A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa

作者：Mueller Joanne; Alie Collin; Jonas Beatrice; Brown Elizabeth; Sherr Lorraine^*

来源：Tropical Medicine and International Health, 2011, 16(1): 57-66.

DOI：10.1111/j.1365-3156.2010.02682.x

• evaluation
• intervention
• children
• HIV
• therapy
• South Africa
• evaluation
• intervention
• enfants
• VIH
• therapie
• Afrique du Sud
• Evaluacion
• Intervencion
• Ninos
• VIH
• Terapia
• Sudafrica

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.

• 出版日期2011-1