Sankofa pediatric HIV disclosure intervention did not worsen depression scores in children living with HIV and their caregivers in Ghana

BMC Public Health. 2020 Oct 20;20(1):1578. doi: 10.1186/s12889-020-09678-2.

Abstract

Background: The 'Sankofa' pediatric HIV disclosure study (2013-2017) was an intervention that aimed to address the low prevalence of disclosure of HIV status in Ghana.

Methods: We conducted a cross-sectional study at the intervention site in Kumasi, Ghana, in 2019, (2 years after study closure) and administered the 21-item Beck Depression Inventory (BDI) and the 10-item Child Depression Inventory (CDI) to caregiver-child dyads who received the intervention.

Results: We enrolled 65% (N = 157) of the original dyads in the present study. Between Sankofa enrollment baseline and the present study, both children and caregivers had significant (p < 0.0001) mean reductions in CDI scores and BDI scores, respectively. CDI scores of the children were significantly correlated with BDI scores of the caregivers (r = 0.019, p = 0.019). No statistically significant associations between disclosure status and either CDI score or BDI score were found.

Conclusions: Our findings did not support caregivers' fears that disclosure leads to depression.

Trial registration: ClinicalTrials.gov Identifier: NCT01701635 (date of registration Oct 5, 2012).

Keywords: Depression; Disclosure intervention; Ghana; Pediatric HIV.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Caregivers / psychology
  • Child
  • Clinical Trials as Topic
  • Cross-Sectional Studies
  • Depression / psychology*
  • Disclosure*
  • Female
  • Ghana / epidemiology
  • HIV Infections / psychology*
  • Humans
  • Male
  • Middle Aged
  • Minors / psychology

Associated data

  • ClinicalTrials.gov/NCT01701635