A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure
IntroductionDisclosure of parental human immunodeficiency virus (HIV) infection to their children remains a difficult process for parents living with HIV (PLWH). In order to identify the best strategies to facilitate parental HIV disclosure, it is necessary to examine the efficacy of existing interv...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fpubh.2017.00187/full |
| _version_ | 1819012157145088000 |
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| author | Donaldson F. Conserve Michelle Teti Grace Shin Juliet Iwelunmor Lara Handler Suzanne Maman |
| author_facet | Donaldson F. Conserve Michelle Teti Grace Shin Juliet Iwelunmor Lara Handler Suzanne Maman |
| author_sort | Donaldson F. Conserve |
| collection | DOAJ |
| description | IntroductionDisclosure of parental human immunodeficiency virus (HIV) infection to their children remains a difficult process for parents living with HIV (PLWH). In order to identify the best strategies to facilitate parental HIV disclosure, it is necessary to examine the efficacy of existing interventions designed to help PLWH parents with the disclosure process to their children.ObjectivesTo systematically review the efficacy of interventions designed to assist PLWH disclose their HIV status to their children.MethodsWe conducted a systematic review and narrative synthesis of interventions designed to assist PLWH disclose their HIV status to their children. MEDLINE/PubMed, PsycINFO, Embase, Global Health, and Web of Science were searched.ResultsStudies were eligible for inclusion if they evaluated an intervention for parental HIV disclosure. Five studies published between 2001 and 2015 met the inclusion criteria. The interventions were conducted in South Africa, China, and the United States. Three of the studies used two-arm randomized controlled trials, in which the intervention group was given enhanced care while the control group received standard care. Four of the five studies included a theoretically informed intervention and three were limited to mothers. Results showed that four of the interventions increased parental HIV disclosure.ConclusionThe findings suggest that parental HIV disclosure interventions are successful in assisting parents with the disclosure process and can be adapted in different cultural context. Future parental HIV disclosure interventions should include fathers in order to assist men with parental HIV disclosure. |
| first_indexed | 2024-12-21T01:39:35Z |
| format | Article |
| id | doaj.art-6096473b2bd245fab557b189c86aa951 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-21T01:39:35Z |
| publishDate | 2017-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-6096473b2bd245fab557b189c86aa9512022-12-21T19:20:10ZengFrontiers Media S.A.Frontiers in Public Health2296-25652017-08-01510.3389/fpubh.2017.00187279401A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus DisclosureDonaldson F. Conserve0Michelle Teti1Grace Shin2Juliet Iwelunmor3Lara Handler4Suzanne Maman5Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United StatesDepartment of Health Sciences, University of Missouri, Columbia, MO, United StatesDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesDepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, United StatesHealth Sciences Library, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesIntroductionDisclosure of parental human immunodeficiency virus (HIV) infection to their children remains a difficult process for parents living with HIV (PLWH). In order to identify the best strategies to facilitate parental HIV disclosure, it is necessary to examine the efficacy of existing interventions designed to help PLWH parents with the disclosure process to their children.ObjectivesTo systematically review the efficacy of interventions designed to assist PLWH disclose their HIV status to their children.MethodsWe conducted a systematic review and narrative synthesis of interventions designed to assist PLWH disclose their HIV status to their children. MEDLINE/PubMed, PsycINFO, Embase, Global Health, and Web of Science were searched.ResultsStudies were eligible for inclusion if they evaluated an intervention for parental HIV disclosure. Five studies published between 2001 and 2015 met the inclusion criteria. The interventions were conducted in South Africa, China, and the United States. Three of the studies used two-arm randomized controlled trials, in which the intervention group was given enhanced care while the control group received standard care. Four of the five studies included a theoretically informed intervention and three were limited to mothers. Results showed that four of the interventions increased parental HIV disclosure.ConclusionThe findings suggest that parental HIV disclosure interventions are successful in assisting parents with the disclosure process and can be adapted in different cultural context. Future parental HIV disclosure interventions should include fathers in order to assist men with parental HIV disclosure.http://journal.frontiersin.org/article/10.3389/fpubh.2017.00187/fullparental human immunodeficiency virus disclosureinterventionssystematic reviewhuman immunodeficiency virus-affected familieschildren |
| spellingShingle | Donaldson F. Conserve Michelle Teti Grace Shin Juliet Iwelunmor Lara Handler Suzanne Maman A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure Frontiers in Public Health parental human immunodeficiency virus disclosure interventions systematic review human immunodeficiency virus-affected families children |
| title | A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure |
| title_full | A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure |
| title_fullStr | A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure |
| title_full_unstemmed | A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure |
| title_short | A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure |
| title_sort | systematic review and narrative synthesis of interventions for parental human immunodeficiency virus disclosure |
| topic | parental human immunodeficiency virus disclosure interventions systematic review human immunodeficiency virus-affected families children |
| url | http://journal.frontiersin.org/article/10.3389/fpubh.2017.00187/full |
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