nach oben

AIDS and Behavior

Erschienen in:

07.04.2016 | Original Paper

Mixed-Methods Evaluation of a Novel, Structured, Community-Based Support and Education Intervention for Individuals with HIV/AIDS in KwaZulu-Natal, South Africa

verfasst von: Christopher Kemp, Emily Gerth-Guyette, Lungile Dube, Michele Andrasik, Deepa Rao

Erschienen in: AIDS and Behavior | Ausgabe 9/2016

Einloggen, um Zugang zu erhalten

Abstract

People living with HIV in Sub-Saharan Africa face significant challenges accessing care. Community-based peer support groups can increase linkage to treatment, though the effectiveness of structured, scalable groups has not been demonstrated. This study aimed to measure the impact of the structured Integrated Access to Care and Treatment intervention on clients’ knowledge, attitudes, and practice regarding HIV/AIDS, including their experiences of stigma, in KwaZulu-Natal, South Africa. Data collection involved pre-/post-tests and client interviews. Pre-/post-test data from 66 clients were collected. 17 participants were interviewed. Paired t-tests did not detect significant changes in the main outcomes. Qualitative results suggested a psychosocial benefit as participants connected with their peers, expressed themselves openly, and re-engaged with their communities. Unfortunately, this study did not quantitatively measure psychosocial changes, and the results have limited generalizability to men. I ACT may be an effective complement to clinic-based support services, though further study should quantify the psychosocial benefit.

Nur mit Berechtigung zugänglich

Karim QA, Meyer-Weitz A, Mboyi L, Carrara H, Mahlase G, Frohlich JA, et al. The influence of AIDS stigma and discrimination and social cohesion on HIV testing and willingness to disclose HIV in rural KwaZulu-Natal, South Africa. Glob Public Health. 2008;3(4):351–65. doi:10.1080/17441690802076496.CrossRef

Bassett IV, Regan S, Chetty S, Giddy J, Uhler LM, Holst H, et al. Who starts antiretroviral therapy in Durban, South Africa?… not everyone who should. AIDS. 2010;24(Suppl 1):S37–44. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3521614&tool=pmcentrez&rendertype=abstract.

Kahn TR, Desmond M, Rao D, Marx GE, Guthrie BL, Bosire R, et al. Delayed initiation of antiretroviral therapy among HIV-discordant couples in Kenya. AIDS Care. 2013;25(3):265–72. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3523215&tool=pmcentrez&rendertype=abstract.

Katz IT, Ryu AE, Onuegbu AG, Psaros C, Weiser SD, Bangsberg DR, et al. Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis. J Int AIDS Soc. 2013;16(3 Suppl 2):18640. http://www.jiasociety.org/index.php/jias/article/view/18640/3257.

UNAIDS. Sub-Saharan Africa Regional Fact Sheet. 2012. http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/gr2012/2012_FS_regional_ssa_en.pdf.

Rosen S, Fox MP, Gill CJ. Patient retention in antiretroviral therapy programs in sub-Saharan Africa: a systematic review. PLoS Med. 2007;4(10):e298. doi:10.1371/journal.pmed.0040298.CrossRefPubMedPubMedCentral

Clouse K, Pettifor AE, Maskew M, Bassett J, Van Rie A, Behets F, et al. Patient retention from HIV diagnosis through one year on antiretroviral therapy at a primary health care clinic in Johannesburg, South Africa. J Acquir Immune Defic Syndr. 2013;62(2):e39–46. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3548953&tool=pmcentrez&rendertype=abstract.

Clouse K, Pettifor A, Shearer K, Maskew M, Bassett J, Larson B, et al. Loss to follow-up before and after delivery among women testing HIV positive during pregnancy in Johannesburg, South Africa. Trop Med Int Health. 2013;18(4):451–60. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3600093&tool=pmcentrez&rendertype=abstract.

Patten GEM, Wilkinson L, Conradie K, Isaakidis P, Harries AD, Edginton ME, et al. Impact on ART initiation of point-of-care CD4 testing at HIV diagnosis among HIV-positive youth in Khayelitsha, South Africa. J Int AIDS Soc. 2013;16:18518. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3702919&tool=pmcentrez&rendertype=abstract.

