A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa
A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa
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DOI：
10.1111/j.1365-3156.2010.02682.x
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发表时间：
2011-01-01
影响因子：
3.3
通讯作者：
Sherr, Lorraine
中科院分区：
文献类型：
--
作者：
Mueller, Joanne;Alie, Collin;Sherr, Lorraine
目的评价旨在通过提高自尊、自我效能感和对HIV的洞察力来减少心理社会问题的社区艺术项目Make A Difference About Art的效果。方法对297名8~18岁儿童(177名项目参与者和120名对照组)进行准实验性横断面干预后调查。参与者完成了一份清单，其中包括标准化的、经过验证的抑郁症、情绪和行为问题、自尊和自我效能的心理社会测量，以及可能与风险和保护因素相关的关键社会人口学变量。结果参加干预的人预测显著更高的自我效能，但与自尊、抑郁或情绪/行为问题的差异无关。这种关联仍然存在于多变量分析中，控制了潜在的混杂因素。双亲死亡对儿童心理社会健康有很大影响，消除了干预出勤率与较高自我效能感之间的联系。然而，丧亲状况和干预出勤对儿童自我效能感的影响存在交互作用，这表明干预计划可能会改善与成为孤儿相关的一些心理社会脆弱性。在本样本中，心理社会健康状况差的其他关键风险因素是与艾滋病有关的污名以及社区和家庭暴力。结论我们的研究结果表明，这类干预可能为提高弱势儿童的自我效能感提供机会，以保护他们的心理健康。
ObjectivesTo 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.MethodsA 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.ResultsAttending 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.ConclusionsOur findings suggest that such interventions may offer opportunities to increase the self-efficacy of vulnerable children to protect their psychological health.