Factors Associated with Attendance and Non-Attendance of Support Groups among HIV Positive Adults Attending an Antiretroviral Community Clinic at Ekurhuleni  District, South Africa

Madiba, Sphiwe; Kekana, Olga

doi:10.4236/wja.2013.32015

Cited by 5 publications

(5 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 In addition, participants who attended support groups in a South African study were reported to be 1.6 times more likely to be taking HIV prophylaxis and ART medication than non-attenders. 22 This finding reaffirms the postulation that social support from PLWHA peers through a PLWHA support group mechanism plays an important part in ART adherence. Several studies in Mozambique, 23 Spain, 24 the USA 25 and Canada 26 have disclosed higher self-reported adherence among respondents in peer support groups when compared with respondents not in support groups.…”

Section: Discussionsupporting

confidence: 69%

Do peer support groups have an effect on medication adherence? A study among people living with HIV/AIDS in Enugu State, Nigeria

Chime

Arinze-Onyia

Obionu

2018

Proceedings of Singapore Healthcare

View full text Add to dashboard Cite

Background: The health benefits of antiretroviral treatment greatly depend on the extent to which people living with HIV/ AIDS adhere to the prescribed daily dosing regimens. Peer support groups are expected to have a high impact on adherence to medication among people living with HIV/AIDS. Objectives: This study was designed to determine factors affecting adherence to medication among people living with HIV/ AIDS in peer support and non-support groups attending antiretroviral clinics in Enugu State, Nigeria. Method: This was a cross-sectional, comparative study using qualitative and quantitative instruments among 840 people living with HIV/AIDS attending antiretroviral clinics in Enugu, Nigeria. Quantitative data was analysed using IBM SPSS version 22. A Chi-square test of statistical significance, a student t-test and multivariate analysis using binary logistic regression were used in the analysis. Manual content analysis was done for the qualitative data. Results: The mean age of respondents was comparable in both study groups: support group 38.5±9.6; and non-support group 38.5±10.1. A significantly higher proportion of respondents in the support group (91.9%) achieved good adherence compared with those in the non-support group (87.1%). A good medication adherence self-rating was a predictor of adherence in both study groups: support group (AOR 5.8, 95% CI: 2.7-12.2, p=<0.001) and non-support group (AOR 0.2, 95% CI: 0.1-0.4, p=<0.001). Conclusion: The peer-based intervention is a viable and effective tool for maintaining optimal adherence among people living with HIV/AIDS in resource-limited settings; hence, research should concentrate on interventions that do not focus on individuals alone, but rather on those that strengthen the capacity of groups to collectively participate in HIV programmes.

show abstract

Section: Discussionsupporting

confidence: 69%

Do peer support groups have an effect on medication adherence? A study among people living with HIV/AIDS in Enugu State, Nigeria

Chime

Arinze-Onyia

Obionu

2018

Proceedings of Singapore Healthcare

View full text Add to dashboard Cite

show abstract

“…Increased participation of men in HIV support groups plays an important role as they are safe spaces in which men share experiences with their peers, receive peer support, work on their emotions and access peer counseling for grief and anger (CRS, 2012). More so, there has been an increased need to form gender-specific support groups, different designated meeting days and more flexible designs to improve male participation [ 12 , 13 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Utility of HIV support groups in advancing implementation research in resource-limited settings: experiences from an urban-setting HIV support group in Zimbabwe

et al. 2022

View full text Add to dashboard Cite

Support groups for people living with the Human Immunodeficiency Virus (HIV) have continued to evolve since their emergence over two decades ago. In addition to providing HIV education and fostering psychosocial support, recent efforts have shifted the focus to socio-economic activities and retention in care. The sense of urgency to adopt new treatment and prevention strategies in sub-Saharan Africa necessitates greater engagement of established HIV care programs, especially among researchers seeking to conduct implementation research, promote prevention strategies and optimize treatment as prevention. To maximize the utility of support groups in doing so, efforts to create an organized, collaborative framework should be considered. This paper aims to describe the process of refocusing an adult HIV peer-support group and illustrate how a structured program was strengthened to sustain implementation research in resource-limited settings, while promoting patient recruitment and retention. A multidisciplinary team of scientists supporting an HIV peer-support group spearheaded the implementation process that authored the successes, challenges and lessons documented over eight years. Psychosocial support, nutrition care and support, adherence education and income generating projects were the main interventions employed. The initiative resulted in seven peer-reviewed publications, submission of 23 scientific abstracts, scientific dissemination at 12 international conferences. Eleven research studies and 16 income generating projects were successfully conducted over eight years. More than 900 patients participated in peer-support group activities every month and 400 were engaged in income generating activities. This multidisciplinary structured program was valuable in the retention and recruitment of patients for implementation research and benefits extended to psychosocial support, microeconomic projects, and improved nutrition. The support group contributed to strengthening implementation research through providing a platform for identification of research priorities, patient recruitment and retention in studies and dissemination of research findings.

show abstract

“…For patients who work full-time, the hospital could offer counseling sessions outside business hours. These interventions have been trialed and found to be successful in other settings 1,28 . Thus, they may be worth the hospital investment for improved patient outcome.…”

