Telephone-Delivered Mindfulness Training for People Living with HIV: A Qualitative 360° Inquiry

Telephone-Delivered Mindfulness Training for People Living with HIV: A Qualitative 360° Inquiry
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DOI:
10.1007/s10461-017-1857-8
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发表时间:
2017-11-01
期刊:
影响因子:
4.4
通讯作者:
Carey, Michael P.
Carey, Michael P.
中科院分区:
医学2区
文献类型:
--
作者:
Rosen, Rochelle K.;McGarrity, Larissa A.;Carey, Michael P.

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对于艾滋病毒和艾滋病感染者(PLWHA)来说,生活压力往往会破坏生活质量并干扰医疗服务。正念训练(MT)可以帮助PLWHA管理压力。由于标准的MT协议可能是繁重的,我们探讨了电话交付作为一个潜在的更可行的方法。我们使用了一个创新的360度定性调查,以寻求输入有关电话交付MT的PLWHA计划的干预试验之前。我们还寻求时间和注意力匹配控制的输入。25名艾滋病毒患者、提供者和倡导者被招募到五个重点小组。参与者理解正念的结构,并认识到其对压力管理和提高药物依从性的潜在好处。患者更喜欢“正念”这个词而不是冥想。电话递送对所有患者都有吸引力,但也提出了一些挑战。控制干预的主题包括营养、睡眠和衰老。360度方法允许三个群体(患者,提供者,倡导者)影响干预措施的制定。
For people living with HIV and AIDS (PLWHA), life stress often undermines quality of life and interferes with medical care. Mindfulness training (MT) may help PLWHA to manage stress. Because standard MT protocols can be burdensome, we explored telephone delivery as a potentially more feasible approach. We used an innovative 360 degrees qualitative inquiry to seek input regarding telephone-delivery of MT for PLWHA in advance of a planned intervention trial. We also sought input on a time- and attention-matched control. Twenty five HIV patients, providers and advocates, were recruited to five focus groups. Participants understood the construct of mindfulness and recognized its potential benefits for stress management and improving medication adherence. Patients preferred the term "mindfulness" to meditation. Telephone-delivery appealed to all patients but several challenges were raised. Topics for the control intervention included nutrition, sleep, and aging. The 360 degrees approach allowed three groups (patients, providers, advocates) to influence intervention development.