This 5-year project is a randomized controlled trial of the TEA (Together for Empowerment Activities) intervention. TEA intervention is an innovative, theoretically-based, culturally sensitive family intervention for HIV-affected families in rural China. The intervention will have six sessions (plus a preparation session) delivered at three levels simultaneously: 1) TEA Gathering (small group for parents living with HIV (PLH) and their family members), 2) TEA Time (home-based family activities with children), and 3) TEA Garden (community events). Built on the extensive pilot work by the collaborative team in the past 5 years, we propose to conduct the randomized controlled trial of TEA intervention with 480 HIV-affected families in 24 villages in Anhui, China, including 480 PLH, 480 sero-negative family members, and 720 children aged 6-18. We will randomly assign villages to either: 1) TEA intervention group (with all three levels of activity), or 2) a control group (with limited activities). The efficacy the intervention will be determined over 24 months at five time points: baseline, 6, 12, 18, and 24 month follow-ups. The primary outcomes are children's physical health, mental health and behavioral adjustment. Secondary outcomes will be the PLH's and family members'physical health, mental health, and quality of life, as well as family indicators such as consistent daily routines, positive family interactions, parenting, coping, and community integration.
The need to respond to the HIV epidemic is a global public health priority. The proposed study responds to the urgent need for interventions for PLH, family members, and children impacted by HIV/AIDS in China. Resulting data will provide an evidence-based intervention that can be delivered to HIV-affected families in China and other countries.
|Hsieh, Julie; Li, Li; Lin, Chunqing et al. (2017) Spousal role and caregiver burden in HIV affected families in Anhui Province, China. AIDS Care 29:1270-1274|
|Li, Li; Lin, Chunqing; Ji, Guoping (2017) Gendered aspects of perceived and internalized HIV-related stigma in China. Women Health 57:1031-1043|
|Li, Li; Liang, Li-Jung; Lin, Chunqing et al. (2017) Gender Differences in Depressive Symptoms Among HIV-Positive Concordant and Discordant Heterosexual Couples in China. Psychol Women Q 41:89-99|
|Li, Li; Ji, Guoping; Liang, Li-Jung et al. (2017) Efficacy of a multilevel intervention on the mental health of people living with HIV and their family members in rural China. Health Psychol 36:863-871|
|Lan, Chiao-Wen; Li, Li; Lin, Chunqing et al. (2016) Community Disclosure by People Living With HIV in Rural China. AIDS Educ Prev 28:287-98|
|Li, Li; Ji, Guoping; Lin, Chunqing et al. (2016) Antiretroviral Therapy Initiation Following Policy Changes: Observations From China. Asia Pac J Public Health 28:416-22|
|Li, Li; Liang, Li-Jung; Ji, Guoping et al. (2016) Perceived Bonding by Parents Living with HIV and Their Adolescent Children. J Res Adolesc 26:880-888|
|Li, Li; Lin, Chunqing; Liang, Li-Jung et al. (2016) Exploring Coping and Social Support with Gender and Education Among People Living with HIV in China. AIDS Behav 20:317-24|
|Lin, Chunqing; Li, Li; Ji, Guoping et al. (2015) Emotional social support and access to care among older people living with HIV in rural China. Int J Geriatr Psychiatry 30:1041-7|