Participants' Descriptions of Social Support Within a Multisite Intervention for HIV-Seropositive Injection Drug Users (INSPIRE)

Mitchell, Shannon Gwin; Edwards, Lorece V.; Mackenzie, Sonja; Knowlton, Amy R.; Valverde, Eduardo; Arnsten, Julia H.; Santibañez, Scott; Latka, Mary H.; Mizuno, Yuko

doi:10.1097/qai.0b013e3181576808

Cited by 9 publications

(9 citation statements)

References 29 publications

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“…Three types of social support described in interviews with PLHAs were emotional support (feeling validated, accepted, and valued), informational support (facts regarding HIV and communication skills), and appraisal support (understanding HIV as a controllable chronic disease rather than a prematurely lethal one) (Mitchell et al, 2007). Clinicians routinely provide emotional and informational support in interactions with patients.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, correlates, and self-management of HIV-related depressive symptoms

et al. 2010

AIDS Care

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Depressive symptoms are highly prevalent yet undertreated in people living with HIV/AIDS (PLHAs). As part of a larger study of symptom self-management (N=1217), this study examined the prevalence, correlates, and characteristics (intensity, distress, and impact) of depressive symptoms, and the self-care strategies used to manage those symptoms in PLHAs in five countries. The proportion of respondents from each country in the total sample reporting depressive symptoms in the past week varied and included Colombia (44%), Norway (66%), Puerto Rico (57%), Taiwan (35%), and the USA (56%). Fifty-four percent (n=655) of the total sample reported experiencing depressive symptoms in the past week, with a mean of 4.1 (SD 2.1) days of depression. Mean depression intensity 5.4 (SD 2.7), distressfulness 5.5 (SD 2.86), and impact 5.5 (SD 3.0) were rated on a 1-10 scale. The mean Center for Epidemiologic Studies Depression Scale score for those reporting depressive symptoms was 27 (SD 11; range 3-58), and varied significantly by country. Respondents identified 19 self-care behaviors for depressive symptoms, which fell into six categories: complementary therapies, talking to others, distraction techniques, physical activity, medications, and denial/avoidant coping. The most frequently used strategies varied by country. In the US sample, 33% of the variance in depressive symptoms was predicted by the combination of education, HIV symptoms, psychological and social support, and perceived consequences of HIV disease.

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Section: Discussionmentioning

confidence: 99%

Prevalence, correlates, and self-management of HIV-related depressive symptoms

et al. 2010

AIDS Care

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“…Social support has been consistently identified as a protective health factor 24 25. Mitchell and colleagues26 describe the importance of social support to decreasing drug use and improving communication with healthcare providers on the basis of results from in-depth interviews conducted with HIV positive drug users. These findings underscore the importance of studying dynamics within a network and how they may operate to affect behaviour and health.…”

Section: Discussionmentioning

confidence: 99%

An examination of social network characteristics of men who have sex with men who use drugs

Tobin

Latkin

2008

Sexually Transmitted Infections

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Objectives-The purpose of this study was to compare the social network characteristics of men who have sex with men (MSM) to non-MSM (NMSM) in a sample of predominately African American drug users. Specifically, we were interested in examining the differences in structure of the networks and drug and sexual risk partners within the network.Methods-Data came from 481 male participants who reported having >=1 sex partner in the past 90 days. MSM was defined as having sex with a male. Data on social network composition were collected using a Social Network Inventory.Results-Of 481 men, 7% (n=32) were categorized as MSM. Nearly two-thirds of MSM did not identify as gay. MSM were more likely to be HIV positive as compared to men who did not have sex with men. Social networks of MSM were younger and a greater proportion were HIV positive. After adjusting for HIV status, networks of MSM were less dense, indicating fewer connections among network members. Among injection drug using men in the sample, MSM reported a greater number of needle sharing networks than NMSM.Correspondence to: Karin E. Tobin, ktobin@jhsph.edu. Publisher's Disclaimer: The Corresponding Author has the right to grant on behalf of all authors and does grant on behalf of all authors, an exclusive licence (or non exclusive for government employees) n a worldwide basis to the BMJ Publishing Group Ltd to permit this article (if accepted) to be published in STI and any other BMJPGL products and sub-licences such use and exploit all subsidiary rights, as set out in our licence http://sti.bmjjournals.com/ifora/licence.pdf). Contributions of authorsKarin Tobin conceived of the idea for the study, conducted the data analysis and took the lead in writing the manuscript. Carl Latkin provided guidance and comment on the data analysis and assisted with writing the manuscript. Key messages that highlight the features of the manuscript:• Social network characteristics should be included in future studies examining HIV risk among MSM. Social support or social conflict may be important factors associated with risk especially for MSM populations.• MSM IDU are a unique risk population and needle sharing risk behaviors warrant attention in the literature.• Interventions should include communications skills training so that MSM can talk with their networks about HIV. MSM may serve as an avenue for promoting access to HIV care and prevention of HIV transmission to their social networks who may not seek prevention services because of stigma. Conclusions-These findings underscore the importance of including social network factors in investigations of HIV risk among MSM. Further studies should focus on dynamics within a network and how they may operate to affect behavior and health. NIH Public Access

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“…While some qualitative research has addressed how peer facilitators view HIV adherence and coping interventions and their own roles in aiding participants (e.g. Convey et al, ; Dutcher et al, ), we are aware of only one published study to date in the USA that has directed attention to how participants view various aspects of these interventions and their experiences in them (Mitchell et al, ). Participants in that intervention were HIV seropositive drug injection users, but the facilitators were not necessarily HIV seropositive or drug injection users.…”

Section: Introductionmentioning

confidence: 99%

Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

Houston

Osborn

Lyons

et al. 2015

Community & Applied Soc Psy

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HIV treatment adherence interventions increasingly rely on peer facilitators to promote treatment adherence and improve patient retention, yet little is known about how participants perceive the role performed by peer facilitators. The present study examined participant perceptions in terms of the social support from peer facilitators in a hospital-based intervention in Chicago. Content analysis was conducted with reference to four types of social support (instrumental, informational, emotional and affiliational) on exit interviews with 11 participants enrolled in the intervention that targeted African-American patients living with HIV/AIDS. We examined how the type of social support perceived by participants was related to their self-reported behaviours in three domains: adherence, sexual safety and general coping. Our analysis revealed that most participants perceived informational and emotional support from their peer facilitators, followed by instrumental support. Affiliational support was the least frequently perceived type of social support. We found that perceived informational support from peer facilitators with regard to adherence had greater impact and credibility amongst participants than the same type of support from medical providers. Informational support was cited most frequently with regard to influencing adherence and sexual safety behaviours, whereas perceived emotional support was cited primarily with helping participants cope with HIV.

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Participants' Descriptions of Social Support Within a Multisite Intervention for HIV-Seropositive Injection Drug Users (INSPIRE)

Cited by 9 publications

References 29 publications

Prevalence, correlates, and self-management of HIV-related depressive symptoms

Prevalence, correlates, and self-management of HIV-related depressive symptoms

An examination of social network characteristics of men who have sex with men who use drugs

Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

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