

HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review

HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review

Caregiver's HIV disclosure to children 12 years and under: A review and analysis of the evidence

Fears About HIV Transmission in Families With an HIV-Infected Parent: A Qualitative Analysis

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