Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
Journal of the International AIDS Society
Published in: Journal of the International AIDS Society 2/2010

Open Access 01-12-2010 | Review

Family-based HIV prevention and intervention services for youth living in poverty-affected contexts: the CHAMP model of collaborative, evidence-informed programme development

Authors: Arvin Bhana, Mary M McKay, Claude Mellins, Inge Petersen, Carl Bell

Published in: Journal of the International AIDS Society | Special Issue 2/2010

Login to get access

Abstract

Family-based interventions with children who are affected by HIV and AIDS are not well established. The Collaborative HIV Prevention and Adolescent Mental Health Program (CHAMP) represents one of the few evidence-based interventions tested in low-income contexts in the US, Caribbean and South Africa. This paper provides a description of the theoretical and empirical bases of the development and implementation of CHAMP in two of these countries, the US and South Africa. In addition, with the advent of increasing numbers of children infected with HIV surviving into adolescence and young adulthood, a CHAMP+ family-based intervention, using the founding principles of CHAMP, has been developed to mitigate the risk influences associated with being HIV positive.
Literature
1.
Coalition on Children Affected by AIDS (CCABA): Symposium: Road to Vienna: Advancing the agenda of family-centered services for children affected by HIV and AIDS. 30 September-1. 2009, October ; Nairobi, Kenya
2.
Ross D, Dick B, Ferguson J, (Eds): Preventing HIV/AIDS in young people: A Systematic review of the evidence from developing countries. Report of the UNAIDS Inter-agency Task Team on Young People. World Health Organization Technical Report Series 938. 2006
3.
Richter L, Manegold J, Pather R: Family and community interventions for children affected by AIDS. 2004, Cape Town: HSRC Press
4.
McKay M, Paikoff R: Community collaborative partnerships: The foundation for HIV prevention research efforts. 2007, New York: Haworth Press
5.
Bhana A, Petersen I: HIV and youth: A behavioural perspective. HIV/AIDS in South Africa 25 years on. Psychosocial perspectives. Edited by: Rohleder P, Swartz L, Kalichman SC, Simbayi LC. 2009, New York: Springer Press
6.
UNAIDS: 2008 Report on the global AIDS epidemic. 2008, Geneva: WHO and UNAIDS
7.
Newell ML, Brahmbatt H, Ghuys P: Child mortality and HIV infection in Africa: a review. AIDS. 2004, 18 (Suppl 2): S27-S34. 10.1097/00002030-200406002-00004.CrossRefPubMed
8.
Rehle T, Shisana O, Pillay V, Zuma K, Puren A, Parker W: National HIV incidence measures - new insights into the South African epidemic. S Afr Med J. 2007, 97 (3): 194-199.PubMed
9.
Richter L, Stein A, Cluver L, de Kadt J: Infants and young children affected by HIV/AIDS. HIV/AIDS in South Africa 25 years on. Psychosocial perspectives. Edited by: Rohleder P, Swartz L, Kalichman SC, Simbayi LC. 2009, New York: Springer Press
10.
Cluver L, Gardner F, Operario D: Psychological distress amongst AIDS-orphaned children in urban South Africa. J Child Psychol Psychiatry. 2007, 48 (8): 755-763. 10.1111/j.1469-7610.2007.01757.x.CrossRefPubMed
11.
Operario D, Cluver L, Rees HV, MacPhail C, Pettifor A: Orphanhood and completion of compulsory school education among young people in South Africa: Findings from a national representative survey. J Res Adol. 2008, 18 (1): 173-186. 10.1111/j.1532-7795.2008.00555.x.CrossRef
12.
