Efficacy of a group medication adherence intervention among HIV positive women: The SMART/EST women's project
Efficacy of a group medication adherence intervention among HIV positive women: The SMART/EST women's project
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DOI：
10.1007/s10461-006-9165-8
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发表时间：
2007-01-01
影响因子：
4.4
通讯作者：
Weiss, Stephen M.
中科院分区：
文献类型：
--
作者：
Jones, Deborah L.;McPherson-Baker, Shvawn;Weiss, Stephen M.
这项干预措施旨在改善人类免疫缺陷病毒（HIV）感染妇女的整体生活质量和健康行为。我们对比了一组认知行为压力管理表达支持疗法（CBSM+）干预加健康生活方式（HL）组件与个人教育/信息格式加HL对HIV药物依从性的影响。从迈阿密、纽约和新泽西招募了237名感染HIV的女性，主要是非洲裔美国人和拉丁裔美国人，并将其随机分配至组或个体条件（每周10次）加组或个体HL，即，四个条件。妇女报告在基线时坚持相对较高的水平。与个人参与相比，任何团体条件下的参与者都增加了自我报告的坚持和以情绪为中心的应对技能。这项研究表明，团体干预可能是一个重要的辅助手段，在增加药物治疗的艾滋病毒阳性妇女。
This intervention sought to improve overall quality of life and health behavior in women living with human immunodeficiency virus (HIV). We contrasted the effect of a group cognitive behavioral stress management expressive supportive therapy (CBSM+) intervention plus a healthier lifestyles (HL) component with an individual educational/informational format plus HL on HIV-medication adherence. Women, n = 237, predominantly African-American and Latina, living with HIV were recruited from Miami, New York and New Jersey and randomized to group or individual conditions (ten weekly sessions) plus group or individual HL, i.e., four conditions. Women reported relatively high levels of adherence at baseline. Participants in any of the group conditions increased self-reported adherence and emotion-focused coping skills in comparison with individual participation. This study suggests that group interventions may be an important adjunct in increasing medication adherence for HIV positive women.