Evidence map›Paper›PMID 26049544›Full record

ArticleAIDS (London, England)2015

Nurse-delivered counselling intervention for parental HIV disclosure: results from a pilot randomized controlled trial in China.

Jane M Simoni, Joyce P Yang, Cheng-Shi Shiu, Wei-Ti Chen, Wadiya Udell, Meijuan Bao, Lin Zhang, Hongzhou Lu

Abstract readEditorial
In one paragraph

Article in AIDS (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Concerns of Parental HIV Disclosure in China.Clinical nursing research · 2021
    Trial
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  10. Review
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  12. Article
  13. Observational
  14. International journal of pediatrics & adolescent medicine · 2018
    Article
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  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jane M SimoniaDepartment of Psychology bSchool of Social Work, University of Washington, Seattle, Washington cSchool of Nursing, Yale University, Orange, Connecticut dSchool of Interdisciplinary Arts and Sciences, University of Washington Bothell, Bothell, Washington, USA eShanghai Public Health Clinical Center, Fudan University, Shanghai, P.R. China.
Joyce P Yang
Cheng-Shi Shiu
Wei-Ti Chen
Wadiya Udell
Meijuan Bao
Lin Zhang
Hongzhou Lu

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
Mentoring Diverse Scientists in Global HIV Research on Mental Health & AdherenceK24MH093243 · NIMH · UNIVERSITY OF WASHINGTON · PI SIMONI, JANE M. · 2011 to 2014
$590k
Self- and Family-Management Intervention in HIV+ Chinese WomenK23NR014107 · NINR · YALE UNIVERSITY · PI CHEN, WEI-TI · 2013 to 2015
$374k
Developing an Intervention for Disclosure of Parental HIV to Children in ChinaR21HD074141 · NICHD · UNIVERSITY OF WASHINGTON · PI SIMONI, JANE M. · 2012 to 2013
$360k
Reducing Psychological Distress of HIV+ Parents and Their Families in China.F31MH099925 · NIMH · UNIVERSITY OF WASHINGTON · PI YANG, JOYCE P · 2012 to 2015
$149k
NIAID NIH HHS P30 AI027757NIAID NIH HHS P30AI27757NICHD NIH HHS R21 HD074141NICHD NIH HHS R21 HD074141-01NIMH NIH HHS 1F31MH099925-01NIMH NIH HHS F31 MH099925NIMH NIH HHS K24 MH093243NIMH NIH HHS K24MH093243NINR NIH HHS 1K23NR014107NINR NIH HHS K23 NR014107
6 · The paper itself

Abstract

objectiveThe objective of this study was to design and conduct a preliminary evaluation of an intervention to assist parents in decision-making about disclosure of their HIV diagnosis to their children.

designThis was a pilot randomized controlled trial (RCT) with blinded assessment. Participants were randomized to intervention or treatment-as-usual (TAU) arms.

settingThe study occurred at an outpatient HIV primary care centre in Shanghai, China.

participantsParticipants were 20 HIV-positive outpatients with at least one child (13-25 years old) who was unaware of the parent's HIV diagnosis.

interventionThe nurse-delivered intervention involved three, hour-long, individual sessions over 4 weeks. Intervention content comprised family assessment, discussion of advantages and disadvantages of disclosure, psycho-education about cognitive, social and emotional abilities of children at different developmental stages, and disclosure planning and practicing via role-plays. MAIN OUTCOME MEASURE(S): Primary study outcomes for intervention versus TAU arms were self-reported disclosure distress, self-efficacy, and behaviours along a continuum from no disclosure to full disclosure and open communication about HIV.

resultsIn all cross-sectional (Wald tests) and longitudinal (general estimating equations) analyses, at both postintervention (4 weeks) and follow-up (13 weeks), effects were in the hypothesized directions. Despite the small sample size, most of these between-arm comparisons were statistically significant, with at least one result for each outcome indicating a 'large' effect size.

conclusionOur results suggest that nurses are able to deliver a counselling intervention in a clinic setting with the potential to alleviate parental distress around HIV disclosure to their children. Findings warrant future trials powered for efficacy.

Indexed as

CounselingHIV InfectionsTruth DisclosureAdolescentAdultChinaCross-Sectional StudiesDecision MakingFemaleHumansLongitudinal StudiesMaleMiddle AgedParentsPilot ProjectsRandomized Controlled Trials as Topic

Identifiers

PMID26049544
PMCPMC5096449

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.