Kotchick BA, Dorsey S, Miller KS, Forehand R: Adolescent sexual risk-taking behavior in single-parent ethnic minority families. J Fam Psychol. 1999, 13 (1): 93-102. 10.1037/0893-3200.13.1.93.CrossRef
13.
Wild LG, Flisher AJ, Bhana A, Lombard C: Associations among adolescent risk behaviours and self-esteem in six domains. J Child Psychol Psychiatry. 2004, 45 (8): 1454-1467. 10.1111/j.1469-7610.2004.00330.x.CrossRefPubMed
14.
CDC: HIV/AIDS in the United States. CDC HIV/AIDS facts. 2009
15.
Abrams E, Weedon P, Bertolli J, Bornschlegel K, Cervia J, Mendez H, Lambert G, Singh T, Thomas P: Aging cohort of perinatally HIV-infected children in New York City. Pediatr Infect Dis J. 2001, 20 (5): 511-517.CrossRefPubMed
16.
Connor EM, Spreling RS, Gelber R, Kiselev P, Scott G, O'Sullivan MJ, VanDyke R, Bey M, Shearer W, Jacobson RL, Jimenez E, O'Neill E, Bazin B, Delfraissy J, Culnane M, Coombs R, Elkins M, Moye J, Stratten P, Balsley J: Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. N Engl J Med. 1994, 331: 1173-1180. 10.1056/NEJM199411033311801.CrossRefPubMed
17.
Domek GJ: Social consequences of antiretroviral therapy: preparing for the unexpected futures of HIV-positive children. Lancet. 2006, 37 (9519): 1367-1369. 10.1016/S0140-6736(06)68584-X.CrossRef
18.
Ledlie SW: The psychosocial issues of children with perinatally acquired HIV disease becoming adolescents: a growing challenge for providers. AIDS Patient Care STDS. 2000, 15: 231-236. 10.1089/10872910152050748.CrossRef
19.
Mellins CA, Brackis-Cott E, Leu CS, Elkington KS, Dolezal C, Wiznia A, McKay M, Bamji M, Abrams EJ: Rates and types of psychiatric disorders in perinatally human immunodeficiency virus-infected youth and seroreverters. J Child Psychol Psychiatry. 2009, 50: 1131-1138. 10.1111/j.1469-7610.2009.02069.x.PubMedCentralCrossRefPubMed
20.
Ezeanolue EE, Wodi AP, Patel R, Dieudonne A, Oleske J: Sexual behaviors and procreational intentions of adolescents and young adults with perinatally acquired human immunodeficiency virus infection: experience of an urban tertiary care center. J Adolesc Health. 2006, 38: 719-725. 10.1016/j.jadohealth.2005.06.015.CrossRefPubMed
21.
Bauermeister JA, Elkington K, Brackis-Cott E, Dolezal C, Mellins C: Sexual behavior and perceived peer norms: Comparing perinatally infected and affected youth. J Youth Adolesc. 2009, 38: 1110-1122. 10.1007/s10964-008-9315-6.PubMedCentralCrossRefPubMed
22.
Elkington KS, Bauermeister JA, Brackis-Cott E, Dolezal C, Mellins CA: Substance use and sexual risk behaviors in perinatally human immunodeficiency virus-exposed youth: roles of caregivers, peers and HIV status. J Adolesc Health. 2009, 45: 133-141. 10.1016/j.jadohealth.2009.01.004.PubMedCentralCrossRefPubMed
23.
Mellins CA, Brackis-Cott E, Dolezal C, Abrams EJ: The role of psychosocial and family factors in adherence to antiretroviral treatment in HIV-infected children. Pediatr Infec Dis J. 2004, 23: 1035-1041. 10.1097/01.inf.0000143646.15240.ac.CrossRef
24.
Van Dyke RB, Lee S, Johnson GM, Wiznia A, Mohan K, Stanley K, Morse EV, Krogstad PA, Nachman S: Reported adherence as a determinant of response to highly active antiretroviral therapy in children who have human immunodeficiency virus infection. Pediatrics. 2002, 109: e61-10.1542/peds.109.4.e61.CrossRefPubMed
25.
Williams PL, Storm D, Montepiedra G, Nichols S, Kammerer B, Sirois PA, Farley J, Malee K: Predictors of adherence to antiretroviral medications in children and adolescents with HIV infection. Pediatrics. 2006, 118 (6): e1745-1757. 10.1542/peds.2006-0493.CrossRefPubMed
26.
Havens JF, Mellins CA: Psychiatric aspects of HIV/AIDS in childhood and adolescence. Child and Adolescent Psychiatry. Edited by: Rutter M, Taylor E. 2008, Oxford: UK Blackwell
