Improving parental stress levels among mothers living with HIV: a randomized control group intervention study.

Academic Article

Abstract

  • Limited knowledge exists regarding parenting efficacy interventions for mothers living with HIV (MLH). This study evaluated the impact of a supportive group intervention on lowering parenting stress among MLH. Eighty MLH were randomized to a parenting (N=34) or health focused (control) (N=46) group intervention. Pre- and post-intervention stress levels were assessed using the Parental Stress Index-Short Form (PSI/SF). Differences in PSI/SF scores were examined using ANOVA, and predictors of PSI/SF scores were evaluated using multivariable linear regression. Findings indicate that both groups experienced significant decreases in parenting stress from baseline to post-intervention (p=0.0001), with no significant differences between interventions. At baseline, 41% of participants were identified as highly stressed and 30% as clinically stressed, with PSI/SF scores above the 85(th) and 90(th) percentile, respectively. Amongst the highly stressed subpopulation, significant improvements in PSI/SF scores for Parental Distress PSI/SF (p=0.039), Difficult Child PSI/SF (p=0.048), and total PSI/SF (p=0.036) were seen, with greater improvements in the parenting intervention. Among the clinically stressed subpopulation, significant improvements in total post-intervention PSI/SF scores were seen (p=0.049), with greater improvements in the parenting intervention. Results indicate that screening for high levels of stress should be considered in clinical practice to effectively implement stress-reducing interventions among MLH.
  • Published In

  • AIDS patient care  Journal
  • Keywords

  • Adolescent, Adult, Alabama, Anti-HIV Agents, Child, Female, HIV Infections, Humans, Parent-Child Relations, Parenting, Psychometrics, Social Support, Stress, Psychological
  • Digital Object Identifier (doi)

    Author List

  • Johnson ER; Davies SL; Aban I; Mugavero MJ; Shrestha S; Kempf M-C
  • Start Page

  • 220
  • End Page

  • 228
  • Volume

  • 29
  • Issue

  • 4