A randomized clinical trial of two telephone-delivered, mental health interventions for HIV-infected persons in rural areas of the United States
A randomized clinical trial of two telephone-delivered, mental health interventions for HIV-infected persons in rural areas of the United States
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DOI：
10.1007/s10461-006-9111-9
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发表时间：
2007-01-01
影响因子：
4.4
通讯作者：
Carlson, Bruce
中科院分区：
文献类型：
--
作者：
Heckman, Timothy G.;Carlson, Bruce
截至2003年12月，超过55,300人在被诊断出患有艾滋病时生活在美国的小城镇和农村地区。许多农村艾滋病毒感染者的抑郁、自杀意念和焦虑程度都较高。这项研究测试了两种电话提供的心理健康干预措施是否可以促进美国农村地区艾滋病毒/艾滋病感染者的适应努力。参与者 (N=299) 是通过 13 个州的艾滋病服务组织招募的，并被分配到常规护理条件 (n=107)、8 次信息支持小组干预 (n=84) 或 8 次应对改善小组干预 (n=108)。参与者在干预前、干预后以及 4 个月和 8 个月的随访中完成了自我管理的调查。 ANCOVA 显示，没有任何治疗条件会导致抑郁和心理症状的主要结果指标降低；然而，与其他两种情况下的参与者相比，信息支持参与者在 4 个月和 8 个月的随访中从朋友那里获得了更多的支持，并且在 4 个月的随访中报告了较少的医疗保健和社会服务障碍。电话提供的信息支持小组有可能提高该人群的支持意识并减少获得医疗保健和社会服务的障碍，但这些与干预相关的变化的实际意义有限。
Through December 2003, more than 55,300 persons were living in small towns and rural areas of the United States at the time of their AIDS diagnosis. Many HIV-infected rural persons experience elevated levels of depression, suicidal ideation, and anxiety. This research tested if two telephone-delivered, mental health interventions could facilitate the adjustment efforts of persons living with HIV/AIDS in rural areas of the United States. Participants (N=299) were recruited through AIDS service organizations in 13 states and assigned to a Usual Care Condition (n=107), an 8-session Information Support Group Intervention (n=84), or an 8-session Coping Improvement Group Intervention (n=108). Participants completed self-administered surveys at pre-intervention, post-intervention, and 4- and 8-month follow-ups. ANCOVA revealed that no treatment condition produced reductions in the main outcome measures of depressive and psychological symptoms; however, Information Support participants received significantly more support from friends at 4- and 8-month follow-ups and reported fewer barriers to health care and social services at 4-month follow-up compared to participants in the other two conditions. Telephone-delivered, information-support groups have potential to increase perceptions of support and reduce barriers to health care and social services in this population, but the practical significance of these intervention-related changes is limited.