The New York City Department of Health and Mental Hygiene, Division of Disease Control, Bureau of Hepatitis, HIV, and Sexually Transmitted Infections, 42-09 28th Street, Queens, NY 11101, United States.
The New York City Department of Health and Mental Hygiene, Division of Disease Control, Bureau of Hepatitis, HIV, and Sexually Transmitted Infections, 42-09 28th Street, Queens, NY 11101, United States.
Eval Program Plann. 2023 Feb;96:102175. doi: 10.1016/j.evalprogplan.2022.102175. Epub 2022 Nov 29.
There is evidence that people with HIV (PWH) receive health-related benefits from having peer support and learning self-management skills. This evaluation assessed the effect of The Positive Life Workshop (TPLW)-a 7-session peer-led HIV self-management program-on psychosocial and HIV treatment outcomes. The overall sample included 1360 PWH who completed TPLW during 3/2015-2/2019. Surveys were administered before and after the program, and three months following program completion. Analyses examined changes in outcomes from pre-test to both post-test and 3-month follow-up using non-parametric tests. Subgroup analyses were conducted for 406 participants with ≥ 1 characteristic of the priority population for TPLW (i.e., recent HIV diagnosis, not taking antiretroviral therapy (ART), suboptimal ART adherence, unsuppressed viral load). In the overall sample, there were statistically significant improvements in HIV-related knowledge, social support, patient self-advocacy, and confidence in self-management between pre-test and post-test/3-month follow-up assessment. Analyses for the priority population showed significant increases from pre-test to 3-month follow-up in the proportion of participants who were ≥ 90 % adherent to ART (59-83 %, p < 0.01) and virally suppressed (42 % to 66 %, p < 0.01). The findings suggest the importance of ensuring HIV self-management interventions reach vulnerable populations of PWH who struggle with initiating and maintaining HIV-related health-promoting behaviors.
有证据表明，艾滋病毒感染者（PWH）通过获得同伴支持和学习自我管理技能，可以从中受益。本评估旨在评估为期 7 节的同伴主导的艾滋病毒自我管理项目——“积极生活研讨会”（TPLW）对心理社会和艾滋病毒治疗结果的影响。总体样本包括 1360 名在 2015 年 3 月至 2019 年 2 月期间完成 TPLW 的 PWH。在项目开始前、结束后和结束后三个月进行调查。使用非参数检验分析从测试前到测试后和 3 个月随访的结果变化。对于具有 TPLW 重点人群（即最近诊断出 HIV、未接受抗逆转录病毒治疗（ART）、ART 依从性差、病毒载量未抑制）≥1 个特征的 406 名参与者进行了亚组分析。在总体样本中，HIV 相关知识、社会支持、患者自我倡导和自我管理信心在测试前和测试后/3 个月随访评估之间均有显著改善。对于重点人群的分析表明，从测试前到 3 个月随访，至少有 90%的参与者对 ART（59-83%，p<0.01）和病毒抑制（42%至 66%，p<0.01）的依从性显著提高。这些发现表明，确保艾滋病毒自我管理干预措施覆盖难以启动和维持与艾滋病毒相关的促进健康行为的脆弱的 PWH 人群的重要性。
