title: Pilot trial of a disclosure intervention for HIV+ mothers: the TRACK program.
abstract: OBJECTIVE
  The Teaching, Raising, And Communicating with Kids (TRACK) program was a longitudinal pilot-trial intervention designed to assist mothers living with HIV (MLHs) to disclose their serostatus to their young children (age 6-12 years).
  
  
  METHODS
  MLH and child dyads (N = 80 dyads) were recruited and randomized to intervention or control; the intervention group had 3 individual sessions and 1 follow-up phone call. The sessions focused on preparing MLHs for disclosure through behavioral exercises using Derlega's model (V. J. Derlega, B. A. Winstead, K. Greene, J. Serovich, & W. N. Elwood, 2004) of HIV disclosure. Both MLHs and their child were assessed across multiple time points (baseline, 3, 6, and 9 months) regarding disclosure of HIV status, and specific outcome variables (i.e., relationship context, mother's health, child's mental health, and family outcomes).
  
  
  RESULTS
  MLHs in the intervention group were 6 times more likely to disclose their HIV status than those in the control group (OR = 6.33, 95% CI [1.64, 24.45]), with 33% disclosing in the intervention group compared with 7.3% in the control group. MLHs in the intervention group showed increases in disclosure self-efficacy across time, increased communication with their child, and improvement in emotional functioning. Children of MLHs in the intervention group exhibited reductions in depression and anxiety, and increases in happiness.
  
  
  CONCLUSIONS
  TRACK was found to be successful in helping MLHs disclose their HIV status to their children, with positive outcomes noted for both MLHs and their children.
authors.affiliation: Health Risk Reduction Projects, Integrated Substance Abuse Programs, Department of Psychiatry, University of California, Los Angeles, Los Angeles, CA 90025-7539, USA. dmurphy@mednet.ucla.edu
authors.forename: Debra A
authors.initials: DA
authors.lastname: Murphy
authors.forename: Lisa
authors.initials: L
authors.lastname: Armistead
authors.forename: William D
authors.initials: WD
authors.lastname: Marelich
authors.forename: Diana L
authors.initials: DL
authors.lastname: Payne
authors.forename: Diane M
authors.initials: DM
authors.lastname: Herbeck
mesh_terms: D002648:Child; D004644:Emotions; D015658:HIV Infections / Q000523:psychology; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D008137:Longitudinal Studies; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009769:Object Attachment; D010865:Pilot Projects; D012650:Self Disclosure; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D014342:Truth Disclosure