title: [Effects in the adherence treatment and psychological adjustment after the disclosure of HIV/AIDS diagnosis with the "DIRE" clinical model in Colombian children under 17].
abstract: BACKGROUND
  A study in five Colombian cities in 2006, confirms the findings of other international studies: the majority of HIV-positive children not know their diagnosis, caregivers are reluctant to give this information because they believe that the news will cause emotional distress to the child becoming primary purpose of this study to validate a model of revelation.
  
  
  METHODS
  We implemented a clinical model, referred to as: "DIRE" that hypothetically had normalizing effects on psychological adjustment and adherence to antiretroviral treatment of HIV seropositive children, using a quasi-experimental design. Test were administered (questionnaire to assess patterns of disclosure and non-disclosure of the diagnosis of VIH/SIDA on children in health professionals and participants caregivers, Family Apgar, EuroQol EQ- 5D, MOS Social Support Survey Questionnaire Information treatment for VIH/SIDA and child Symptom Checklist CBCL/6-18 adapted to Latinos) before and after implementation of the model to 31 children (n: 31), 30 caregivers (n: 30) and 41 health professionals. Data processing was performed using the Statistical Package for the Social Science version 21 by applying parametric tests (Friedman) and nonparametric (t Student).
  
  
  RESULTS
  No significant differences in adherence to treatment (p=0.392), in the psychological adjustment were found positive significant differences at follow-ups compared to baseline 2 weeks (p: 0.001), 3 months (p: 0.000) and 6 months (p: 0.000).
  
  
  CONCLUSIONS
  The clinical model demonstrated effectiveness in normalizing of psychological adjustment and maintaining treatment compliance. The process also generated confidence in caregivers and health professionals in this difficult task.
authors.forename: Ana María
authors.initials: AM
authors.lastname: Trejos
authors.forename: Lizeth
authors.initials: L
authors.lastname: Reyes
authors.forename: Marly Johana
authors.initials: MJ
authors.lastname: Bahamon
authors.forename: Yolima
authors.initials: Y
authors.lastname: Alarcón
authors.forename: Gladys
authors.initials: G
authors.lastname: Gaviria
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000193:education / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003105:Colombia; D030881:Disclosure; D000066498:Emotional Adjustment; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology; D006801:Humans; D007223:Infant; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D008960:Models, Psychological; D065228:Non-Randomized Controlled Trials as Topic; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult; D016903:Drug Monitoring