A Parenting and Self-Care Intervention for HIV Infected Mothers

Study Overview
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Brief Summary
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The IMAGE intervention was developed to improve parenting and self-care skills in mothers infected with HIV. It is expected that an improvement in these areas will in turn improve the mother's physical and mental health as well as the child's mental health and behavioral adjustment.

Detailed Description
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Worldwide, close to half the adults living with HIV are women and a large proportion of these women are of child-bearing age. Whereas anyone living with HIV faces the physical challenges of living with a chronic disease, as well as the material and social impact of the stigma associated with the disease, mothers living with HIV must also meet the demands of childrearing while mitigating the negative impact of the disease upon their family. Mothers with HIV report that this is their greatest source of stress. Moreover, children of these mothers, growing up with a parent with a chronic, stigmatized, and often fatal disease, are considered a high-risk group. The IMAGE intervention was designed to improve parenting and self-care skills in mothers with HIV in order to improve the mother's physical and mental health as well as the child's mental health and behavioral adjustment.

Official Title
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A Parenting Intervention for HIV+ Moms: The IMAGE Program

Conditions
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HIV

Intervention / Treatment
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* Behavioral: IMAGE Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: mother has confirmed diagnosis of HIV well (HIV-) child, 6 to 14 years of age mother is English or Spanish speaking child is English speaking Exclusion Criteria: low cognitive/intellectual functioning (<75) in mother or child psychosis in mother or child

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: IMAGE Intervention<br>mothers are provided the IMAGE Parenting and Self-Care intervention | Behavioral: IMAGE Intervention<br>* Mothers in the intervention will receive four individual intervention sessions with a facilitator. The sessions will cover parenting and self care skills.<br>|
| No Intervention: Control<br>Standard care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Targeted Behaviors, Practices, and Skills and Maternal and Child Health | Specific targets of the intervention, including parenting practices, parenting behaviors, and self care skills, will be evaluated. In addition, the mother's physical and mental health and the child's mental health and behavioral adjustment will be evaluated. | 3-months, 6-months, and 12-months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parenting Self-efficacy | Perceptions of effectiveness in the parental role and general parenting self-efficacy will be assessed. | 3-months, 6-months, and 12-months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV, Parenting, self-care, disclosure, medication adherence, mother, child, adolescent