“It gives me a sense of belonging”: Providing integrated health care and treatment to people with HCV engaged in a psycho-educational support group

Woolhouse, Susan; Cooper, Emily; Pickard, Angela

doi:10.1016/j.drugpo.2013.05.018

Cited by 25 publications

(23 citation statements)

References 38 publications

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“…It is also possible that the standardized measures selected for this study may not be adequate to capture the complex realities of individuals who experience multiple and complex health and social issues. Qualitative data has shown that TCHCP program participants experience improvements in the areas of mental health, substance use and social support (Woolhouse et al, 2013). Even without measurable changes to mental health status or substance use, participants were still able to engage in HCV care and obtain positive outcomes through this model.…”

Section: Discussionmentioning

confidence: 91%

“…In addition to successfully providing HCV treatment, there is qualitative and experiential data to suggest that individuals enrolled in these programs may also experience positive outcomes beyond sustained virological response (SVR) such as housing and income stabilization, an improved sense of well-being and community-belonging (Newman et al, 2013;Woolhouse, Cooper, & Pickard, 2013).…”

mentioning

confidence: 98%

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Beyond viral response: A prospective evaluation of a community-based, multi-disciplinary, peer-driven model of HCV treatment and support

Mason¹,

Dodd²,

Sockalingam³

et al. 2015

International Journal of Drug Policy

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Section: Discussionmentioning

confidence: 91%

mentioning

confidence: 98%

Beyond viral response: A prospective evaluation of a community-based, multi-disciplinary, peer-driven model of HCV treatment and support

Mason¹,

Dodd²,

Sockalingam³

et al. 2015

International Journal of Drug Policy

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“…All study participants who chose group treatment reported that the support of the group helped sustain their engagement in HCV treatment and led to changes in their self-perceptions and self-care behaviors. In another qualitative study that explored a psychosocial support group for people living with HCV, participants explained that the group enabled close relationships, which fostered a safe and non-judgmental environment where participants could self-reflect, obtain social support, and feel accepted and cared for (Woolhouse et al, 2013). However, the majority of study participants in this sample reported psychological and behavioral transformations, regardless of participation in group or individual HCV treatment.…”

Section: Discussionmentioning

confidence: 99%

“Hepatitis C treatment turned me around:” Psychological and behavioral transformation related to hepatitis C treatment

Batchelder

Peyser

Nahvi

et al. 2015

Drug and Alcohol Dependence

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Background Hepatitis C (HCV) is a significant public health problem that primarily affects current and former substance users. However, individuals with a history of substance use are less likely to have access to or engage in HCV care. Psychological and behavioral barriers prevent many HCV-infected individuals from initiating or engaging in HCV treatment. This study aimed to investigate the psychological and behavioral experiences of current and former substance users receiving HCV treatment within a combined methadone and primary care clinic in the United States. Methods We conducted 31 semi-structured qualitative interviews with opioid-dependent adults enrolled in an integrated HCV treatment program within a methadone maintenance clinic in the Bronx, NY. We used thematic analysis, informed by grounded theory, and inquired about perceptions of HCV before and after initiating HCV treatment, reasons for initiating HCV treatment, and the decision to participate in individual versus group HCV treatment. Results Participants described psychological and behavioral transformation over the course of HCV treatment. These included reductions in internalized stigma and shame related to HCV and addiction, increases in HCV disclosure and self-care, reductions in substance use, and new desire to help others who are living with HCV. Conclusions Integrating HCV treatment with methadone maintenance has the potential to create psychological and behavioral transformations among substance using adults, including reductions in HCV- and addiction-related shame and improvements in overall self-care.

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“…28 Peer support has also been found to increase access to primary care services, including health information, community programs and support services. 24,26,[28][29][30][31][32][33][34][35][36] In addition, peer-based interventions have been reported to bring about shared achievement through doing, providing role models and sharing knowledge, which in turn brought about satisfaction, self-confidence and acceptance among group members. 24,[36][37][38][39][40][41] Where this research adds to the literature is in the area of support groups that address interrelated chronic disease prevention …”

Section: Figure 5 Benefits Of Hans Participation (# Responses)mentioning

confidence: 99%

The HANS KAI Project: a community-based approach to improving health and well-being through peer support

Henteleff

Wall

2018

Health Promot Chronic Dis Prev Can

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Introduction HANS KAI is a unique health promotion intervention to improve participants’ health by focussing on interrelated chronic disease prevention behaviours through peer support and strengthening of social support networks. The study objective was to determine the effectiveness of HANS KAI in an urban Canadian setting. Methods We used a mixed methods intervention research design that involved multiple sites from November 2010 to April 2015. Data was obtained from participant surveys as well as in-person interviews at zero, 6, 12 and 24 months. Participants met in groups at least once a month during the research period, to self-monitor health indicators, prepare and share a healthy snack, participate in a physical activity, set a healthy lifestyle goal (optional) and socialize. Results There were statistically significant mental health improvements from pre- to post-program, and 66% of the participants described specific behaviour changes as a result of HANS KAI participation. Additional positive health impacts included peer support; acquiring specific health knowledge; inspiration, motivation or accountability; the empowering effect of monitoring one’s own health indicators; overcoming social isolation and knowing how to better access services. Conclusion The need to identify innovative ways to address chronic disease prevention and management has been the driver for implementing and evaluating HANS KAI. While further research will be required to validate the present findings, it appears that HANS KAI may be an effective approach to create environments that empower community members to support each other while promoting healthy lifestyle choices and detecting early changes in health status.

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“It gives me a sense of belonging”: Providing integrated health care and treatment to people with HCV engaged in a psycho-educational support group

Cited by 25 publications

References 38 publications

Beyond viral response: A prospective evaluation of a community-based, multi-disciplinary, peer-driven model of HCV treatment and support

Beyond viral response: A prospective evaluation of a community-based, multi-disciplinary, peer-driven model of HCV treatment and support

“Hepatitis C treatment turned me around:” Psychological and behavioral transformation related to hepatitis C treatment

The HANS KAI Project: a community-based approach to improving health and well-being through peer support

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