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Title: Development of a diagnosis disclosure model for perinatally HIV-infected children in Thailand
Authors: Vitharon Boon-Yasidhi
Kulkanya Chokephaibulkit
Michelle S. McConnell
Nirun Vanprapar
Pimsiri Leowsrisook
Wasana Prasitsurbsai
Yuitiang Durier
Kanyarat Klumthanom
Alpa Patel
Wichuda Sukwicha
Thananda Naiwatanakul
Tawee Chotpitayasunond
Mahidol University
Centers for Disease Control and Prevention
Thailand Ministry of Public Health
Keywords: Medicine;Psychology;Social Sciences
Issue Date: 1-Jan-2013
Citation: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. Vol.25, No.6 (2013), 756-762
Abstract: While disclosure of HIV status to perinatally HIV-infected children has become an increasingly important clinical issue, specific disclosure guidelines are lacking. We developed a pediatric HIV diagnosis disclosure model to support caretakers. All HIV-infected children greater than 7-years-old at two participating hospitals in Bangkok, Thailand, and their caretakers, were offered disclosure according to the 4-step protocol: (1) screening; (2) readiness assessment; (3) disclosure; and (4) follow-up. Disclosure occurred after agreement of both providers and caretakers. Among 438 children who were screened, 398 (89%) were eligible. Readiness assessment was completed for 353 (91%) of eligible children and 216 (61%) were determined ready. Disclosure was done for 186 children. The mean age at eligibility screening was 10.5 years (range: 6.8-15.8 years); the mean age at disclosure was 11.7 years (range: 7.6-17.7 years). The mean duration between eligibility screening and disclosure was 15.2 months. There were no significant negative behavioral or emotional outcomes reported in children following disclosure. This HIV diagnosis disclosure model was feasible to implement and had no negative outcomes. As the time for preparation process was over 1 year for most cases, the disclosure process can be initiated as early as age 7 to allowenough time for disclosure to be completed by the age of adolescence. © 2013 Taylor and Francis.
ISSN: 13600451
Appears in Collections:Scopus 2011-2015

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