A process and impact evaluation of a peer-led HIV self-management program

Feldman, Matthew B.; Tran, Trang T.; Boucher, Lisa M.; Abdelqader, Faisal; Raker, Amanda R.; Hile, Stephen J.

doi:10.1016/j.evalprogplan.2022.102175

Cited by 3 publications

(2 citation statements)

References 58 publications

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“…Health journals guide participants in assessing their readiness for behavior change and setting specific health-related goals. Completion of the workshop is rewarded with a $50 gift card, with an additional $25 gift card available after completing a post-workshop survey ( 34 ). In Indonesia, there are significant efforts to combat stigma and discrimination against people living with HIV (PLHIV).…”

Section: Psychosocial Support and Educationmentioning

confidence: 99%

HIV/AIDS in Indonesia: current treatment landscape, future therapeutic horizons, and herbal approaches

Jocelyn,

Nasution,

Nasution

et al. 2024

Front. Public Health

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HIV/AIDS is still a major worldwide health concern, and Indonesia is making efforts to mitigate its effects. Antiretroviral therapy (ARV), which aims to decrease viral replication, boost immunological function, and lengthen the lifespans of persons living with HIV/AIDS, is the cornerstone of Indonesia’s strategy. The availability of ARV has significantly increased, yet problems including stigma and the requirement for regular medication adherence still exist. To address the broader needs of those affected by HIV/AIDS, Indonesia lays a major focus on comprehensive care, which includes mental health and social support, in addition to ARV. Data show that, despite progress, there is still a stigma surrounding HIV/AIDS, which affects patient outcomes and access to care. With vigorous research into cutting-edge antiretroviral medications and treatment techniques, Indonesia has a thriving future therapeutic landscape. The goals of these programs are to increase treatment effectiveness, decrease side effects, and increase access to cutting-edge treatments. Preventive methods, such as PrEP (pre-exposure prophylaxis), are making progress, and efforts to find a cure are gaining prominence. Notably, HIV/AIDS management plan of Indonesia heavily relies on natural remedies. Patient care incorporates traditional Indonesian medicine, such as jamu and several herbal medicines. Although there is little scientific proof to support the effectiveness of these herbal remedies, complementary and alternative therapies frequently employ them to manage symptoms and promote general wellness. In terms of the 95-95-95 targets, Indonesia is making an effort to comply with these international goals by seeking to diagnose 95% of HIV-positive individuals, provide sustained ARV to 95% of those diagnosed, and achieve viral suppression in 95% of ARV recipients. Although there are gaps in reaching these aims, progress is being made, in part because of the aforementioned challenges. In summary, Indonesia employs a multimodal approach to HIV/AIDS management, including traditional herbal cures, continuous research into cutting-edge treatments, and conventional ARV. In order to enhance overall health outcomes and create a healthier society, the future of HIV/AIDS treatment in Indonesia is concentrated on expanding therapeutic alternatives, reaching the 95-95-95 targets, decreasing stigma, and improving access to care.

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Section: Psychosocial Support and Educationmentioning

confidence: 99%

HIV/AIDS in Indonesia: current treatment landscape, future therapeutic horizons, and herbal approaches

Jocelyn,

Nasution,

Nasution

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Embora a utilização da TARV conforme prescrito possa diminuir ou suprimir suficientemente a carga viral de um indivíduo, o que é essencial para manutenção da saúde das PVHIV 11 , estudo realizado no interior de São Paulo apontou uma taxa de adesão à TARV (62%) 12 . Por sua vez, estudo de coorte que avaliou a não adesão à TARV em serviços de referência em Pernambuco, encontrou taxa de adesão de 85,5% 13 .…”

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Para além da busca ativa: motivações para retorno ao tratamento de HIV [Beyond active search: motivations for returning to HIV treatment] [Más allá de la búsqueda activa: motivaciones para volver al tratamiento del VIH]

