Efficacy of a Social Self-Value Empowerment Intervention to Improve Quality of Life of HIV Infected People Receiving Antiretroviral Treatment in Nepal: A Randomized Controlled Trial

Bhatta, Dharma Nand; Liabsuetrakul, Tippawan

doi:10.1007/s10461-016-1546-z

Cited by 17 publications

(12 citation statements)

References 64 publications

(56 reference statements)

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“…Despite these limitations, there is evidence that a better QoL may in uence patient adherence to care and thus viral suppression achievement [66,67], which are necessary conditions for survival among PLWHA. Our results show that syndemic conditions mostly relate to psychological, social, and environment domains of QoL.…”

Section: Discussionmentioning

confidence: 99%

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Association of Syndemic Conditions and Quality of Life among People Living with HIV/AIDS

Gomes

Castro

Mota

et al. 2021

Preprint

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Background The syndemics theory seeks to understand the effect of multiple synergic problems in promoting poor health outcomes. To disentangle which and how syndemic conditions affect quality of life (QoL) may be important to improve well-being of people living with HIV/AIDS (PLWHA). This study evaluates the association between syndemic conditions and quality of life among people living with HIV/AIDS. METHODS This was a secondary analysis from data obtained between 2014 and 2017 among PLWHA under care in Rio de Janeiro, Brazil. The outcomes were the six QoL domains (physical, psychological, level of independence, social relationships, environmental, and spirituality) measured through the World Health Organization Quality of Life in HIV infection scale, abbreviated version (WHOQOL-HIV-BREF). The independent variables were demographic and clinical characteristics, syndemic conditions (binge drinking, compulsive sexual behavior, polysubstance use, intimate partner violence, and depression), and syndemics (two or more syndemic conditions simultaneously). Bivariate analysis (t-test and ANOVA) and linear regressions were performed for each quality-of-life domain. RESULTS The analytical sample comprised 1530 participants, mostly male at birth (64%) and with median age of 43 years. The syndemic conditions most frequently observed were binge drinking (56%), IPV (13%), and depression (9%). Both individual syndemic conditions and syndemics were associated with worse QoL. In the multivariate analysis, positive screening for depression was associated with worse QoL in all domains. Polysubstance users presented worse QoL at social and environmental domains. Intimate partner violence was associated with worse QoL at environment domain while binge drinking was associated with worse scores in the physical domain. The presence of syndemics increased the likelihood of worse scores in the psychological, social, and environment domains. CONCLUSIONS Our study expands the understanding of QoL in PLWHA, as it considers a holistic/integral, multifactorial, and synergistic approach to the determinants of QoL. Seeking strategies that target syndemics may be important to improve patient-centered outcomes in health.

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Section: Discussionmentioning

confidence: 99%

“…Despite these limitations, there is evidence that a better QoL may in uence patient adherence to care and thus viral suppression achievement [66,67]…”

Section: Discussionmentioning

confidence: 99%

Association of Syndemic Conditions and Quality of Life among People Living with HIV/AIDS

Gomes

Castro

Mota

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…In another study, Qiao et al concluded that policymakers needed to consider social support for female sex workers to protect them from HIV risks (Social support and condom use among female sex workers in China) (10). However, a study by Bhatta and Liabsuetrakul showed that social support could be a useful asset among HIV-infected patients to promote their quality of life, decrease stigma, and increase adherence to antiretroviral treatment (4).…”

Section: Discussionmentioning

confidence: 99%

“…Increasing life expectancy in HIV-infected patients has been reported but high-risk behaviors have promoted the transmission risk of HIV among general populations (4). Studies have shown that HIV infection may remain asymptomatic in HIV-positive patients for a long time and the patients themselves may not be aware of their infection, which is another potential risk for other members of the society (5,6).…”

Section: Introductionmentioning

confidence: 99%

Predictors of HIV-Preventive Behavior Changes Among HIV-Infected Patients in Iran: Application of the Extended Health Belief Model