27.
28.
Cowan F, Pettifor A: HIV in adolescents in sub-Saharan Africa. Curr Opin HIV AIDS. 2009, 4: 288-293. 10.1097/COH.0b013e32832c7d10.CrossRefPubMed
29.
Rotheram-Borus M, Koopman C, Haignere C, Davies M: Reducing HIV sexual risk behavior among runaway adolescents. J Am Med Assoc. 1991, 266: 1237-1241. 10.1001/jama.266.9.1237.CrossRef
30.
Jemmott JB, Jemmott LS: Interventions for adolescents in community settings. Preventing AIDS: Theories and methods of behavioral interventions. Edited by: DiClemente RJ, Peterson JL. 1994, New York: Plenum Press
31.
Soletti AB, Guilamo-Ramos V, Burnette D, Sharma S, Bouris A: India-US collaboration to prevent adolescent HIV infection: the feasibility of a family-based HIV-prevention intervention for rural Indian youth. J Int AIDS Soc. 2009, 12: 35-10.1186/1758-2652-12-35.PubMedCentralCrossRefPubMed
32.
DiClemente RJ, Crittenden CP, Rose E, Sales JM, Wingood GM, Crosby RA, Salazar LF: Psychosocial predictors of HIV-associated sexual behaviours and the efficacy of prevention interventions in adolescents at-risk for HIV infection: what works and what doesn't work?. Psychosom Med. 2008, 70 (5): 598-605. 10.1097/PSY.0b013e3181775edb.CrossRefPubMed
33.
Ross DA, Changalucha J, Obasi AIN, Todd J, Plummer ML, Cleophas-Mazige B, Anemona A, Everett D, Weiss HA, Mabey DC, Grosskurth H, Hayes RJ: Biological and behavioural impact of an adolescent sexual health intervention in Tanzania: a community-randomized trial. AIDS. 2007, 21 (14): 1943-1955. 10.1097/QAD.0b013e3282ed3cf5.CrossRefPubMed
34.
Madison S, McKay M, Paikoff R, Bell C: Community collaboration and basic research: Necessary ingredient for the development of a family based HIV prevention program. AIDS Educ Prev. 2000, 12: 75-84.
35.
Pequegnat W, Szapocznik WPJ: Working With Families in the Era of HIV/AIDS. 2000, Sage: Thousand Oaks, CA
36.
Bhana A, Petersen I, Mason A, Mahintsho Z, Bell C, McKay M: Children and youth at risk: adaptation and pilot study of the CHAMP (Amaqhawe) programme in South Africa. AJAR. 2004, 3 (1): 33-41.PubMed
37.
Baptiste DR, Bhana A, Petersen I, McKay M, Voisin D, Bell C, Martinez DD: Community Collaborative Youth-Focused HIV/AIDS Prevention in South Africa and Trinidad: Preliminary Findings. J Pediatr Psychol. 2006, 31 (9): 905-916. 10.1093/jpepsy/jsj100.CrossRefPubMed
38.
Bell CC, Bhana A, Petersen I, McKay MM, Gibbons R, Bannon W, Amatya A: Building Protective Factors to Offset Sexually Risky Behaviors among Black Youths: A Randomized Control Trial. J Natl Med Assoc. 2008, 100 (8): 936-944.PubMedCentralPubMed
39.
Paikoff RL, Parfenoff SH, Williams SA, McCormick A: Parenting, parent-child relationships, and sexual possibility situations among urban African American preadolescents: preliminary findings and implications for HIV prevention. J Fam Psychol. 1997, 11 (1): 11-22. 10.1037/0893-3200.11.1.11.CrossRef
40.
Mellins CA, Brackis-Cott E, Dolezal C, Leu CS, Valentin C, Meyer-Bahlburg H: Mental health of early adolescents from high-risk neighborhoods: the role of maternal HIV and other contextual, self-regulation, and family factors. J Pediatr Psychol. 2008, 33: 1065-1075. 10.1093/jpepsy/jsn004.PubMedCentralCrossRefPubMed
41.
McKay M, Paikoff R, Baptiste D, Bell C, Coleman D, Madison S, Bell CC: Family-level impact of the CHAMP Family Program: A communitycollaborative effort to support urban families and reduce youth HIV risk exposure. Fam Process. 2004, 43 (1): 79-91. 10.1111/j.1545-5300.2004.04301007.x.CrossRefPubMed
