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A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure

INTRODUCTION: Disclosure 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 inte...

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Autores principales: Conserve, Donaldson F., Teti, Michelle, Shin, Grace, Iwelunmor, Juliet, Handler, Lara, Maman, Suzanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545755/
https://www.ncbi.nlm.nih.gov/pubmed/28824896
http://dx.doi.org/10.3389/fpubh.2017.00187
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author Conserve, Donaldson F.
Teti, Michelle
Shin, Grace
Iwelunmor, Juliet
Handler, Lara
Maman, Suzanne
author_facet Conserve, Donaldson F.
Teti, Michelle
Shin, Grace
Iwelunmor, Juliet
Handler, Lara
Maman, Suzanne
author_sort Conserve, Donaldson F.
collection PubMed
description INTRODUCTION: Disclosure 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. OBJECTIVES: To systematically review the efficacy of interventions designed to assist PLWH disclose their HIV status to their children. METHODS: We 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. RESULTS: Studies 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. CONCLUSION: The 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.
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spelling pubmed-55457552017-08-18 A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure Conserve, Donaldson F. Teti, Michelle Shin, Grace Iwelunmor, Juliet Handler, Lara Maman, Suzanne Front Public Health Public Health INTRODUCTION: Disclosure 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. OBJECTIVES: To systematically review the efficacy of interventions designed to assist PLWH disclose their HIV status to their children. METHODS: We 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. RESULTS: Studies 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. CONCLUSION: The 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. Frontiers Media S.A. 2017-08-07 /pmc/articles/PMC5545755/ /pubmed/28824896 http://dx.doi.org/10.3389/fpubh.2017.00187 Text en Copyright © 2017 Conserve, Teti, Shin, Iwelunmor, Handler and Maman. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Conserve, Donaldson F.
Teti, Michelle
Shin, Grace
Iwelunmor, Juliet
Handler, Lara
Maman, Suzanne
A Systematic Review and Narrative Synthesis of Interventions for Parental Human Immunodeficiency Virus Disclosure
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 Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545755/
https://www.ncbi.nlm.nih.gov/pubmed/28824896
http://dx.doi.org/10.3389/fpubh.2017.00187
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