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Randomized Controlled Trial
. 2012 Jul;16(5):1265-75.
doi: 10.1007/s10461-011-0075-z.

Intervention outcomes among HIV-affected families over 18 months

Mary Jane Rotheram-Borus  1 , Eric Rice, W Scott Comulada, Karin Best, Carla Elia, Katherine Peters, Li Li, Sara Green, Ena Valladares
Affiliations
Randomized Controlled Trial

Intervention outcomes among HIV-affected families over 18 months

Mary Jane Rotheram-Borus et al. AIDS Behav. 2012 Jul.

Abstract

We evaluate the efficacy of a family-based intervention over time among HIV-affected families. Mothers living with HIV (MLH; n = 339) in Los Angeles and their school-aged children were randomized to either an intervention or control condition and followed for 18 months. MLH and their children in the intervention received 16 cognitive-behavioral, small-group sessions designed to help them maintain physical and mental health, parent while ill, address HIV-related stressors, and reduce HIV-transmission behaviors. At recruitment, MLH reported few problem behaviors related to physical health, mental health, or sexual or drug transmission acts. Compared to MLH in the control condition, intervention MLH were significantly more likely to monitor their own CD4 cell counts and their children were more likely to decrease alcohol and drug use. Most MLH and their children had relatively healthy family relationships. Family-based HIV interventions should be limited to MLH who are experiencing substantial problems.

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Figures

FIGURE 1
FIGURE 1
Study Randomization Design & Participant Flow.
FIGURE 2
FIGURE 2
Plots of Estimated Means over 18 months for Mothers by Intervention Condition (formula image) and Standard Care Condition (o).
FIGURE 3
FIGURE 3
Plots of Estimated Means over 18 months for Adolescents by Intervention Condition (formula image) and Standard Care Condition (o).
See this image and copyright information in PMC

References

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    1. Rotheram-Borus MJ, Lee MB, Gwadz M, et al. An intervention for parents with AIDS and their adolescent children. Am J Public Health. 2001;91:1294–1302. - PMC - PubMed
    1. Rotheram-Borus MJ, Lee M, Leonard N, et al. Four-year behavioral outcomes of an intervention for parents living with HIV and their adolescent children. AIDS. 2003;17:1217–1225. - PubMed
    1. Rotheram-Borus MJ, Lee MB, Lin YY, et al. Six year intervention outcomes for adolescent children of parents with HIV. Arch Pediatr Adolesc Med. 2004;158:742–748. - PubMed
    1. Rotheram-Borus MJ, Stein JA, Lester P. Adolescent adjustment over six years in HIV-affected families. J Adolesc Health. 2006;39:174–182. - PubMed

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