42.
Brooks-Gunn J, Furstenberg FF: Adolescent sexual behavior. Am Psychol. 1989, 44: 249-253. 10.1037/0003-066X.44.2.249.CrossRefPubMed
43.
Huey SJ, Henggeler SW, Brondino MJ, Pickrel SG: Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning. J Consult Clin Psychol. 2000, 68: 451-467. 10.1037/0022-006X.68.3.451.CrossRefPubMed
44.
McNeely CA, Shew ML, Beuhring T, Sieving R, Miller BC, Blum RWM: Mother's influence on the timing of first sex among 14- and 15-year-olds. J Adolesc Health. 2002, 31 (3): 256-265. 10.1016/S1054-139X(02)00350-6.CrossRefPubMed
45.
Flay BR, Petraitis J: The theory of triadic influence: A new theory of health behavior with implications for preventive interventions. Advances in medical sociology: A reconsideration of models of health behavior change. Edited by: Albrecht GS. Greenwich, CN. 1994, JAI Press, IV:
46.
Flay BR, Snyder FJ, Petraitis J: The theory of triadic influence. Emerging theories in health promotion practice and research. Edited by: DiClemente RJ, Crosby RA, Kegler M. 2009, San Francisco, CA: John Wiley & Sons
47.
Bell CC: Cultivating Resiliency in Youth. J Adolesc Health. 2001, 29: 375-381. 10.1016/S1054-139X(01)00306-8.CrossRefPubMed
48.
Bell CC, Flay B, Paikoff R: Strategies for Health Behavioral Change. The Health Behavioral Change Imperative: Theory, Education, and Practice in Diverse Populations. Edited by: Chunn J. 2002, New York: Kluwer Academic/Plenum Publishers
49.
50.
Breland-Noble AM, Bell CC, Nicholas G: Family first: The development of an evidence- based family intervention for increasing participation in psychiatric clinical care and research in depressed African American adolescents. Fam Process. 2006, 45 (2): 153-169. 10.1111/j.1545-5300.2006.00088.x.PubMedCentralCrossRefPubMed
51.
Ewart CK: Social action theory for a public health psychology. Am Psychol. 1991, 46: 931-936. 10.1037/0003-066X.46.9.931.CrossRefPubMed
52.
Mellins CA, Havens JF, McCaskill E, Leu CS, Brudney K, Chesney M: Mental health, substance use and disclosure are significantly associated with the medical treatment adherence of HIV-infected mothers. Psychol Health Med. 2002, 7: 451-460. 10.1080/1354850021000015267.CrossRef
53.
Remien RH, Stirratt MJ, Dolezal C, Dognin JS, Wagner GJ, Carballo-Dieguez A, El-Bassel N, Jung TM: Couple-focused support to improve HIV medication adherence: A randomized controlled trial. AIDS. 2005, 19: 807-814. 10.1097/01.aids.0000168975.44219.45.CrossRefPubMed
54.
Mellins C: A family matter: Mental health and risk behavior among perinatally-infected adolescents. Symposium presented at the NIMH Annual International Research Conference on the Role of Families in Preventing and Adapting to HIV/AIDS, Rhode Island. 2008
55.
Paikoff RL, Truabe DE, McKay M: Overview of the Community Collaborative Partnerships and Empirical Findings: The Foundation for Youth HIV prevention. Soc Work Ment Health. 2007, 5 (1-2): 3-26. 10.1300/J200v05n01_01.PubMedCentralCrossRefPubMed
56.
Mellins CA, Brackis-Cott E, Dolezal C, Abrams E, Wiznia A, Bamji M: Mental health and risk behavior in perinatally HIV-infected youths [Oral presentation and Abstract]. NIMH Annual International Research Conference on the Role of Families in Preventing and Adapting to HIV/AIDS:. 2006, ; San Juan, Puerto Rico
57.
McKay M, Hibbert R, Lawrence R, Miranda A, Paikoff R, Bell C, Madison S, Baptiste D, Coleman D, Pinto R, Bannon W, CHAMP Collaborative Boards in New York & Chicago: Creating mechanisms for meaningful collaboration between members of urban communities and university-based HIV prevention researchers. Soc Work Ment Health. 2006, 5 (1/2): 143-164.
