FeatureAn Expressive Therapy Group Disclosure Intervention for Women Living With HIV Improves Social Support, Self-efficacy, and the Safety and Quality of Relationships: A Qualitative Analysis☆Machtinger, Edward L. MD*; Lavin, Sonja M. RN, MS; Hilliard, Starr MS; Jones, Rhodessa; Haberer, Jessica E. MD; Capito, Kristen; Dawson-Rose, Carol RN, PhD, FAAN Author Information *Corresponding author. E-mail:[email protected] ☆This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). Edward L. Machtinger, MD, is a Professor of Medicine, University of California, San Francisco (UCSF), San Francisco, California, USA. Sonja M. Lavin, RN, MS, School of Nursing, UCSF, California, USA. Starr Hilliard, MS, Department of Medicine, UCSF, San Francisco, California, USA. Rhodessa Jones is Co-Artistic Director, Cultural Odyssey, and Founder and Director of the Medea Project: Theater for Incarcerated Women, San Francisco, California, USA. Jessica E. Haberer, MD, is an Assistant Professor, Department of Medicine and Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, USA. Kristen Capito, Department of Medicine, UCSF, San Francisco, California, USA. Carol Dawson-Rose, RN, PhD, FAAN, is an Associate Professor, School of Nursing, UCSF, California, USA. Journal of the Association of Nurses in AIDS Care: March 2015 - Volume 26 - Issue 2 - p 187-198 doi: 10.1016/j.jana.2014.05.001 Buy Metrics Abstract Women living with HIV (WLHIV) face high rates of morbidity and mortality. HIV disclosure interventions have been identified as a promising but under-evaluated approach for WLHIV to improve their health and well-being. The Medea Project is an expressive therapy group intervention that was first developed to help incarcerated women develop the confidence and skills to tell their stories publicly in theatrical performances. The intervention was subsequently adapted as a community-based disclosure intervention for WLHIV. Our study describes an analysis of the impact of the Medea Project on the lives of the WLHIV who participated. All participating WLHIV publicly disclosed their HIV status during the performances. Five impact themes emerged from the data: sisterhood, catharsis, self-acceptance, safer and healthier relationships, and gaining a voice. Our study identifies a voluntary, effective, and broadly beneficial disclosure intervention for women living with HIV. © 2015Elsevier, Inc.