Original Paper

AIDS and Behavior

, Volume 16, Issue 5, pp 1265-1275

Intervention Outcomes Among HIV-Affected Families Over 18 Months

  • Mary Jane Rotheram-BorusAffiliated withSemel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles Email author 
  • , Eric RiceAffiliated withSchool of Social Work, University of Southern California
  • , W. Scott ComuladaAffiliated withSemel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles
  • , Karin BestAffiliated withSemel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles
  • , Carla EliaAffiliated withSemel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles
  • , Katherine PetersAffiliated withSan Francisco Coordinating Center, University of California San Francisco
  • , Li LiAffiliated withSemel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles
  • , Sara GreenAffiliated withSemel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles
  • , Ena ValladaresAffiliated withSemel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles

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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.

Keywords

HIV+ mothers Family interventions Parenting behaviors Sexual behavior Substance abuse