Testing a peer-based symptom management intervention for women living with HIV/AIDS.

Testing a peer-based symptom management intervention for women living with HIV/AIDS.
复制标题

DOI:
10.1080/09540120903214389
复制
发表时间:
2010-09
期刊:
影响因子:
1.7
通讯作者:
Webel AR
Webel AR
中科院分区:
医学4区
文献类型:
--
作者:
Webel AR

文献摘要

参考文献

被引文献

相似文献

测试参与同龄人为基础的干预措施,对选定的结果指标,包括症状强度,服药依从性,病毒控制和生活质量的艾滋病毒感染的妇女的症状管理的影响。随机临床试验。使用方便的连续抽样方法招募参与者。那些被随机分配到实验条件下的参与者在七周内参加了七次同行领导的会议。随机分配到对照组的参与者收到了一份艾滋病毒症状管理策略:艾滋病毒/艾滋病感染者手册。参与者完成了四项调查,评估上述结果变量随时间的变化。89名HIV感染妇女随访超过14周,两组在基线人口统计学变量上没有差异。混合效应回归分析表明,在总症状强度评分和药物依从性方面,两组在不同时间无显著差异。在9个生活质量量表中,两个量表在不同时间组间存在显著差异-艾滋病毒掌握(χ2 = 25.08; p < 0.005)和披露担忧(χ2 = 24.67; p < 0.005)。在城市居住的艾滋病毒/艾滋病感染妇女中,结果表明,基于同伴的症状管理干预可能不会降低症状强度或增加药物依从性。有积极的证据表明,干预可能会提高生活质量的一些重要方面。然而,进一步的研究是必要的,以阐明在实现积极的自我管理的结果,以同伴为基础的干预措施的效果。
To test the impact of participation in a peer-based intervention for symptom management for women living with HIV infection on selected outcome measures including, symptom intensity, medication adherence, viral control, and quality of life. Randomized clinical trial. Participants were recruited using a convenient, consecutive sampling method. Those participants randomized to the experimental condition attended seven, peer-led sessions over seven weeks. Participants randomized to the control condition received a copy of HIV Symptom Management Strategies: A Manual for People Living with HIV/AIDS. Participants completed four surveys assessing change over time in the aforementioned outcome variables. Eighty-nine HIV-infected women followed over 14 weeks and there were no differences between the two groups on baseline demographic variables. Mixed-effects regression indicated no significant difference between groups across time in total symptom intensity score and medication adherence. There was a significant difference between groups across time for two of the nine quality of life scales – HIV Mastery (χ2 = 25.08; p < 0.005) and Disclosure Worries (χ2 = 24.67; p < 0.005). In urban-dwelling women living with HIV/AIDS, results suggest that a peer-based symptom management intervention may not decrease symptom intensity or increase medication adherence. There is positive evidence that suggests that the intervention may increase some important aspects of quality of life. However, further research is warranted to elucidate the effect of peer-based interventions in achieving positive self-management outcomes.
DOI: 10.1097/qai.0b013e318158a474
发表时间: 2007-12-15
影响因子: 3.6
作者:
Johnson, Mallory O.;Charlebois, Edwin;Chesney, Margaret A.
通讯作者: Chesney, Margaret A.
DOI: 10.1016/s1055-3290(06)60420-2
发表时间: 2000-01-01
期刊: The Journal of the Association of Nurses in AIDS Care : JANAC
影响因子: --
作者:
Holzemer, W L;Henry, S B;Miramontes, H
通讯作者: Miramontes, H
DOI: 10.1177/0255761407087263
发表时间: 2007-12-01
影响因子: 1.8
作者:
Portowitz, Adena;Klein, Pnina S.
通讯作者: Klein, Pnina S.
DOI: 10.1007/s10461-006-9165-8
发表时间: 2007-01-01
期刊: AIDS AND BEHAVIOR
影响因子: 4.4
作者:
Jones, Deborah L.;McPherson-Baker, Shvawn;Weiss, Stephen M.
通讯作者: Weiss, Stephen M.
DOI: 10.1046/j.1365-2648.1999.01204.x
发表时间: 1999-11-01
影响因子: 3.8
作者:
Holzemer, WL;Henry, SB;Inouye, J
通讯作者: Inouye, J