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A multilevel intervention for HIV-affected families in China: Together for Empowerment Activities (TEA)

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  • Li, Li
  • Ji, Guoping
  • Liang, Li-Jung
  • Ding, Yingying
  • Tian, Junru
  • Xiao, Yongkang

Abstract

This article analyzes the efficacy of the Together for Empowerment Activities (TEA) intervention in decreasing depressive symptoms and improving social support for persons living with HIV (PLH) and their family members. A total of 79 families, consisting of 88 PLH and 79 family members, were recruited from Anhui province, China, and randomized to the TEA intervention (n = 38) or a control condition (n = 41). The intervention was delivered at three levels: 1) TEA Gathering (small group for PLH and family members); 2) TEA Time (home-based family activities with children that accompany each TEA Gathering); and 3) TEA Garden (community events that build social integration). Face-to-face interviews were administered at baseline, 3, and 6 months. Mixed-effects regression models and kernel density estimation were used for data analysis. PLH and their family members in the intervention reported significant improvements in depressive symptoms, social support, and family functioning at the 3-month and 6-month follow-up assessments compared to those in the control condition. Heterogeneous intervention effects on social support and family functioning were indicated at the 6-month follow-up. The intervention could have various effect patterns for different subgroups within the intervention condition. This study provides preliminary data to support the feasibility and efficacy of a multilevel intervention.

Suggested Citation

  • Li, Li & Ji, Guoping & Liang, Li-Jung & Ding, Yingying & Tian, Junru & Xiao, Yongkang, 2011. "A multilevel intervention for HIV-affected families in China: Together for Empowerment Activities (TEA)," Social Science & Medicine, Elsevier, vol. 73(8), pages 1214-1221.
    • Handle: RePEc:eee:socmed:v:73:y:2011:i:8:p:1214-1221
    DOI: 10.1016/j.socscimed.2011.07.013
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    References listed on IDEAS

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    1. Schuster, M.A. & Kanouse, D.E. & Morton, S.C. & Bozzette, S.A. & Miu, A. & Scott, G.B. & Shapiro, M.F., 2000. "HIV-infected parents and their children in the United States," American Journal of Public Health, American Public Health Association, vol. 90(7), pages 1074-1081.
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    3. Parker, Richard & Aggleton, Peter, 2003. "HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action," Social Science & Medicine, Elsevier, vol. 57(1), pages 13-24, July.
    4. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
    5. Rotheram-Borus, M.J. & Lee, M.B. & Gwadz, M. & Draimin, B., 2001. "An intervention for parents with AIDS and their adolescent children," American Journal of Public Health, American Public Health Association, vol. 91(8), pages 1294-1302.
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