10.

Mugglin C, Estill J, Wandeler G, Bender N, Egger M, Gsponer T, et al. Loss to programme between HIV diagnosis and initiation of antiretroviral therapy in sub-Saharan Africa: systematic review and meta-analysis. Trop Med Int Health. 2012;17(12):1509–20. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3895621&tool=pmcentrez&rendertype=abstract.

11.

Wouters E, Van Damme W, Van Loon F, van Rensburg D, Meulemans H. Public-sector ART in the Free State Province, South Africa: community support as an important determinant of outcome. Soc Sci Med. 2009;69(8):1177–85. http://www.ncbi.nlm.nih.gov/pubmed/19692165.

12.

Deribe K, Hailekiros F, Biadgilign S, Amberbir A, Beyene BK. Defaulters from antiretroviral treatment in Jimma University Specialized Hospital, Southwest Ethiopia. Trop Med Int Health. 2008;13(3):328–33. http://www.ncbi.nlm.nih.gov/pubmed/18298607.

13.

World Health Organization. Retention in HIV programmes: defining the challenges and identifying the solutions: meeting report, 13–15 September 2011. 2012. http://whqlibdoc.who.int/publications/2012/9789241503686_eng.pdf.

14.

Bergmann H, Pitorak H, Cornman H. Linkage and retention in pre-ART care: best practices and experiences from thirteen countries. Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-One, Task Order 1; 2013.

15.

du Toit E, van Schalkwyk C, Dunbar R, Jennings K, Yang B, Coetzee D, et al. Missed opportunities for retention in pre-ART Care in Cape Town, South Africa. PLoS One. 2014;9(5):e96867. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4013078&tool=pmcentrez&rendertype=abstract.

16.

Boyles TH, Wilkinson LS, Leisegang R, Maartens G. Factors influencing retention in care after starting antiretroviral therapy in a rural South African programme. PLoS One. 2011;6(5):e19201. doi:10.1371/journal.pone.0019201.CrossRefPubMedPubMedCentral

17.

Brinkhof MWG, Dabis F, Myer L, Bangsberg DR, Boulle A, Nash D, et al. Early loss of HIV-infected patients on potent antiretroviral therapy programmes in lower-income countries. Bull World Health Organ 2008;86(7):559–67. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2647487&tool=pmcentrez&rendertype=abstract.

18.

Leisegang R, Cleary S, Hislop M, Davidse A, Regensberg L, Little F, et al. Early and late direct costs in a Southern African antiretroviral treatment programme: a retrospective cohort analysis. PLoS Med. 2009;6(12):e1000189. doi:10.1371/journal.pmed.1000189.CrossRefPubMedPubMedCentral

19.

Bärnighausen T, Chaiyachati K, Chimbindi N, Peoples A, Haberer J, Newell M-L. Interventions to increase antiretroviral adherence in sub-Saharan Africa: a systematic review of evaluation studies. Lancet Infect Dis. 2011;11(12):942–51. http://www.thelancet.com/journals/a/article/PIIS1473-3099(11)70181-5/fulltext.

20.

Wouters E, Van Damme W, van Rensburg D, Masquillier C, Meulemans H. Impact of community-based support services on antiretroviral treatment programme delivery and outcomes in resource-limited countries: a synthetic review. BMC Health Serv Res. 2012;12:194. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3476429&tool=pmcentrez&rendertype=abstract.

21.

Coetzee D, Hildebrand K, Boulle A, Maartens G, Louis F, Labatala V, et al. Outcomes after two years of providing antiretroviral treatment in Khayelitsha, South Africa. AIDS. 2004;18(6):887–95. http://www.ncbi.nlm.nih.gov/pubmed/15060436.

22.

Bogart LM, Chetty S, Giddy J, Sypek A, Sticklor L, Walensky RP, et al. Barriers to care among people living with HIV in South Africa: contrasts between patient and healthcare provider perspectives. AIDS Care. 2013;25(7):843–53. http://www.tandfonline.com.offcampus.lib.washington.edu/doi/abs/10.1080/09540121.2012.729808?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed.

