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Changes in behavioral outcomes among children affected by HIV: Results of a randomized controlled trial in China
Li Li1, Li-Jung Liang1, Chunqing Lin1
11 University of California, Los Angeles (UCLA), USA.
Insights
A multilevel intervention effectively reduced negative behaviors in HIV-affected children. The positive effects persisted for 24 months, with greater impact observed in adolescents.
Area of Science:
- Child Psychology
- Public Health
- Pediatric HIV/AIDS
Background:
- HIV/AIDS significantly impacts children's behavioral development.
- Effective interventions are crucial for supporting HIV-affected children's well-being.
- Understanding intervention effects across different age groups is vital.
Purpose of the Study:
- To evaluate the efficacy of a multilevel intervention in reducing negative behaviors among HIV-affected children.
- To assess the long-term effects of the intervention at 18 and 24 months.
- To explore age-specific intervention effects in children aged 6-18 years.
Main Methods:
- Randomized controlled trial involving 536 children from 475 HIV-affected families in Anhui, China.
- Multilevel intervention targeting negative behaviors.
- Follow-up assessments at 18 and 24 months post-intervention.
Main Results:
- A significant reduction in negative behaviors was observed at 18-month follow-up.
- The intervention's positive effects were sustained at the 24-month follow-up.
- Greater intervention effects were noted in older children (13-18 years) compared to younger children (6-12 years).
Conclusions:
- Multilevel interventions are effective in mitigating negative behaviors in HIV-affected children.
- Sustained positive outcomes support the long-term benefits of the intervention.
- Age-tailored programs may enhance intervention effectiveness for diverse age groups.
Abstract:
This study assessed the effects of a multilevel intervention on HIV-affected children's negative behaviors. A total of 536 children aged 6-18 years from 475 HIV-affected families in Anhui, China, participated in the randomized controlled trial. A significant overall intervention effect on reducing negative behaviors was observed at 18-month follow-up, and the effect remained at 24-month follow-up. The intervention showed greater effects for children aged 13-18 years than those aged 6-12 years. Study findings suggest that a multilevel intervention approach could be beneficial for reducing negative behavior in HIV-affected children. Age-specific programs should be considered to maximize the intervention effects.
