A model of caregiver paediatric HIV disclosure decision-making

Many of the over 3 million HIV-positive children will only be told of their status as adolescents. Knowing one's status may increase treatment adherence, reduce onward HIV transmission, increase trust in caregivers and maximise available support. Yet deciding whether, what, how and when to tell...

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Bibliographic Details
Published in:Psychology, health & medicine health & medicine, 2016-04, Vol.21 (3), p.338-353
Main Authors: Evangeli, Michael, Kagee, Ashraf
Format: Article
Language:English
Subjects:
caregiver
Caregivers - psychology
Child
Decision Making
HIV
HIV Infections
Humans
Intention
Models, Psychological
paediatric disclosure
Psychological Theory
Truth Disclosure
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Summary:Many of the over 3 million HIV-positive children will only be told of their status as adolescents. Knowing one's status may increase treatment adherence, reduce onward HIV transmission, increase trust in caregivers and maximise available support. Yet deciding whether, what, how and when to tell HIV-positive children about their condition is challenging for caregivers. We systematically review HIV disclosure theories before presenting a process model of caregiver paediatric HIV disclosure decision-making. The model, consisting of both a pre-intention and a post-intention stage, integrates individual and contextual determinants. It aims to be situationally specific, broadly applicable and consistent with the empirical literature. Research and practice implications are discussed.
ISSN:1354-8506
1465-3966
DOI:10.1080/13548506.2015.1058959