Chaudhury, SumonaKirk, Catherine M.Ingabire, CharlesMukunzi, SylvereNyirandagijimana, BeathaGodfrey, KalisaBrennan, RobertBetancourt, Theresa2016-10-052016Chaudhury, Sumona, Catherine M. Kirk, Charles Ingabire, Sylvere Mukunzi, Beatha Nyirandagijimana, Kalisa Godfrey, Robert T. Brennan, and Theresa S. Betancourt. 2016. HIV Status Disclosure through Family-Based Intervention Supports Parenting and Child Mental Health in Rwanda. Frontiers in Public Health 4. doi:10.3389/fpubh.2016.00138.2296-2565http://nrs.harvard.edu/urn-3:HUL.InstRepos:28979945Introduction: Few evidence-based interventions exist to support parenting and child mental health during the process of caregiver HIV status disclosure in sub-Saharan Africa. A secondary analysis of a randomized-controlled trial was conducted to examine the role of family-based intervention versus usual social work care (care as usual) in supporting HIV status disclosure within families in Rwanda. Method: Approximately 40 households were randomized to family-based intervention and 40 households to care as usual. Parenting, family unity, and child mental health during the process of disclosure were studied using quantitative and qualitative research methods. Results: Many of the families had at least one caregiver who had not disclosed their HIV status at baseline. Immediately post-intervention, children reported lower parenting and family unity scores compared with those in the usual-care group. These changes resolved at 3-month follow-up. Qualitative reports from clinical counselor intervention sessions described supported parenting during disclosure. Overall findings suggest adjustments in parenting, family unity, and trust surrounding the disclosure process. Conclusion: Family-based intervention may support parenting and promote child mental health during adjustment to caregiver HIV status disclosure. Further investigation is required to examine the role of family-based intervention in supporting parenting and promoting child mental health in HIV status disclosure.en-USchildren affected by HIV-AIDSRwandaresilienceparentingJournal Article2016-06-1620162016-10-0510.3389/fpubh.2016.00138