Figure 1.

Transactonal model of coping with stress.

Notes: Proximal program mediators are shown in shaded areas.

Plans and Actions = statement of treatment preferences and completion of Five Wishes^© advance directive.

Psychological Adjustment = Symptoms of depressed or anxious mood as measured by the Beck Depression Inventory II or the Beck Anxiety Inventory.

Quality of Life = Total, School, Emotion, Physical and Social quality of life as measured by PedsQL™; HIV Specific Symptoms as measured by the General Health Assessment for Children.

Abbreviations: A, adolescent; F, family; FACE, Family Centered Advance Care.