Centers for Behavioral and Preventive Medicine, The Miriam Hospital, CORO West, Suite 309, 164 Summit Avenue, Providence, RI, 02903, USA.
Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI, 02903, USA.
AIDS Behav. 2017 Nov;21(11):3194-3201. doi: 10.1007/s10461-017-1857-8.
For people living with HIV and AIDS (PLWHA), life stress often undermines quality of life and interferes with medical care. Mindfulness training (MT) may help PLWHA to manage stress. Because standard MT protocols can be burdensome, we explored telephone delivery as a potentially more feasible approach. We used an innovative 360° qualitative inquiry to seek input regarding telephone-delivery of MT for PLWHA in advance of a planned intervention trial. We also sought input on a time- and attention-matched control. Twenty five HIV patients, providers and advocates, were recruited to five focus groups. Participants understood the construct of mindfulness and recognized its potential benefits for stress management and improving medication adherence. Patients preferred the term "mindfulness" to meditation. Telephone-delivery appealed to all patients but several challenges were raised. Topics for the control intervention included nutrition, sleep, and aging. The 360° approach allowed three groups (patients, providers, advocates) to influence intervention development.
对于感染艾滋病毒和艾滋病（PLWHA）的人来说，生活压力常常会降低生活质量并干扰医疗护理。正念训练（MT）可能有助于 PLWHA 应对压力。由于标准的 MT 方案可能很繁琐，我们探讨了电话传递作为一种更可行的方法。在计划进行干预试验之前，我们使用创新的 360°定性研究来寻求有关 MT 电话传递给 PLWHA 的意见。我们还寻求了时间和注意力匹配的对照方法的意见。我们招募了 25 名 HIV 患者、提供者和拥护者参加了五个焦点小组。参与者理解正念的结构，并认识到其在压力管理和提高药物依从性方面的潜在益处。患者更喜欢“正念”这个词而不是“冥想”。电话传递对所有患者都有吸引力，但也提出了一些挑战。对照干预的主题包括营养、睡眠和衰老。360°方法使三组（患者、提供者、拥护者）能够影响干预措施的发展。