58.
McCormick A, McKay MM, Wilson M, McKinney L, Paikoff R, Bell C, Baptiste D, Coleman D, Gillming G, Madison S, Scott R: Involving families in an urban HIV preventive intervention: How community collaboration ad dresses barriers to participation. AIDS Educ Prev. 2000, 12 (4): 299-307.PubMed
59.
McKay MM, Baptiste D, Coleman D, Madison S, Paikoff R, Scott R: Preventing HIV risk exposure in urban communities: The CHAMP family program. Working with families in the era of HIV/AIDS. Edited by: Szapocznik WPJ. 2000, Sage: Thousand Oaks, CA
60.
Alicea S, Mellins C, McKay M: CHAMP+NY. Paper presented at AIDS Impact, Botswana. 2009
61.
Paruk Z, Petersen I, Bhana A, Bell C, McKay M: Containment and contagion: how to strengthen families to support youth HIV prevention in South Africa. AJAR. 2005, 4 (1): 57-63.PubMed
62.
Paruk Z, Petersen I, Bhana A: Facilitating health-enabling social contexts for youth: qualitative evaluation of a family-based HIV-prevention pilot programme. AJAR. 2009, 8 (1): 61-68.PubMed
63.
Petersen I, Mason A, Bhana A, Bell C, McKay M: Mediating social representations using targeted micro media in the form of a cartoon narrative in the context of HIV/AIDS: The AmaQhawe Family Project (CHAMP) in South Africa. J of Health Psychol. 2006, 11 (2): 197-208. 10.1177/1359105306061180.CrossRef
64.
Petersen I, Bhana A, Myeza N, Alicea S, John S, Holst H, McKay M, Mellins C: Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa. A qualitative investigation. AIDS Care.
65.
Petersen I, Myeza N, John S, Holst H, Bhana A, McKay M, Alicea S, Mellins C: Understanding risk and protective influence for HIV-infected youth in South Africa to inform the adaptation of CHAMP+. Poster. NIMH Annual International Research Conference on the Role of Families in Preventing and Adapting to HIV/AIDS. Rhode Island. 2008
66.
Bhana A, McKay M, Bell C, Mellins C, Petersen I: The Collaborative HIV Prevention and Adolescent Mental Health Project (CHAMP) family-based HIV prevention approach [Paper]. CCABA Meeting: Advancing the agenda of family-centered services for children affected by HIV and AIDS, Nairobi. 2009
67.
WHO: Task shifting: rational redistribution of tasks among health workforce teams: global recommendations and guidelines. Geneva. 2008
Metadata
Title
Family-based HIV prevention and intervention services for youth living in poverty-affected contexts: the CHAMP model of collaborative, evidence-informed programme development
Authors
Arvin Bhana
Mary M McKay
Claude Mellins
Inge Petersen
Carl Bell
Publication date
01-12-2010
Publisher
BioMed Central
DOI
https://doi.org/10.1186/1758-2652-13-S2-S8

Other articles of this Special Issue 2/2010

Journal of the International AIDS Society 2/2010 Go to the issue

Commentary

Family-centred HIV interventions: lessons from the field of parental depression

Review

Children of female sex workers and drug users: a review of vulnerability, resilience and family-centred models of care

Research

The impact of HIV and high-risk behaviours on the wives of married men who have sex with men and injection drug users: implications for HIV prevention

Review

Data availability on men's involvement in families in sub-Saharan Africa to inform family-centred programmes for children affected by HIV and AIDS

Review

Family-centred approaches to the prevention of mother to child transmission of HIV

Editorial

Visioning services for children affected by HIV and AIDS through a family lens
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Image Credits