HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review

Sengupta, Sohini; Banks, Bahby; Jonas, Dan E; Miles, Margaret Shandor; Corbie-Smith, Giselle

doi:10.1007/s10461-010-9847-0

Cited by 321 publications

(292 citation statements)

References 33 publications

(154 reference statements)

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“…Despite extensive efforts in HIV education, HIV-related stigma still exists in health care (Shah, Heylen, Srinivasan, Perumpil, & Ekstrand, 2014). Since the first global review of interventions to reduce HIV-related stigma (Brown, Macintyre, & Trujillo, 2003), two additional systematic reviews have been conducted to evaluate the impact of interventions to increase HIV knowledge, decrease stigma, improve infection control practices, and increase willingness by HCP to treat PLWH (Sengupta, Banks, Jonas, Miles, & Smith, 2011;Stangl, Lloyd, Brady, Holland, & Baral, 2013). Sengupta and colleagues (2011) reviewed 19 studies, including four interventions to evaluate nurses' willingness to provide care for PLWH.…”

Section: Literature Reviewmentioning

confidence: 99%

Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care

Caine

Mill

O’Brien

et al. 2016

Journal of the Association of Nurses in AIDS Care

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Section: Literature Reviewmentioning

confidence: 99%

Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care

Caine

Mill

O’Brien

et al. 2016

Journal of the Association of Nurses in AIDS Care

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“…Two recent systematic reviews explored the effect of interventions to reduce HIV stigma in HCP (Sengupta, Banks, Jonas, Miles, & Smith, 2011;Stangl, Lloyd, Brady, Holland, & Baral, 2013). Sengupta and colleagues (2011) noted that, of the 19 studies that met their inclusion criteria, 14 demonstrated effectiveness in reducing HIV stigma.…”

Section: Interventions To Increase Knowledge Enhance Willingness To mentioning

confidence: 99%

A Mixed-Methods Outcome Evaluation of a Mentorship Intervention for Canadian Nurses in HIV Care

Worthington

O’Brien

Mill

et al. 2016

Journal of the Association of Nurses in AIDS Care

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We assessed the impact of an HIV care mentorship intervention on knowledge, attitudes, and practices with nurses and people living with HIV (PLWH) in Canada. We implemented the intervention in two urban and two rural sites with 16 mentors (eight experienced HIV nurses and eight PLWH) and 40 mentees (nurses with limited HIV experience). The 6-to 12-month intervention included face-to-face workshops and monthly meetings. Using a mixed-methods approach, participants completed pre-and postintervention questionnaires and engaged in semistructured interviews at intervention initiation, mid-point, and completion. Data from 28 mentees (70%) and 14 mentors (87%) were included in the quantitative analysis. We analyzed questionnaire data using McNemar test, and interview data using content analysis. Results indicated positive changes in knowledge, attitudes, and practices among nurse mentees, with qualitative interviews highlighting mechanisms by which change occurred. Mentorship interventions have the potential to engage and educate nurses in HIV treatment and care. *Correspondence to: vera.caine@ualberta.ca. DisclosuresThe authors report no real or perceived vested interests that relate to this article that could be construed as a conflict of interest. PLWH;Mill, Edwards, Jackson, MacLean, & Chaw-Kant, 2010;Mill et al., 2013). Stigma may result in people at risk for HIV delaying testing (Pottie et al., 2014) and lead to HCP providing differential care to PLWH (Mill et al., 2013). Stigma perpetuated by nurses may be related to a lack of knowledge and educational preparation about HIV clinical management and counseling, religious background, or workplace culture (Waluyo, Culbert, Levy, & Norr, 2015).HIV education for HCP is important to promote best practices. Education increases knowledge and promotes positive changes in attitudes, making it key to addressing HIV stigma in health care settings (Aggleton, Yankah, & Crewe, 2011). Despite the benefits, limited evidence exists to evaluate the impact of different approaches to HIV education for HCP (Aggleton et al., 2011). The Canadian Association of Nurses in AIDS Care (CANAC, 2013) recently highlighted deficits in education for nurses in HIV care. CANAC argued that nurses were graduating with insufficient theoretical and clinical experience in HIV care and with "… limited understanding of the broader social, cultural, and historical contexts with which HIV/AIDS is located" (CANAC, 2013, p. 2). WHO (2013) suggested that nurses were in key positions to provide HIV care, treatment, and prevention, and thus it was essential to prepare nurses at the undergraduate and graduate levels, as well as those in practice, to successfully engage in these roles. However, the impact of HIV education programming for nurses to advance knowledge, and practice and address stigma was unclear. Mentorship is one strategy to increase knowledge and skills in HCP. In order to advance education programming for nurses, we implemented and evaluated a mentorship intervention in HIV care for nu...

