The HADITHI intervention for HIV disclosure
HIV disclosure
SECONDARY, HIV INFECTION
The Academic Model Providing Access to Healthcare (AMPATH) Consortium is a partnership established in 2001 between 14 universities and academic health centers across North America and Moi University and Moi Teaching and Referral Hospital in Eldoret, Kenya that aims to provide comprehensive and preventative care, advance research findings, and educate medical students, residents, and community healthcare workers. Based on over a decade of medical practice and research related to pediatric HIV/AIDS in western Kenya, the AMPATH consortium developed a culturally adapted, multicomponent intervention to support disclosure of HIV status to perinatally infected children referred to cumulatively as the HADITHI (“Helping AMPATH Disclose Information and Talk about HIV Infection”) intervention. The disclosure intervention included patient-centered materials to guide disclosure, disclosure counselors, and post-disclosure child support groups to supplement usual care resources (A cluster randomized controlled trial (Vreeman 1R01MH0099747-01, “Patient-Centered Disclosure Intervention for HIV-Infected Children”) conducted between 2013 and 2015 evaluated the effectiveness of the HADITHI intervention on 285 caregiver-child dyads recruited from eight facilities in Eldoret, Kenya using an as-treated approach with intensive clinical and psychosocial assessments at 6-month intervals until 2 years post-intervention. The primary outcome was prevalence of HIV disclosure and pre-specified secondary outcomes included mental and behavioral outcomes for children living with HIV. The study was approved by the Institutional Review Board at Indiana University School of Medicine in Indianapolis, Indiana, USA and by the Institutional Research Ethics Committee at Moi University School of Medicine in Eldoret, Kenya. Additional design and results of the primary HADITHI study have been previously reported (