Abstract:
:Although parental HIV disclosure has benefits for parents and children, the disclosure rate among parents remains low. This study aims to qualitatively examine parental concerns regarding disclosure of their HIV status to their children. Eighty parents were enrolled in a randomized controlled trial of a three-session disclosure-support intervention, with forty receiving the intervention and forty receiving treatment as usual. Intervention sessions were audio recorded, and transcriptions were qualitatively coded for content related to concerns of disclosure. Four themes emerged: Intention to disclose, disclosure approach, indicators for disclosure, and fears about disclosure. These themes reveal struggles that parents experience when considering HIV disclosure suggesting that an effective disclosure intervention must help parents assess pros and cons, discuss the emotions of the children after the disclosure, and monitor the impact on children's lives after disclosure over time. Future research is needed to implement interventions supporting HIV-positive parents' disclosure decision-making and actions.
journal_name
Clin Nurs Resjournal_title
Clinical nursing researchauthors
Sun M,Chen WT,Yang JP,Huang S,Zhang L,Shi M,Li W,Li Y,Bao M,Lu Hdoi
10.1177/1054773820932725subject
Has Abstractpub_date
2020-06-21 00:00:00pages
1054773820932725eissn
1054-7738issn
1552-3799pub_type
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