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“…In addition to the above findings, this study has several of the strengths recommended in the literature (Bos et al, 2013;Sengupta et al, 2011). Firstly, it is a study about one of the challenges for research of stigma: its reduction.…”

Section: Discussionmentioning

confidence: 85%

“…However, there are a limited number of interventions aimed at improving strategies to cope with stigmatization in people with HIV (Sengupta, Banks, Jonas, Miles, & Smith, 2011). The fact that these people actively cope with stigma can have important benefits on the quality of their lives.…”

Section: Coping With Stigmamentioning

confidence: 99%

Evaluación de una intervención dirigida a reducir el impacto del estigma en las personas con VIH capacitándolas para afrontarlo

2015

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Título: Evaluación de una intervención dirigida a reducir el impacto del estigma en las personas con VIH capacitándolas para afrontarlo. Resumen: Este estudio tuvo como objetivo evaluar un programa de intervención dirigido a disminuir el impacto del estigma en las personas con VIH y a capacitarlas para afrontarlo. Se utilizó un diseño cuasiexperimental, con grupo control no equivalente, y prueba previa y posterior. Participaron 221 personas con VIH, 164 recibieron la intervención y 56 formaron parte de los grupos de control no equivalente. Las variables dependientes fueron la percepción de estigma -declarado e internalizado-, la autoestima, la percepción de autoeficacia, las estrategias de afrontamiento del estigma -control primario, secundario y de evitación-y, la calidad de vida. Se realizaron análisis de las varianzas (MANOVAS y ANOVAS) para comprobar las diferencias en el pre-test y en las puntuaciones diferenciales en ambos grupos, y análisis de la covarianza (MANCOVAS y ANCOVAS) para evaluar la eficacia del programa. Los resultados mostraron una reducción del estigma percibido y de las estrategias de evitación y, un incremento en la autoeficacia percibida para afrontar el estigma, en la disposición al uso de estrategias de aproximación y en la autoestima y la calidad de vida. Estos resultados indican que es posible capacitar a las personas con VIH para afrontar el estigma. Palabras clave: Estigma; VIH; afrontamiento; calidad de vida; evaluación intervención.Title: Assessment of an intervention to reduce the impact of stigma on people with HIV, enabling them to cope with it Abstract: The goal of this study was to assess an intervention program to reduce the impact of stigma on people with HIV and to enable them to cope with it. A quasi-experimental design, with non-equivalent control group and pre-and posttest was used. Participants were 221 people with HIV, of whom 164 received the intervention and 56 made up the nonequivalent control groups. The dependent variables were perception of stigma-enacted and internalized-, self-esteem, perception of selfefficacy, strategies used to cope with stigma-primary control, secondary control, and avoidance-and quality of life. Analysis of variance (MANO-VAS and ANOVAS) was conducted to determine pretest differences and differential scores in both groups, and analysis of covariance (MAN-COVAS and ANCOVAS) was performed to assess the efficacy of the program. The results showed reduction of perceived stigma and avoidance strategies and an increase in perceived self-efficacy to cope with stigma, disposition to use approach strategies, self-esteem, and quality of life. These results indicate that it is possible to train people with HIV to cope with stigma.

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HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review

Cited by 321 publications

References 33 publications

Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care

Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care

A Mixed-Methods Outcome Evaluation of a Mentorship Intervention for Canadian Nurses in HIV Care

Evaluación de una intervención dirigida a reducir el impacto del estigma en las personas con VIH capacitándolas para afrontarlo

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