Jones Deborah L, McPherson-Baker Shvawn, Lydston David, Camille Joanne, Brondolo Elizabeth, Tobin Jonathan N, Weiss Stephen M
Department of Psychology, Barry University, 11300 NE 2nd Avenue, Miami Shores, FL 33161-6695, USA.
AIDS Behav. 2007 Jan;11(1):79-86. doi: 10.1007/s10461-006-9165-8.
This intervention sought to improve overall quality of life and health behavior in women living with human immunodeficiency virus (HIV). We contrasted the effect of a group cognitive behavioral stress management expressive supportive therapy (CBSM+) intervention plus a healthier lifestyles (HL) component with an individual educational/informational format plus HL on HIV-medication adherence. Women, n = 237, predominantly African-American and Latina, living with HIV were recruited from Miami, New York and New Jersey and randomized to group or individual conditions (ten weekly sessions) plus group or individual HL, i.e., four conditions. Women reported relatively high levels of adherence at baseline. Participants in any of the group conditions increased self-reported adherence and emotion-focused coping skills in comparison with individual participation. This study suggests that group interventions may be an important adjunct in increasing medication adherence for HIV positive women.
这项干预措施旨在改善感染人类免疫缺陷病毒（HIV）的女性的整体生活质量和健康行为。我们将团体认知行为压力管理表达性支持疗法（CBSM+）干预加上更健康生活方式（HL）组成部分的效果，与个体教育/信息形式加上HL对HIV药物依从性的影响进行了对比。从迈阿密、纽约和新泽西招募了237名感染HIV的女性，她们主要是非洲裔美国人和拉丁裔，并随机分为团体或个体条件组（十次每周的课程）加上团体或个体HL，即四种条件。女性在基线时报告的依从性相对较高。与个体参与相比，任何团体条件组的参与者自我报告的依从性和以情绪为中心的应对技能都有所提高。这项研究表明，团体干预可能是提高HIV阳性女性药物依从性的重要辅助手段。