23.

Kalichman SC, Sikkema KJ, Somlai A. People living with HIV infection who attend and do not attend support groups: a pilot study of needs, characteristics and experiences. AIDS Care. 1996;8(5):589–600.CrossRefPubMed

24.

Spirig R. Support groups for people living with HIV/AIDS: a review of literature. J Assoc Nurses AIDS Care. 1998;9(4):43–55.CrossRefPubMed

25.

Wood SA. The analysis of an innovative HIV-positive women’s support group. Soc Work Groups. 2007;30(3):9–28.CrossRef

26.

Lennon-Dearing R. The benefits of women-only HIV support groups. J HIV AIDS Soc Serv. 2008;7(1):27–45.CrossRef

27.

Visser MJ, Mundell JP. Establishing support groups for HIV-infected women: using experiences to develop. SAHARA J. 2008;5(2):65–73.CrossRefPubMed

28.

Crepaz N, Passin WF, Herbst JH, Rama SM, Malow RM, Purcell DW, et al. Meta-analysis of cognitive-behavioral interventions on HIV-positive persons’ mental health and immune functioning. Health Psychol. 2008;27(1):4–14. http://www.ncbi.nlm.nih.gov/pubmed/18230008.

29.

Scott-Sheldon LAJ, Kalichman SC, Carey MP, Fielder RL. Stress management interventions for HIV+ adults: a meta-analysis of randomized controlled trials, 1989 to 2006. Health Psychol 2008;27(2):129–39. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2409585&tool=pmcentrez&rendertype=abstract.

30.

Himelhoch S, Medoff DR, Oyeniyi G. Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: a systematic review and meta-analysis. AIDS Patient Care STDS. 2007;21(10):732–39. http://www.ncbi.nlm.nih.gov/pubmed/17949272.

31.

Bateganya MH, Amanyeiwe U, Roxo U, Dong M. Impact of support groups for people living with HIV on clinical outcomes: a systematic review of the literature. J Acquir Immune Defic Syndr. 2015;68(Suppl 3):S368–74. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4709521&tool=pmcentrez&rendertype=abstract.

32.

STATSSA. Community survey. Pretoria: STATSSA; 2007. http://www.statssa.gov.za/community_new/content.asp.

33.

Massyn N, Day C, Barron P, Haynes R, English R, Padarath A. District health barometer 2011/12. Durban: Health Systems Trust; 2013.

34.

Henderson P. AIDS, intimacy and care in rural KwaZulu-Natal: a kinship of bones. Amsterdam: Amsterdam University Press; 2011.

35.

DHS Program. HIV/AIDS survey indicators database—program areas and indicators, 2014. http://hivdata.dhsprogram.com/ind_tbl.cfm.

36.

Rao D, Choi SW, Victorson D, Bode R, Peterman A, Heinemann A, et al. Measuring stigma across neurological conditions: the development of the stigma scale for chronic illness (SSCI). Qual Life Res. 2009;18(5):585–95. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2875076&tool=pmcentrez&rendertype=abstract.

37.

Lu M, Safren SA, Skolnik PR, Rogers WH, Coady W, Hardy H, et al. Optimal recall period and response task for self-reported HIV medication adherence. AIDS Behav. 2008;12(1):86–94. http://www.ncbi.nlm.nih.gov/pubmed/17577653.

38.

StataCorp. Stata statistical software: release 13. College Station, TX: StataCorp LP; 2013.

39.

Esposito N. From meaning to meaning: the influence of translation techniques on Non-English Focus Group Research. Qual Health Res. 2001;11(4):568–79. http://qhr.sagepub.com/content/11/4/568.short.

40.

Wong JP-H, Poon MK-L. Bringing translation out of the shadows: translation as an issue of methodological significance in cross-cultural qualitative research. J Transcult Nurs. 2010;21(2):151–8. http://tcn.sagepub.com/content/21/2/151.short.

41.

