Khumsaen Natawan, Stephenson Rob
Boromarajonani College of Nursing, Suphanburi Praboromarajchanok Institute of Health Workforce Development, Thailand.
Department of Systems, Populations and Leadership, School of Nursing, and the Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, Michigan.
AIDS Educ Prev. 2019 Dec;31(6):553-566. doi: 10.1521/aeap.2019.31.6.553.
This pilot study examined the feasibility and acceptability of the HIV/AIDS self-management education program-Thai (HASMEP-T) for HIV-positive Thai men who have sex with men (MSM). HASMEP-T is a group-based adaptation of the evidence-based intervention, HASMEP. Participants were 40 Thai MSM living with HIV aged 18 years or older, recruited from an HIV clinic housed in a hospital in Thailand. Results support the feasibility of recruitment, screening, eligibility, and retention methods. The majority of the participants reported that the intervention was acceptable and met their initial expectations. Furthermore, all recruited participants in the intervention group ( = 20) completed HASMEP-T. Overall, intervention group participants demonstrated significant increases in all aspects of HIV self-management ( < .05), as well as improvement in quality of life in the psychological domain ( < .05). Our findings provide preliminary support for the large-scale, randomized-controlled trial of the efficacy of HASMEPT to promote self-management behaviors among HIV-positive Thai MSM.
这项试点研究调查了针对感染艾滋病毒的泰国男男性行为者(MSM)的艾滋病毒/艾滋病自我管理教育项目——泰国版(HASMEP-T)的可行性和可接受性。HASMEP-T是基于循证干预措施HASMEP改编的小组干预项目。参与者为40名年龄在18岁及以上、感染艾滋病毒的泰国男男性行为者,他们是从泰国一家医院的艾滋病毒诊所招募而来的。结果支持了招募、筛查、资格认定和留存方法的可行性。大多数参与者报告称该干预措施是可接受的,并且符合他们的最初期望。此外,干预组的所有招募参与者(n = 20)都完成了HASMEP-T。总体而言,干预组参与者在艾滋病毒自我管理的各个方面都有显著提高(p < .05),在心理领域的生活质量也有所改善(p < .05)。我们的研究结果为大规模随机对照试验提供了初步支持,该试验旨在检验HASMEPT在促进艾滋病毒阳性泰国男男性行为者自我管理行为方面的疗效。