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Randomized Controlled Trial
. 2011 Oct;73(8):1214-21.
doi: 10.1016/j.socscimed.2011.07.013. Epub 2011 Aug 2.

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

Li Li  1 , Guoping Ji, Li-Jung Liang, Yingying Ding, Junru Tian, Yongkang Xiao
Affiliations
Randomized Controlled Trial

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

Li Li et al. Soc Sci Med. 2011 Oct.

Abstract

This article analyzes the efficacy of the Together for Empowerment Activities (TEA) intervention in decreasing depressive symptoms and improving social support for persons living with HIV (PLH) and their family members. A total of 79 families, consisting of 88 PLH and 79 family members, were recruited from Anhui province, China, and randomized to the TEA intervention (n = 38) or a control condition (n = 41). The intervention was delivered at three levels: 1) TEA Gathering (small group for PLH and family members); 2) TEA Time (home-based family activities with children that accompany each TEA Gathering); and 3) TEA Garden (community events that build social integration). Face-to-face interviews were administered at baseline, 3, and 6 months. Mixed-effects regression models and kernel density estimation were used for data analysis. PLH and their family members in the intervention reported significant improvements in depressive symptoms, social support, and family functioning at the 3-month and 6-month follow-up assessments compared to those in the control condition. Heterogeneous intervention effects on social support and family functioning were indicated at the 6-month follow-up. The intervention could have various effect patterns for different subgroups within the intervention condition. This study provides preliminary data to support the feasibility and efficacy of a multilevel intervention.

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Figures

FIGURE 1
FIGURE 1
Flow of study participants.
FIGURE 2
FIGURE 2
Kernel density curves for depression (top row), social support (middle row), and family functioning (bottom row) by group at baseline (first column), 3-month follow-up (second column), and 6-month follow-up (third column). Solid curve represents intervention and dashed curve represents control. The vertical dashed line represents the median score at baseline.
See this image and copyright information in PMC

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