Larkin PJ, Dierckx de Casterlé B, Schotsmans P. Multilingual translation issues in qualitative research: reflections on a metaphorical process. Qual Health Res. 2007;17(4):468–76. http://www.ncbi.nlm.nih.gov/pubmed/17416700.

42.

QSR International. NVivo qualitative data analysis software. QSR International Pty Ltd., Version 10; 2012.

43.

Strauss A, Corbin JM. Basics of Qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks: SAGE; 1998. http://books.google.com/books/about/Basics_of_Qualitative_Research.html?id=wTwYUnHYsmMC&pgis=1.

44.

Borkan J. Immersion/crystallization. In: Crabtree BF, Miller WL, editors. Doing qualitative research. Thousand Oaks: SAGE; 1999. p. 179–94. http://books.google.com/books?id=4ebxYPyY5noC&pgis=1.

45.

Padgett D. Qualitative methods in social work research: challenges and rewards. Thousand Oaks: SAGE; 1998. http://books.google.com/books/about/Qualitative_Methods_in_Social_Work_Resea.html?id=v8m3mbLj1uMC&pgis=1.

46.

Shikwane ME, Villar-Loubet OM, Weiss SM, Peltzer K, Jones DL. HIV knowledge, disclosure and sexual risk among pregnant women and their partners in rural South Africa. SAHARA J. 2013;10(2):105–12. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3914536&tool=pmcentrez&rendertype=abstract.

47.

Campbell C, Nair Y, Maimane S. Building contexts that support effective community responses to HIV/AIDS: a South African case study. Am J Community Psychol. 2007;39(3–4):347–63. http://www.ncbi.nlm.nih.gov/pubmed/17447133.

48.

Diesel A, Bata T, Zungu T, Vranken P, Kayongo D, Releni M, et al. Development and implementation of a prototype community-based support system for individuals with newly diagnosed HIV/AIDS in Eastern Cape, South Africa: Integrated Access to Care and Treatment Program. In: 19th international AIDS conference, Washington, DC, 2012.

49.

Madiba S, Canti-Sigaqa V. Barriers to participate in support groups for people living with HIV: a qualitative study with men receiving antiretroviral treatment in a HIV clinic in Mthatha, South Africa. Glob J Health Sci. 2012;4(6):119–28. http://www.ncbi.nlm.nih.gov/pubmed/23121748.

50.

Koo K, Makin JD, Forsyth BWC. Barriers to male-partner participation in programs to prevent mother-to-child HIV transmission in South Africa. AIDS Educ Prev. 2013;25(1):14–24. http://www.ncbi.nlm.nih.gov/pubmed/23387948.

51.

Montgomery CM, Hosegood V, Busza J, Timaeus IM. Men’s involvement in the South African family: engendering change in the AIDS era. Soc Sci Med. 2006;62(10):2411–19. http://www.sciencedirect.com/science/article/pii/S0277953605005526.

Titel: Mixed-Methods Evaluation of a Novel, Structured, Community-Based Support and Education Intervention for Individuals with HIV/AIDS in KwaZulu-Natal, South Africa
verfasst von: Christopher Kemp
Emily Gerth-Guyette
Lungile Dube
Michele Andrasik
Deepa Rao
Publikationsdatum: 07.04.2016
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 9/2016
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-016-1386-x

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren.

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2016

Comparing Perceptions with Actual Reports of Close Friend’s HIV Testing Behavior Among Urban Tanzanian Men

Explanatory Models and Illness Experience of People Living with HIV

Examining the Efficacy of HIV Risk-Reduction Counseling on the Sexual Risk Behaviors of a National Sample of Drug Abuse Treatment Clients: Analysis of Subgroups

Does Integrating Family Planning into HIV Services Improve Gender Equitable Attitudes? Results from a Cluster Randomized Trial in Nyanza, Kenya

Tu Amigo Pepe: Evaluation of a Multi-media Marketing Campaign that Targets Young Latino Immigrant MSM with HIV Testing Messages

Recent HIV Testing Among Young Men Who Have Sex with Men in Bangkok and Chiang Mai: HIV Testing and Prevention Strategies Must Be Enhanced in Thailand