Peer Support to Promote Medication Adherence Among People Living with HIV/AIDS

Marino, Patricia; Simoni, Jane M.; Silverstein, Louise B.

doi:10.1300/j010v45n01_05

Cited by 77 publications

(77 citation statements)

References 27 publications

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“…Specific benefits to patients with social support include social acceptance (not feeling alone), emotional support (listening, caring, and empathy), informational support (provision of facts and guidance), and help with day-to-day tasks (reminders to take medication, cooking, housework, etc.) (Cox, 2002;Marino, Simoni, & Silverstein, 2007;Simoni, Frick, & Huang, 2006). The exact pathway leading from social support to increased medication adherence is not well defined, but several studies have hypothesized that social support may lead to lower rates of depression and higher feelings of self-efficacy in patients (Gonzalez et al, 2004;Simoni et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

Treatment partners and adherence to HAART in Central Mozambique

et al. 2009

AIDS Care

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Adherence to highly active antiretroviral treatment (HAART) has been associated with increased survival rates and decreased drug resistance in various settings. There is growing concern that loss to follow-up will increase and adherence rates will decrease as HAART programs are expanded in resource-limited settings. In Central Mozambique, an innovative program was implemented, using community-based (trained community activists) and self-selected (family members or friends) "treatment partners" to provide psycho-social support to patients on HAART. We calculated adherence rates based on pharmacy records for all patients who refilled their medication for at least six consecutive months between September 2004 and June 2006. Medical charts were reviewed for a subset of 375 patients having high (> or =90%) adherence and 59 patients having low (<90%) adherence. Multivariate logistic regression analysis assessed the association between the type of treatment partner used and adherence to HAART. A total of 305 patients (70%) had self-selected treatment partners, 121 (28%) had community-based treatment partners, and 8 (2%) had no treatment partner. In adjusted analysis, patients who had no treatment partner were more likely to have low adherence (OR 9.47; 95% confidence interval 2.37-37.86 compared to self-selected treatment partner). Patients with community-based treatment partners did not have significantly lower adherence than patients with self-selected treatment partners. While it cannot be determined from these data which aspects or types of peer support are most effective in maintaining adherence, it appears that peer support was beneficial to this study population. While the study results are not directly applicable to other populations, other HAART programs should consider the potential benefit of providing treatment support to patients.

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Section: Discussionmentioning

confidence: 99%

Treatment partners and adherence to HAART in Central Mozambique

et al. 2009

AIDS Care

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“…Finally, participants highlighted how the defi ning of a "peer" is complicated; only recently has research explored the mutual process of peer support (Hilfi nger-Messias et al,2009;Marino et al, 2007). People living with HIV are not a homogenous community; a peer's ethnicity, for example, may take precedence over HIV status.…”

Section: Discussionmentioning

confidence: 99%

“…This woman's experience highlights the meaningful and intimate connection that can be achieved through one-on-one peer support (Marino & al., 2007). Women indicated talking with other WLWH, whom they believed understood what they were dealing with, was valuable: For many women, PCM was critical in supporting them through a period in their lives when an HIV diagnosis went beyond fears of stigma to include fears about death and being alone.…”

Section: Benefi Ts Of Pcm A) Individual Supportmentioning

confidence: 97%

“…Most peer-support HIV research has involved HIV-negative Caucasian, heterosexual women and gay men who volunteer to provide social support (Cassel & Ouellette, 1995;Marino, Simoni, & Silverstein, 2007). Although peer support research has increased in many areas (Hilfi nger-Messias, Moneyham, Vyavaharkar, Murdaugh, & Phillips, 2009;Simoni, Nelson, Franks, Yard, & Lehavot, 2011), more in-depth, theoretical, and contexualized knowledge of peer support is needed , particularly for WLWH who represent a range of cultures and social locations.…”

Section: Peer-based Approachesmentioning

confidence: 99%

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“Trust Me, It’s Different”: Experiences of Peer Case Management of Women Living with HIV in Ontario, Canada

Greene¹,

Ion²,

Kwaramba³

et al. 2015

cswr

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In response to the dearth of research for delivering women-centred support to women living with HIV, the Women’s HIV Empowerment Through Life Tools for Health (wHEALTH) intervention was developed. This project was grounded in a community-based research framework and aimed to respond to barriers of women living with HIV in accessing appropriate and meaningful social supports. Participants described the benefits of the peer case management intervention including support, mentorship, flexibility in which the intervention was delivered, and the notion of “moving forward” in one’s journey with HIV. Through education, awareness, and advocacy, peer case managers are important partners in addressing HIV-related stigma, and ensuring a multi-level approach to providing care and support to women living with HIV.

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“…In this regard, parallels can be drawn between Marino, Simoni, and Silverstein's (2007) analysis of the experiences of peers in providing support and the experiences of PRAs in which issues such as social acceptance, reciprocal support, personal growth, empowerment, and resistance emerged as common reasons for peers taking on the research assistant role.…”

Section: Peer Research Assistant Engagementmentioning

confidence: 99%

Peer Research Assistantships and the Ethics of Reciprocity in Community-Based Research

Greene

2013

Journal of Empirical Research on Human Research Ethics

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A major component of community-based research (CBR) in the field of HIV is the Meaningful Involvement of People Living with HIV/AIDS (MIPA) through hiring, training, and supporting peer research assistants (PRAs). CBR researchers and PRAs have begun to dialogue about the successes and challenges associated with peer research assistantships as they attempt to address the range of ethical issues that impact the PRAs' experience at different stages throughout the research process. I discuss some of the ethical tensions related to the PRA/researcher relationship, the relationship of the PRA to the research itself, and suggestions for how to move forward in addressing these tensions.

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Peer Support to Promote Medication Adherence Among People Living with HIV/AIDS

Cited by 77 publications

References 27 publications

Treatment partners and adherence to HAART in Central Mozambique

Treatment partners and adherence to HAART in Central Mozambique

“Trust Me, It’s Different”: Experiences of Peer Case Management of Women Living with HIV in Ontario, Canada

Peer Research Assistantships and the Ethics of Reciprocity in Community-Based Research

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