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A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up
Li,Xiaoming1; Harrison,Sayward E.1; Fairchild,Amanda J.2; Chi,Peilian3; Zhao,Junfeng4; Zhao,Guoxiang4
2019-06-19
Source PublicationSocial Science and Medicine
ISSN18735347 02779536
Volume190Pages:256-264
Abstract

Background Global literature suggests that resilience-based interventions may yield improvements in psychosocial well-being for vulnerable children, but limited data are available regarding the efficacy of such interventions among children affected by parental HIV/AIDS. Objective To evaluate initial efficacy of a multi-level resilience-based intervention among children affected by parental HIV/AIDS in China in improving children's psychosocial well-being and resilience-related outcomes. Method Seven hundred-ninety children, 6–17 years of age, were recruited from rural China. Children were either AIDS orphans or were living with one or two parents infected with HIV/AIDS. Children and primary caregivers were randomly assigned to participate in a 4-arm trial to evaluate the Child-Caregiver-Advocacy Resilience (ChildCARE) intervention. This resilience-based psychosocial intervention provides programming at three levels (child, caregiver, community). Survey data were collected at baseline, 6-months, and 12-months in order to examine efficacy of the child-only and child + caregiver arms in improving children's psychological resilience. Results Intervention groups displayed improvements in several resilience-related outcomes at 6- and 12-month follow-ups, including self-reported coping, hopefulness, emotional regulation, and self-control. The child-only intervention arm showed some fading of intervention effects by 12-months. Conclusion Preliminary findings suggest that the ChildCARE intervention is efficacious in promoting psychosocial well-being of children affected by parental HIV/AIDS in rural China. Targeting both children and caregivers for psychosocial intervention may be effective in improving children's resilience. Additional evaluation and modifications, including the inclusion of booster sessions, should be considered to further strengthen the program.

KeywordChildren Affected By Hiv China Intervention Parental Hiv/aids Resilience
DOI10.1016/j.socscimed.2017.02.007
URLView the original
Indexed BySSCI
Language英语
WOS Research AreaPublic, Environmental & Occupational Health ; Biomedical Social Sciences
WOS SubjectPublic, Environmental & Occupational Health ; Social Sciences, Biomedical
WOS IDWOS:000413135900029
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Cited Times [WOS]:13   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Corresponding AuthorLi,Xiaoming
Affiliation1.Department of Health Promotion Education and BehaviorUniversity of South Carolina,Columbia,United States
2.Department of PsychologyUniversity of South Carolina,Columbia,United States
3.Department of PsychologyUniversity of Macau,Macao
4.International Research Center for Psychological Health of Vulnerable PopulationsHenan University,Kaifeng,China
Recommended Citation
GB/T 7714
Li,Xiaoming,Harrison,Sayward E.,Fairchild,Amanda J.,et al. A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up[J]. Social Science and Medicine,2019,190:256-264.
APA Li,Xiaoming,Harrison,Sayward E.,Fairchild,Amanda J.,Chi,Peilian,Zhao,Junfeng,&Zhao,Guoxiang.(2019).A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up.Social Science and Medicine,190,256-264.
MLA Li,Xiaoming,et al."A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up".Social Science and Medicine 190(2019):256-264.
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