Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

Houston, Eric; Osborn, Amanda; Lyons, Thomas; Masvawure, Tsitsi B.; Raja, Sheela

doi:10.1002/casp.2228

Cited by 21 publications

(21 citation statements)

References 37 publications

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“…The major reasons behind the positive effects of peer support on depression are decreased social isolation in peer groups, health-and illness-related information exchange by peers, and positive peer role-modeling for selfcare (27). Moreover, peer education can alleviate DAS by improving the patients' perceived social support (41,42).…”

Section: Discussionmentioning

confidence: 99%

The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis

Irajpour¹,

Hashemi²,

Abazari³

et al. 2019

Iran Red Crescent Med J

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Background: Depression, anxiety, and stress are the most prevalent psychological disorders among patients with chronic renal failure. These disorders increase mortality rate, impair immune function, reduce treatment adherence and quality of life, and heighten the risks of malnutrition, infection, and cardiovascular diseases. One potentially effective strategy for the management of psychological disorders is peer education; however, its effects on patients receiving hemodialysis are still unknown. Objectives: This study was conducted to investigate the effects of peer education on depression, anxiety, and stress among hemodialysis patients. Methods: This was a quasi-experimental study. Patients were randomly recruited and allocated in intervention and control groups. In the intervention group, patients were provided with two 120-minute peer education sessions per week for eight successive weekssixteen sessions in total. Patients in the control group solely received routine care services, which included no education by peers. Data were collected before and immediately after the intervention via the 42-item Depression Anxiety Stress Scale. Results: Before the intervention, the groups did not significantly differ from each other, respecting the mean scores of depression, anxiety, and stress (P > 0.05). After the intervention, significant decreases in the mean scores of depression, anxiety, and stress were observed in the intervention group (P < 0.05), while none of the mean scores significantly changed in the control group (P > 0.05). Consequently, posttest mean scores in the intervention group were significantly lower than the control group (P < 0.05). Conclusions: Peer education is effective in significantly alleviating hemodialysis patients' depression, anxiety, and stress. Therefore, peer education is recommended for alleviating psychological problems among patients receiving hemodialysis.

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Section: Discussionmentioning

confidence: 99%

The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis

Irajpour¹,

Hashemi²,

Abazari³

et al. 2019

Iran Red Crescent Med J

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“…22,[27][28][29] Partner support strategies range from helping one cope with the impact of an HIV diagnosis, reminding about appointments, setting out medication, coaching to build habits around taking medications, and monitoring adherence. 18,[30][31][32] According to dyadic models of stress and coping in chronic illness, partners perceive care engagement needs and evaluate appropriate coping strategies in offering support. 28,31,33,34 These support strategies can change dynamically depending on the situation and the changing needs of the partner living with HIV.…”

Section: Introductionmentioning

confidence: 99%

Couple-Level Dynamics and Multilevel Challenges Among Black Men Who Have Sex with Men: A Framework of Dyadic HIV Care

Tan

Campbell

Conroy

et al. 2018

AIDS Patient Care and STDs

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The primary romantic relationship may offer critical opportunities for improving HIV care among key populations affected by high rates of HIV infection and low rates of care engagement, such as black men who have sex with men. A conceptual framework is needed to identify dyadic processes involved in addressing challenges in retention in care and adherence to antiretroviral therapy. This study conducted dyadic and individual-level qualitative analyses of individual interviews with men living with HIV from 14 black gay couples (n = 28). Interviews explored each partner's perspectives on challenges to and supportive strategies for retention in care and medication adherence. Findings highlighted challenges at various levels of care engagement and patterns of dyadic interactions that impeded or facilitated HIV care. Couple-level processes (i.e., couple's resilience, interdependence) underlined a joint problem-solving approach toward addressing challenges in care engagement. Findings support a conceptual framework of dyadic HIV care that highlights the impacts of dyadic and individual factors on coordination of care and treatment to influence retention and adherence. The generalizability of study findings is limited by the small sample size. Implications for intervention design include leveraging drivers of partner support, including couples' resilience, in enhancing joint problem-solving in HIV care among black gay couples.

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“…ART requires adherence rates of 95% or greater to achieve virologic suppression (Chernoff, 2007). However, less one-than half of adults prescribed ART achieved adherence in the optimal range despite being linked to care and having access to medication (Enriquez et al, 2015;Houston, Osborn, Lyons, Masvawure, & Raja, 2015).…”

Section: Social Support In Hiv Medication Adherencementioning

confidence: 99%

“…Participants referred to the INSPIRE Project intervention as a "support group", adding evidence of the strength of peer social support interventions for HIV medication adherence. Houston et al (2015) built on the work of Mitchell et al (2007) by examining the nature of perceived social support from peer facilitators to participants. His qualitative study focused on four types of social support and determined that instrumental (tangible) support was not perceived as frequently as informational/emotional support.…”

Section: Social Support In Hiv Medication Adherencementioning

confidence: 99%

“…His qualitative study focused on four types of social support and determined that instrumental (tangible) support was not perceived as frequently as informational/emotional support. Houston et al (2015) concluded for many adults living with HIV, social support of any type was scarce or nonexistent (Houston et al, 2015).…”

Section: Social Support In Hiv Medication Adherencementioning

confidence: 99%

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A mixed methods study of perceived social support based on the medical outcomes study social support survey in adults with repeated challenges with HIV medication adherence

Mercier¹

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Numerous research studies in the HIV literature have documented social support as a key factor influencing adherence to antiretroviral therapy (ART). This is one of only a few studies to examine perceived social support among adults living with HIV who have had repeated challenges with medication adherence. A secondary analysis of quantitative and qualitative data from two intervention studies was conducted using a mixed methods design. Two overarching themes were associated with the lack of social support: extreme isolation and constant turmoil. Subthemes, included loneliness, structural vulnerability, and emotional distress. Overall social support was low in this vulnerable group, especially when compared to the general population and to adults living with other chronic health conditions. Strong correlations existed between all social support subscales of the Medical Outcomes Study Social Support Survey (MOS-SSS). The strongest positive correlation was found between affectionate support and positive social interaction (r = .870, p = less than .0001). These data suggest that participants who frequently self-reported a lack of persons to spend time with socially often lacked positive, supportive relationships in their lives. No significant variation was found between self-reported overall social support or subscale scores based on age or health variables. Convergent qualitative data excerpts corresponded with low quantitative social support scores in every dimension, confirming that adults living with HIV who repeatedly struggle with taking life-long HIV medications lack social support in many areas of their lives.

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Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

Cited by 21 publications

References 37 publications

The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis

The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis

Couple-Level Dynamics and Multilevel Challenges Among Black Men Who Have Sex with Men: A Framework of Dyadic HIV Care

A mixed methods study of perceived social support based on the medical outcomes study social support survey in adults with repeated challenges with HIV medication adherence

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