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dc.contributor.authorVitharon Boon-Yasidhien_US
dc.contributor.authorKulkanya Chokephaibulkiten_US
dc.contributor.authorMichelle S. McConnellen_US
dc.contributor.authorNirun Vanpraparen_US
dc.contributor.authorPimsiri Leowsrisooken_US
dc.contributor.authorWasana Prasitsurbsaien_US
dc.contributor.authorYuitiang Durieren_US
dc.contributor.authorKanyarat Klumthanomen_US
dc.contributor.authorAlpa Patelen_US
dc.contributor.authorWichuda Sukwichaen_US
dc.contributor.authorThananda Naiwatanakulen_US
dc.contributor.authorTawee Chotpitayasunonden_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherCenters for Disease Control and Preventionen_US
dc.contributor.otherThailand Ministry of Public Healthen_US
dc.identifier.citationAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. Vol.25, No.6 (2013), 756-762en_US
dc.description.abstractWhile 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.en_US
dc.rightsMahidol Universityen_US
dc.subjectSocial Sciencesen_US
dc.titleDevelopment of a diagnosis disclosure model for perinatally HIV-infected children in Thailanden_US
Appears in Collections:Scopus 2011-2015

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