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Evaluación cuasi‐experimental de una intervención comunitaria de terapia mediante el arte: explorando la salud psicosocial de niños afectados por el VIH en Sudáfrica
Author(s) -
Mueller Joanne,
Alie Collin,
Jonas Beatrice,
Brown Elizabeth,
Sherr Lorraine
Publication year - 2011
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2010.02682.x
Subject(s) - psychosocial , attendance , psychological intervention , intervention (counseling) , medicine , clinical psychology , self efficacy , psychology , psychiatry , psychotherapist , economics , economic growth
Summary Objectives To evaluate the efficacy of the Make A Difference about Art programme, a community art programme in South Africa for children affected by HIV and AIDS, which aims to reduce psychosocial problems by increasing self‐esteem, self‐efficacy and HIV insight. Methods A quasi‐experimental cross‐sectional post‐intervention survey of 297 children aged 8–18 years (177 programme attendees and a control group of 120). Participants completed an inventory comprising standardized, validated psychosocial measures of depression, emotional and behavioural problems, self‐esteem and self‐efficacy and key sociodemographic variables potentially relevant as risk and protective factors. Results Attending the intervention was predictive of significantly higher self‐efficacy, but was not associated with differences in self‐esteem, depression, or emotional/behavioural problems. This association remained in the multivariate analysis, controlling for potential confounders. Double parental death exerted a powerful effect on child psychosocial health, eliminating the association between intervention attendance and higher self‐efficacy. However, an interaction was found between bereavement status and intervention attendance on child self‐efficacy, indicating that the intervention programme may ameliorate some of the psychosocial vulnerabilities associated with becoming an orphan. Other key risk factors for poor psychosocial health in this sample were AIDS‐related stigma and community and household violence. Social connection emerged as a key protective factor. Conclusions Our findings suggest that such interventions may offer opportunities to increase the self‐efficacy of vulnerable children to protect their psychological health.