AIDS and Behavior

, 13:1005

Lessons Learned from “Integrating” Intensive Family-based Interventions into Medical Care Settings for Mothers Living with HIV/AIDS and their Adolescent Children

  • Eric Rice
  • Patricia Lester
  • Lisa Flook
  • Sara Green
  • Ena S. Valladares
  • Mary Jane Rotheram-Borus
Report

Abstract

Centers for Disease Control and Prevention (CDC) has recommended integrating behavioral interventions into medical care settings for persons living with HIV. Delivering an intensive, family-based intervention for mothers living with HIV (MLH) (n = 173) and their adolescent children (n = 116) integrated into medical care was problematic. Despite the fact that nearly half of MLH were recruited at HIV/AIDS clinics, community centers and children’s hospitals were the most popular and most successful sites for the delivery of the intervention. We provide recommendations for how to integrate intensive interventions into medical care, given the needs of MLH, their adolescents, and the organizations serving them.

Keywords

Integrating interventions to medical care HIV/AIDS Secondary HIV prevention Persons living with HIV Family 

References

  1. CDC. (2003). Incorporating HIV prevention into the medical care of persons living with HIV. Morbidity and Mortality Weekly Report, 52(RR12), 1–24.Google Scholar
  2. Fisher, J. D., Fisher, W. A., Cornman, D. H., Amico, R. K., Bryan, A., & Friedland, G. H. (2006). Clinician-delivered intervention during routine clinical care reduces unprotected sexual behavior among HIV-infected patients. Journal of Acquired Immune Deficiency Syndromes, 41(1), 44–52. doi:10.1097/01.qai.0000192000.15777.5c.PubMedCrossRefGoogle Scholar
  3. Healthy Living Project Team, The. (2007). Effects of a behavioral intervention to reduce risk of transmission among people living with HIV: The healthy living project randomized controlled study. Journal of Acquired Immune Deficiency Syndromes, 44(2), 213–221. doi:10.1097/QAI.0b013e31802c0cae.CrossRefGoogle Scholar
  4. Kalichman, S. C., Rompa, D., Cage, M., DiFonzo, K., Simpson, D., Austin, J., et al. (2001). Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. American Journal of Preventive Medicine, 21(2), 84–92. doi:10.1016/S0749-3797(01)00324-5.PubMedCrossRefGoogle Scholar
  5. Knauz, R. O., Safren, S. A., O’Cleirigh, C., Capistrant, B. D., Driskell, J. R., Aguilar, D., et al. (2007). Developing an HIV-prevention intervention for HIV-infected men who have sex with men in HIV care: Project enhance. AIDS and Behavior, 11(Suppl. 5), S117–S126. doi:10.1007/s10461-007-9257-0.PubMedCrossRefGoogle Scholar
  6. Koester, K. A., Maiorana, A., Vernon, K., Myers, J., Rose, C. D., & Morin, S. (2007). Implementation of HIV prevention interventions with people living with HIV/AIDS in clinical settings: Challenges and lessons learned. AIDS and Behavior, 11(Suppl. 5), S17–S29. doi:10.1007/s10461-007-9233-8.PubMedCrossRefGoogle Scholar
  7. Lightfoot, M., Rotheram-Borus, M. J., Comulada, S., Gundersen, G., & Reddy, V. (2007). Self-monitoring of behaviour as a risk reduction strategy for persons living with HIV. AIDS Care, 19(6), 757–763. doi:10.1080/09540120600971117.PubMedCrossRefGoogle Scholar
  8. Richardson, J. L., Milam, J., McCutchan, A., Stoyanoff, S., Bolan, R., Weiss, J., et al. (2004). Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: a multi-clinic assessment. AIDS (London, England), 18(8), 1179–1186. doi:10.1097/00002030-200405210-00011.Google Scholar
  9. Rotheram-Borus, M. J., Lee, M. B., Gwadz, M., & Draimin, B. (2001). An intervention for parents with AIDS and their adolescent children. American Journal of Public Health, 91(8), 1294–1302.PubMedCrossRefGoogle Scholar
  10. Rotheram-Borus, M. J., Lee, M., Leonard, N., Lin, Y. Y., Franzke, L., Turner, E., et al. (2003). Four-year behavioral outcomes of an intervention for parents living with HIV and their adolescent children. AIDS (London, England), 17(8), 1217–1225. doi:10.1097/00002030-200305230-00014.Google Scholar
  11. Rotheram-Borus, M. J., Lee, M., Lin, Y. Y., & Lester, P. (2004). Six-year intervention outcomes for adolescent children of parents with the human immunodeficiency virus. Archives of Pediatrics & Adolescent Medicine, 158(8), 742–748. doi:10.1001/archpedi.158.8.742.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Eric Rice
    • 1
  • Patricia Lester
    • 1
  • Lisa Flook
    • 1
  • Sara Green
    • 1
  • Ena S. Valladares
    • 1
  • Mary Jane Rotheram-Borus
    • 1
  1. 1.Center for Community Health, Semel Institute for Neuroscience and Human BehaviorUniversity of California at Los AngelesLos AngelesUSA

Personalised recommendations