Department of Global Health, Youth and Development, International Center for Research on Women, Washington DC, USA.
Hera Solutions, Owings Mills, MD, USA.
J Int Assoc Provid AIDS Care. 2021 Jan-Dec;20:23259582211024772. doi: 10.1177/23259582211024772.
In Zambia, 84,959 adolescent girls and young women (AGYW) aged 15-24 are currently living with HIV. We explored the feasibility and acceptability of a 6-session, curriculum-based support group intervention designed to address key concerns of AGYW living with HIV.
Urban Zambia.
Surveys and in-depth interviews were collected pre- and post-intervention from participants enrolled from 2 health facilities. Eight participant observations of sessions were conducted. Descriptive statistics at baseline were reported only for AGYW who participated in the intervention (N = 21), while analyses comparing baseline and endline outcome measures were restricted to participants who had data at both time points (N = 14).
Support groups were feasible to conduct and acceptable to participants. Co-facilitation by an adult counselor and peers living with HIV raised confidence about session content. Sessions on antiretroviral therapy (ART), disclosure and stigma, and grief and loss were most in demand. We did not observe significant differences in key outcome measures between baseline and follow-up. However, qualitative data supported the positive impact of the intervention on ART adherence and hope for the future following the intervention among our participants.
A short-term, structured support group series holds promise for helping AGYW living with HIV safely navigate a complex time in their lives.
在赞比亚，目前有 84959 名 15-24 岁的青少年女孩和年轻女性（AGYW）携带艾滋病毒。我们探讨了 6 节基于课程的支持小组干预措施的可行性和可接受性，该措施旨在解决与携带艾滋病毒的 AGYW 生活相关的关键问题。
赞比亚城市。
在干预前和干预后，从 2 个卫生机构招募的参与者中收集了调查和深入访谈。对 8 次小组会议进行了观察。仅报告了参加干预的 AGYW 的基线描述性统计数据（N=21），而基线和终线结果测量值的分析仅限于在两个时间点均有数据的参与者（N=14）。
支持小组的实施是可行的，并且可以被参与者接受。由成人顾问和艾滋病毒感染者共同主持的小组会议增强了对会议内容的信心。对抗逆转录病毒治疗（ART）、披露和污名化、悲伤和失落的小组会议需求最大。我们没有观察到基线和随访之间关键结果测量值的显著差异。然而，定性数据支持该干预措施对参与者的抗逆转录病毒治疗依从性和干预后对未来的希望产生了积极影响。
短期、结构化的支持小组系列有望帮助 HIV 感染者的 AGYW 在他们生命中的这个复杂时期安全地渡过难关。
