{"doi":"10.3389/frph.2025.1499481","title":"Efficacy of a cluster randomized controlled parental HIV disclosure intervention trial among parents living with HIV in China: evaluation based on the health action process approach","abstract":"Introduction: Parents living with HIV (PLH) face psychosocial challenges, including disclosing their HIV status to their children. Parental HIV disclosure is critical for reducing stigma, improving psychosocial well-being, and enhancing family cohesion. This study employed the Health Action Process Approach (HAPA) to assess the efficacy of a theory-based intervention aimed at facilitating HIV disclosure among PLH with children aged 6-15 in Guangxi, China. Method: Data from a randomized controlled trial involving 791 PLH were analyzed using a multigroup first-order manifest Markov Chain model to investigate transitions through the pre-intention, intention, and action stages over two follow-up periods (6 and 12 months). Results: The intervention significantly facilitated progression from pre-intention to action (OR = 3.43; 95% CI: 1.17, 10.01) but did not affect the transition from pre-intention to intention (OR = 1.02; 95% CI: 0.47, 2.20) or influence movement within the intention stage. Discussion: These findings suggest the need for stage-specific interventions to enhance disclosure practices. Future research should focus on identifying psychosocial predictors of disclosure and adapt interventions to the distinct stages of the disclosure decision-making process.","journal":"Frontiers in Reproductive Health","year":2025,"id":565642,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9509,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1337247,"name":"Ran Zhang","orcid":"0009-0006-2431-5615","position":1,"is_corresponding":false},{"id":741167,"name":"Wendi Da","orcid":"0000-0002-7881-6187","position":2,"is_corresponding":false},{"id":330415,"name":"Yuejiao Zhou","orcid":null,"position":3,"is_corresponding":false},{"id":329428,"name":"Zhiyong Shen","orcid":"0000-0001-7629-0743","position":4,"is_corresponding":false},{"id":453363,"name":"Shan Qiao","orcid":"0000-0001-9685-0277","position":5,"is_corresponding":false},{"id":42140,"name":"Xiaoming Li","orcid":"0000-0002-5555-9034","position":0,"is_corresponding":true}],"reference_count":29,"raw_metadata":null,"created_at":"2026-07-19T02:56:32.546082Z","pmid":"40417056","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}