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Intervention Outcomes Among HIV-Affected Families Over 18 Months

AIDS and Behavior volume 16, pages 1265–1275 (2012)Cite this article

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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Acknowledgments

This study was supported by grant # R01MH068194 from the National Institute of Mental Health. Dr. Rotheram-Borus had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

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Affiliations

  1. Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California Los Angeles, 10920 Wilshire Blvd., Ste. 350, Los Angeles, CA, 90024, USA

    Mary Jane Rotheram-Borus, W. Scott Comulada, Karin Best, Carla Elia, Li Li, Sara Green & Ena Valladares

  2. School of Social Work, University of Southern California, Los Angeles, CA, USA

    Eric Rice

  3. San Francisco Coordinating Center, University of California San Francisco, San Francisco, CA, USA

    Katherine Peters

Authors
  1. Mary Jane Rotheram-Borus
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  2. Eric Rice
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  3. W. Scott Comulada
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  4. Karin Best
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  5. Carla Elia
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  6. Katherine Peters
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  7. Li Li
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  8. Sara Green
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  9. Ena Valladares
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Corresponding author

Correspondence to Mary Jane Rotheram-Borus.

Additional information

ClinicalTrials.gov Registration number NCT00988390.

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Rotheram-Borus, M.J., Rice, E., Comulada, W.S. et al. Intervention Outcomes Among HIV-Affected Families Over 18 Months. AIDS Behav 16, 1265–1275 (2012). https://doi.org/10.1007/s10461-011-0075-z

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  • DOI: https://doi.org/10.1007/s10461-011-0075-z

Keywords

  • HIV+ mothers
  • Family interventions
  • Parenting behaviors
  • Sexual behavior
  • Substance abuse