Pediatric HIV disclosure: a process-oriented framework

Area of Science:

• Pediatrics
• Psychology
• Infectious Diseases

Background:

• Vertically transmitted human immunodeficiency virus (HIV) infection presents unique challenges for pediatric patients and their caregivers.
• Disclosure of HIV status to children is crucial but lacks standardized guidance, causing caregiver stress.
• Existing frameworks for HIV disclosure are limited, necessitating a structured approach.

Purpose of the Study:

• To propose a process-oriented, educational framework for disclosing HIV status to children and adolescents.
• To integrate Piaget's cognitive development theory into the HIV disclosure process.
• To provide a replicable model for healthcare providers to guide families through disclosure.

Main Methods:

• Development of a 10-stage sequential disclosure framework.
• Inclusion of three assessment stages to gauge developmental readiness.
• Integration of cognitive development principles to tailor disclosure content.

Main Results:

• A structured, stage-based framework for HIV disclosure in pediatric populations.
• Emphasis on assessing child's developmental stage for effective communication.
• A practical tool for healthcare providers to facilitate understanding of HIV status.

Conclusions:

• The proposed framework offers a systematic approach to HIV status disclosure for children and adolescents.
• This model supports caregivers and healthcare providers in navigating sensitive conversations.
• Implementing this framework can enhance a child's comprehension and adjustment to living with HIV.