Piloting behavioral family systems therapy to improve adherence among adolescents with HIV: A case series intervention study

Adolescents with HIV are at high risk for suboptimal adherence but have been ignored by the literature. Treatment outcome and feasibility data for the first-known adaptation of Behavioral Family Systems Therapy (BFST) targeting adherence among adolescents with HIV are presented for four adolescents...

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Veröffentlicht in:Journal of health psychology 2011-07, Vol.16 (5), p.828-842
Hauptverfasser: Gray, Wendy N., Janicke, David M., Fennell, Eileen B., Driscoll, Danielle C., Lawrence, Robert M.
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container_end_page 842
container_issue 5
container_start_page 828
container_title Journal of health psychology
container_volume 16
creator Gray, Wendy N.
Janicke, David M.
Fennell, Eileen B.
Driscoll, Danielle C.
Lawrence, Robert M.
description Adolescents with HIV are at high risk for suboptimal adherence but have been ignored by the literature. Treatment outcome and feasibility data for the first-known adaptation of Behavioral Family Systems Therapy (BFST) targeting adherence among adolescents with HIV are presented for four adolescents with suboptimal adherence. The intervention was delivered in an alternating home-based and telehealth format and a multi-method adherence assessment approach was used. Adherence improved for three adolescents, viral load decreased for two adolescents, and barriers to adherence declined for all participants. Delivery of an adapted BFST intervention was acceptable to families and may be a promising treatment approach.
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Treatment outcome and feasibility data for the first-known adaptation of Behavioral Family Systems Therapy (BFST) targeting adherence among adolescents with HIV are presented for four adolescents with suboptimal adherence. The intervention was delivered in an alternating home-based and telehealth format and a multi-method adherence assessment approach was used. Adherence improved for three adolescents, viral load decreased for two adolescents, and barriers to adherence declined for all participants. 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Systemic therapy ; Family system perspective ; Family Therapy - methods ; Female ; HIV ; HIV Infections - drug therapy ; HIV Infections - psychology ; Human immunodeficiency virus ; Humans ; Male ; Medical sciences ; Medication Adherence - psychology ; Parents - psychology ; Patient Satisfaction ; Pilot Projects ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapies. 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Treatment outcome and feasibility data for the first-known adaptation of Behavioral Family Systems Therapy (BFST) targeting adherence among adolescents with HIV are presented for four adolescents with suboptimal adherence. The intervention was delivered in an alternating home-based and telehealth format and a multi-method adherence assessment approach was used. Adherence improved for three adolescents, viral load decreased for two adolescents, and barriers to adherence declined for all participants. Delivery of an adapted BFST intervention was acceptable to families and may be a promising treatment approach.</description><subject>Adaptations</subject><subject>Adherence</subject><subject>Adolescence</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>AIDS</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Antiretroviral Therapy, Highly Active - psychology</subject><subject>Behavior therapy. 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subjects Adaptations
Adherence
Adolescence
Adolescent
Adolescents
AIDS
Anti-HIV Agents - therapeutic use
Antiretroviral Therapy, Highly Active - psychology
Behavior therapy. Cognitive therapy
Behaviour therapy
Behavioural psychology
Behavioural sciences
Biological and medical sciences
Data processing
Family
Family psychotherapy. Systemic therapy
Family system perspective
Family Therapy - methods
Female
HIV
HIV Infections - drug therapy
HIV Infections - psychology
Human immunodeficiency virus
Humans
Male
Medical sciences
Medication Adherence - psychology
Parents - psychology
Patient Satisfaction
Pilot Projects
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapies. Psychological and clinical counseling
Psychotherapy
Risk factors
Treatment methods
Treatment Outcome
Treatments
Viral Load
title Piloting behavioral family systems therapy to improve adherence among adolescents with HIV: A case series intervention study
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