Medical Social Sciences, Northwestern University, Chicago, IL, USA.
Psychological & Brain Sciences, Boston University, Boston, MA, USA.
AIDS Behav. 2021 Jun;25(6):1737-1750. doi: 10.1007/s10461-020-03103-w. Epub 2021 Jan 2.
While programs and interventions intended to increase positive affect among people living with HIV (PLWH) and other chronic diseases have been associated with improved health outcomes, including decreased depression, programs have not been tailored specifically for Black women. We tailored a program designed to increase positive affect and to decrease depressive symptoms in PLWH to a group format for Black WLWH. We also added skills to increase gender empowerment. We then tested the acceptability and feasibility of this program with 8 Black WLWH. The program was acceptable and relatively feasible, as assessed by women's participation and feedback about program clarity and helpfulness, which women rated above 9 on a 10-point scale. A few women suggested that optimal delivery point for some skills taught would be shortly after HIV diagnosis. A proof-of-concept program intended to bolster positive emotions and gender empowerment and decrease depression can be tailored for Black WLWH and is relatively feasible and acceptable. A randomized controlled trial is needed to assess the preliminary efficacy of this program on positive affect, depression, and other health outcomes for WLWH.
虽然旨在提高 HIV 感染者(PLWH)和其他慢性病患者积极情绪的计划和干预措施与改善健康结果相关,包括降低抑郁,但是这些计划并没有专门针对黑人女性。我们为一组黑人 HIV 阳性女性量身定制了一个旨在提高积极情绪和减少抑郁症状的项目。我们还增加了增强性别权力的技能。然后,我们用 8 名黑人 WLWH 对该项目进行了可接受性和可行性测试。该项目是可以接受的,相对可行的,评估标准是妇女的参与度以及对项目清晰度和有用性的反馈,妇女在 10 分制中给出了 9 分以上的评分。一些女性建议,一些教授技能的最佳交付点是在 HIV 诊断后不久。一个旨在增强积极情绪、增强性别权力和减少抑郁的概念验证项目可以针对黑人 WLWH 进行调整,并且相对可行和可接受。需要进行随机对照试验来评估该项目对 PLWH 的积极情绪、抑郁和其他健康结果的初步疗效。