Telephone-Delivered Mindfulness Training to Promote Medication Adherence and Reduce Sexual Risk Behavior Among Persons Living with HIV: An Exploratory Clinical Trial.
Telephone-Delivered Mindfulness Training to Promote Medication Adherence and Reduce Sexual Risk Behavior Among Persons Living with HIV: An Exploratory Clinical Trial.
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DOI：
10.1007/s10461-019-02768-2
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发表时间：
2020-06
影响因子：
4.4
通讯作者：
Salmoirago-Blotcher, Elena
中科院分区：
文献类型：
--
作者：
Carey, Michael P.;Dunne, Eugene M.;Norris, Alyssa L.;Dunsiger, Shira;Rich, Carla;Rosen, Rochelle K.;Chan, Philip;Salmoirago-Blotcher, Elena
本研究探讨了通过电话提供的正念训练 (MT) 来促进药物依从性和减少性危险行为对于艾滋病毒感染者 (PLWH) 来说是否可行且可接受。参与者（N = 42；50% 女性；M 年龄 = 47.5 岁）被随机分配接受 MT 或健康辅导 (HC)。干预前后以及 3 个月的随访中，我们评估了 ART 的依从性、性风险行为和假设的中介因素；我们还进行了个人访谈以获得定性数据。结果显示，分配到 MT 的患者中有 55% 完成了 ≥ 50% 的培训呼叫，而 HC 患者的这一比例为 86% (p < .05)。大多数患者对他们的干预表示满意（MT = 88%，HC = 87%）。 MT 和 HC 患者报告称，随着时间的推移，药物依从性、正念和性风险降低有所改善，焦虑、抑郁症状、感知压力和冲动也有所减少；然而，没有观察到组间差异。
This study explored whether telephone-delivered mindfulness training (MT) to promote medication adherence and reduce sexual risk behavior was feasible for and acceptable to people living with HIV (PLWH). Participants (N = 42; 50% female; M age = 47.5 years) were randomized to MT or health coaching (HC). Pre- and post-intervention, and at 3-month follow-up, we assessed adherence to ART, sexual risk behavior, and hypothesized mediators; we also conducted individual interviews to obtain qualitative data. Results showed that 55% of patients assigned to MT completed ≥50% of the training calls compared with 86% of HC patients (p < .05). Most patients reported satisfaction with their intervention (MT = 88%, HC = 87%). Patients in MT and HC reported improvements in medication adherence, mindfulness, and sexual risk reduction as well as reductions in anxiety, depressive symptoms, perceived stress, and impulsivity over time; however, no between-groups differences were observed.
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