et al. 2022

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Objetivo: apreender aspectos que influenciam no abandono do tratamento e que mobilizam a disposição para retomá-lo, na perspectiva de pessoas que vivem com HIV. Método: estudo qualitativo, realizado em um serviço ambulatorial, com dados coletados entre abril e agosto de 2021, após aprovação pelo Comitê de Ética em Pesquisa, mediante consulta aos prontuários e entrevistas com 24 usuários, submetidas à análise de conteúdo. Resultados: os motivos para o abandono do tratamento referidos com maior frequência foram isolamento social imposto pela pandemia, dificuldade de acesso/locomoção até o serviço e efeitos colaterais dos medicamentos. O desejo de sentir-se saudável, desempenhar papeis sociais, cultivar laços familiares, reconhecer que já superou fases piores e o sentimento de mais valia após busca ativa, foram as motivações para retorno ao serviço. Considerações finais: os resultados apontam a importância do atendimento individualizado para conhecer as motivações de retorno ao tratamento as quais oferecem subsídios para o planejamento de ações de busca ativa.ABSTRACTObjective: to identify factors that influence the decision to abandon treatment or foster a willingness to resume it, from the perspective of persons living with HIV. Method: this qualitative study was carried out between April and August 2021 in an outpatient service, after approval by the research ethics committee. Data were collected by consulting medical records and interviewing 24 users, and were treated by content analysis. Results: reasons for abandoning treatment most frequently mentioned were the social isolation imposed by the pandemic, difficulty in accessing or commuting to the service, and the drugs’ side effects. The motivations for returning to the service were the desire to feel healthy, play social roles, cultivate family ties, recognize that he has overcome worse phases and the feeling of added value after active search. Final considerations: the findings point to the importance of individualized care to understanding the motivations for returning to treatment, which can inform the planning of active search actions.RESUMENObjetivo: comprender aspectos que influyen en el abandono del tratamiento y que movilizan la voluntad para retomarlo, en la perspectiva de las personas que viven con VIH. Método: estudio cualitativo, realizado en un servicio de consulta externa, con datos recolectados entre abril y agosto de 2021, después de la aprobación del Comité de Ética en Investigación, mediante consulta de historias clínicas y entrevistas con 24 usuarios, sometidos a análisis de contenido. Resultados: los motivos de abandono del tratamiento mencionados más frecuentemente fueron el aislamiento social impuesto por la pandemia, la dificultad de acceso/traslado al trabajo y los efectos secundarios de los medicamentos. El deseo de sentirse saludable, desempeñar roles sociales, cultivar lazos familiares, entender que ha superado fases peores y la sensación de plusvalía luego de una búsqueda activa, fueron las motivaciones para volver al servicio. Consideraciones finales: los resultados apuntan hacia la importancia de la atención individualizada para comprender las motivaciones de retorno al tratamiento, que ofrecen subsidios para la planificación de acciones de búsqueda activa.

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Concordance of HIV Prevention Advocacy Reports and its Associations with HIV Protective Behaviors

Malika,

Green,

Bogart

et al. 2024

AIDS Behav

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Peer advocacy can promote HIV protective behaviors, but little is known about the concordance on prevention advocacy(PA) reports between people living with HIV(PLWH) and their social network members. We examined prevalence and correlates of such concordance, and its association with the targeted HIV protective behavior of the social network member. Data were analyzed from 193 PLWH(index participants) and their 599 social network members(alters). Kappa statistics measured concordance between index and alter reports of PA in the past 3 months. Logistic and multinomial regressions evaluated the relationship between advocacy concordance and alter condom use and HIV testing behavior and correlates of PA concordance. Advocacy concordance was observed in 0.3% of index-alter dyads for PrEP discussion, 9% for condom use, 18% for HIV testing, 26% for care engagement, and 49% for antiretroviral use discussions. Fewer indexes reported condom use(23.5% vs. 28.1%;$${ \chi }^{2}$$=3.7, p=0.05) and HIV testing(30.5% vs. 50.5%; $${\chi }^{2}$$=25.3, p<0.001) PA occurring. Condom advocacy concordance was higher if the index and alter were romantic partners(OR=3.50; p=0.02), and lower if the index was 10 years younger than the alter(OR=0.23; p = 0.02). Alters had higher odds of using condoms with their main partner when both reported condom advocacy compared to dyads where neither reported advocacy(OR=3.90; p<0.001) and compared to dyads where only the index reported such advocacy(OR = 3.71; p=0.01). Age difference and relationship status impact advocacy agreement, and concordant perceptions of advocacy are linked to increased HIV protective behaviors. Alters’ perceptions may be crucial for behavior change, informing strategies for improving advocacy.

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A process and impact evaluation of a peer-led HIV self-management program

Cited by 3 publications

References 58 publications

HIV/AIDS in Indonesia: current treatment landscape, future therapeutic horizons, and herbal approaches

HIV/AIDS in Indonesia: current treatment landscape, future therapeutic horizons, and herbal approaches

Para além da busca ativa: motivações para retorno ao tratamento de HIV [Beyond active search: motivations for returning to HIV treatment] [Más allá de la búsqueda activa: motivaciones para volver al tratamiento del VIH]

Concordance of HIV Prevention Advocacy Reports and its Associations with HIV Protective Behaviors

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