242922 Promoting healthy minds and bodies of HIV+ individuals through disclosure and social support: An experiment testing the Brief Disclosure Intervention

Wednesday, November 2, 2011

Kathryn Greene, PhD , Department of Communication, Rutgers University, New Brunswick, NJ
Kate Magsamen-Conrad, MA , Department of Communication, Rutgers University, New Brunswick, NJ
Background: Disclosing HIV status is a difficult decision balancing potential risks with benefits. The Brief Disclosure Intervention (BDI) utilizes the tradition of Brief Motivational Interviewing to increase HIV disclosure efficacy, disclosure, and social support. This project developed a 10-15 minute intervention to be used with case managers to facilitate HIV disclosure decision-making as a tool for use in direct practice. Methods: We evaluate BDI efficacy (N = 55 HIV+ individuals) with clients from a large northeastern ASO. We compare the BDI intervention with two control (pre/posttest assessment only and posttest only) groups. Cognitive and behavioral outcomes will be assessed six months post intervention to estimate BDI impact. [all controls receive BDI as a delayed component]. Results: Time 1 results suggest some differences in immediate post measures. BDI clients reported less anxiety and more confidence at the end of the interview (compared to the beginning) than did participants in the control group (some reported more anxiety and less confidence at the end). In post T1 interviews, staff reported intervention participants want to discuss the disclosure strategies. Although there was no significant difference in perceptions of variety of strategies to share HIV+ status, clients shared with case managers that they had not previously thought about the different ways to share. Conclusions: Preliminary results suggest that the BDI increases confidence in HIV+ individuals' ability to share their HIV status and decreases disclosure anxiety. The BDI provides a variety of different strategies for sharing HIV status and is brief enough to be adopted.

Learning Areas:
Administer health education strategies, interventions and programs
Communication and informatics
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Social and behavioral sciences

Learning Objectives:
Identify risks and benefits people process with making a disclosure decision Describe the effect of stigma on disclosure decisions Identify groups/outcomes which may be affected by disclosure decisions (beyond the individual) Describe strategies for maximizing positive reactions/outcomes of HIV disclosure

Keywords: HIV/AIDS, Communication

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the leading national and international expert on HIV disclosure. I have been studying disclosure for the last 25 years and published the only scholarly book on disclosure and HIV/AIDS.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.