Karimy

Zareban

2018

Int J High Risk Behav Addict

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Background: One mode of HIV transmission is through the high-risk behaviors among people who are HIV-positive. It is, therefore, exceedingly important to understand the factors predicting preventive healthy behaviors regarding HIV transmission in this population. Objectives: The aim of this study was to evaluate the efficacy of the extended Health Belief Model (HBM) in predicting preventive behavior changes among HIV-infected patients in Iran. Patients and Methods: In a cross-sectional study, the census sampling was applied and 139 HIV-positive patients in Saravan, Zarandieh, and Sarbaz cities of Iran were selected to participate in this study. In total, 131 participants completed and returned the anonymous self-administered questionnaires. The questionnaire included demographic questions, HBM constructs, and the questions of Zimet social support. Data analysis was performed using SPSS18. P-values less than 0.05 were considered significant. Results: The HBM constructs with and without social support accounted for 62% and 56% of the behavior variance, respectively. In the first model (HBM construct alone), perceived barriers, self-efficacy, and benefits were the significant predictors. In the second model (HBM developed with social support), perceived barriers, social support, self-efficacy, and benefits were the better predictors of preventive behaviors, in sequence (P < 0.05). Conclusions: The findings indicated that the extended model of HBM predicted preventive behaviors better than the original HBM did. However, more studies are needed to examine the efficacy of the extended HBM in predicting preventive behaviors.

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“…This sample was calculated using the software Power and Precision (ver. 4) at a power of 80 and 95% confidence intervals considering the predictor variables PTSD (“Yes” response rate 28%) [ 37 ] and stigma (“Yes” response rate 75%) [ 38 ] as a reference with a 5% missing rate and 5% margin of error. Since the primary purpose of the present study was to assess the impact of the earthquake on PLHIV, we included PLHIV aged 18 years and older who, at the time of earthquake, had no ART treatment failure (no decrease in the CD4 count to the pre-therapy baseline, no HIV viral load >5000 copies/ml, or no serious opportunistic infections), were expected to be on ART for at least 6 months, and were on a first-line regimen.…”

Section: Methodsmentioning

confidence: 99%

Impact of a massive earthquake on adherence to antiretroviral therapy, mental health, and treatment failure among people living with HIV in Nepal

et al. 2018

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IntroductionThe April 2015 Nepal earthquake resulted in more than 8,700 deaths and 22,000 casualties including damage to health facilities. The impact of this situation on chronic conditions such as human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) may become a long-lasting public health threat. Therefore, the objectives of this study were i) to assess the association of antiretroviral therapy (ART) adherence with mental health problems, and social behaviors, ii) to examine factors affecting treatment failure, and iii) to investigate changes in ART adherence and post-traumatic stress disorder (PTSD) among people living with HIV 6 and 12 months after the disaster.MethodsStudy was conducted 6 months after the earthquake in 2015 with a sample size of 305 earthquake victims with HIV and followed after 12 months of the earthquake. A logistic regression analysis was used to examine relationships, while a paired t-test analysis was conducted to assess changes in adherence to ART and PTSD level at 6 months and 12 months after earthquake.ResultsIn the earthquake, 5.2% of the participants lost their family member. Approximately 44% of participants had earthquake-PTSD symptoms and 50% experienced HIV stigma. PTSD and HIV status disclosure were significantly associated with adherence to ART, while HIV stigma and religion were associated with treatment failure. PTSD and adherence levels to ART were significantly improved over the 6-month period.ConclusionAwareness programs for general public to eliminate HIV stigma; promote psychosocial counseling to earthquake victims living with HIV in order to reduce PTSD will contribute to maintaining optimal ART adherence and to prevent treatment failure.

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Efficacy of a Social Self-Value Empowerment Intervention to Improve Quality of Life of HIV Infected People Receiving Antiretroviral Treatment in Nepal: A Randomized Controlled Trial

Cited by 17 publications

References 64 publications

Association of Syndemic Conditions and Quality of Life among People Living with HIV/AIDS

Association of Syndemic Conditions and Quality of Life among People Living with HIV/AIDS

Predictors of HIV-Preventive Behavior Changes Among HIV-Infected Patients in Iran: Application of the Extended Health Belief Model

Impact of a massive earthquake on adherence to antiretroviral therapy, mental health, and treatment failure among people living with HIV in Nepal

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