Evidence map›Paper›PMID 31397726›Full record

Trial reportAIDS (London, England)2019

A cluster randomized controlled trial to evaluate a resilience-based intervention for caregivers of HIV-affected children in China.

Sayward E Harrison, Xiaoming Li, JiaJia Zhang, Junfeng Zhao, Guoxiang Zhao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

5 authors.

Sayward E HarrisonDepartment of Health Promotion, Education, and Behavior.
Xiaoming LiDepartment of Health Promotion, Education, and Behavior.
JiaJia ZhangDepartment of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina, USA.
Junfeng ZhaoInternational Research Center for Physical and Psychological Health of Vulnerable Populations, College of Educational Sciences, Henan University, Kaifeng.
Guoxiang ZhaoDepartment of Psychology, Henan Normal University, Xinxiang, Henan, China.

Funding

Resilience-based psychosocial intervention among children affected by HIV/AIDS in ChinaR01NR013466 · NINR · WAYNE STATE UNIVERSITY · PI LI, XIAOMING · 2011 to 2015
$2.1M
Bereavement/Psychosocial Needs AIDS Orphans:LongitudinalR01MH076488 · NIMH · WAYNE STATE UNIVERSITY · PI LI, XIAOMING · 2005 to 2008
$1.7M
NIMH NIH HHS R01 MH076488NINR NIH HHS R01 NR013466
6 · The paper itself

Abstract

objectivesThe Child-Caregiver-Advocacy Resilience (ChildCARE) intervention aims to enhance the psychosocial wellbeing of children affected by parental HIV by providing programing at three levels: child, caregiver, and community. The objective of the current study was to evaluate the intervention's efficacy in improving mental health and parenting outcomes for participating caregivers.

designA cluster randomized controlled trial was used to evaluate initial efficacy of the intervention.

methodsA total of 790 caregivers of children affected by parental HIV were recruited from Henan, China. Caregivers and their children were randomly assigned to one-of-four intervention arms (control, child-only, child + caregiver, child + caregiver + community) to evaluate the multiple components of ChildCARE. Those assigned to receive the caregiver intervention participated in five 2-h intervention sessions designed to improve their parenting skills and enhance their ability to cope with daily stressors. Caregivers reported on their mental health and parenting behaviors at baseline, 12, 24, and 36 months, with mixed effect modeling used to examine intervention effects.

resultsCaregivers who participated in the intervention reported decreased anxiety and parental stress at 12 months (P < 0.05). Participants also reported increased use of structured parenting skills (i.e., parental demandingness) at 12 and 24 months (P < 0.05). However, by 36 months, they reported significantly lower levels of parental competence (P < 0.01) than those assigned to the control condition.

conclusionPreliminary findings suggest that the caregiving component of ChildCARE yields initial improvements in some key parenting and mental health outcomes. However, the challenges of caring for children affected by HIV are complex and may require more intensive intervention to yield marked, positive changes across key caregiver outcomes.

Indexed as

Adaptation, PsychologicalResilience, PsychologicalSocial SupportAdolescentAdultCaregiversChildChinaFemaleHIV InfectionsHumansMaleParentingParentsQuality of Life

Identifiers

PMID31397726
PMCPMC7189639

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Registered trials

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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.