Section: Discussionmentioning

confidence: 99%

“…Counseling is one of the most utilized psychosocial interventions for patients with HIV and AIDS. 1 Although HIV/AIDS is a physical condition, it has a profound effect on more than just physical health. With the advent of anti-retroviral therapy (ART), HIV/AIDS has become a chronic condition over the past three decades.…”

mentioning

confidence: 99%

“…Patients, while having the benefit of living longer, have to cope with the pain of the disease, financial burden of health care costs, stigma, social isolation, and other psychosocial problems. 2,3 Reduced psychosocial support can have a profound effect on a person's quality of life and carry over to their treatment adherence and mortality 1 . Therefore, complementary and holistic approaches to therapy including counseling and support groups, should be considered to provide the much needed social support that is lacking within this patient population.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Factors influencing HIV group counseling participation at a referral hospital in Jakarta, Indonesia

Pane¹,

Maemun

Bautista

2018

hsji

View full text Add to dashboard Cite

Abstrak Latar Belakang: Beberapa penelitian sebelumnya memperlihatkan bahwa dukungan sosial termasuk Konseling HIV dan dukungan kelompok memiliki efek langsung terhadap kepatuhan pada pengobatan HIV. Faktor yang berpengaruh terhadap partisipasi pada konseling kelompok pasien HIV di Indonesia belum diketahui. Penelitian ini dilakukan untuk mengetahui partisipasi pasien HIV pada konseling kelompok di Rumah Sakit Penyakit Infeksi-Sulianti Saroso, Jakarta Utara. Faktor demografi dan klinis pada pasien HIV diduga berhubungan dengan partisipasi dalam konseling kelompok. Metode: Penelitian ini dilakukan pada bulan Juli – Oktober 2013 menggunakan metode kuantitatif dengan desain studi potong lintang. Pasien HIV yang menggunakan anti retroviral sebanyak 1440 orang diminta kesediannya untuk berpartisipasi pada penelitian ini. Analisis dilakukan menggunakan analisis regresi logistik. Hasil: 709 dari 880 pasien yang mengikuti konseling kelompok telah melengkapi kuesioner dan bersedia menjadi sampel penelitian. Sebagian besar responden adalah laki-laki (71.1%), lulus SMP (84.3%), dan bekerja penuh waktu (51.5%). Stadium klinis mayoritas responden (87.3%) stadium 3 dan 4. Sebagian kecil responden (9.7%) memiliki ko-infeksi hepatitis B atau C, dan 12.7 % memiliki anggota keluarga HIV positif. Sebanyak 272 (38,4%) responden mengikuti konseling kelompok. Umur, waktu kerja, kepuasan terhadap penghasilan, memiliki anggota keluarga dengan HIV positif dan responden yang pernah menggunakan narkoba suntik (IDU) merupakan faktor-faktor yang mempengaruhi partisipasi responden pada konseling kelompok. Kesimpulan: Konseling kelompok harus dikenalkan pada penderita HIV yang sulit dijangkau, termasuk pasien yang lebih tua dan pasien dengan riwayat IDU. Selain itu, penyedia layanan kesehatan harus mempertimbangkan jadwal alternatif untuk pasien yang bekerja penuh waktu dan tidak dapat menghadiri konseling kelompok selama jam kerja. Keywords: HIV, konseling, partisipasi, dukungan, sosial Abstract: Background: Previous studies indicate that social support, including HIV counseling and support groups, have a direct effect on adherence to HIV therapy. Currently, factors of non-participation in HIV counseling in the Indonesian population are unknown. Based on this condition, we performed this study to explore HIV patient in group counseling participation at Prof. Sulianto Saroso Infectious Disease Hospital (RSPI-SS), a national referral hospital in Northern Jakarta in Indonesia. We assessed demographic and clinical factors that are associated with participation in HIV group counseling. Methods: A cross-sectional study was conducted between July and October 2013. 1,440 HIV patients in Jakarta obtaining ART from RSPI-SS were approached to participate in a quantitative survey. Factors associated with group counseling participation were assessed using logistic regression analyses. Results: A total of 709 (80.6%) out of 880 patients in group counseling completed the survey. The most of respondents were male (71.1%), had completed at least secondary school (84.3%), and worked full-time (51.5%). The majority (87.3%) of respondents had advanced disease (clinical stage 3 and 4). A small proportion (9.7%) of patients had hepatitis B or C co-infection, and 12.7 % reported having a family member (partner or child) who was also HIV positive. Only 272 (38,4%) of surveyed patients reported attending HIV group counseling. Five variables were found to be independently associated as factors influencing with participation in HIV group counseling including age, hours worked, income satisfaction, Family member with HIV, and history of Injection Drug User’s (IDU’s). Conclusion: Based on findings, outreach activities promoting HIV group counseling should target patients who are unable or less likely to attend group counseling, including older patients and patients with history of IDU’s. Additionally, health care providers should consider alternative schedules for patients who work full-time and are unable to attend group counseling during work hours. Keywords: HIV, counseling, participation, social, support

show abstract

Factors Associated with Attendance and Non-Attendance of Support Groups among HIV Positive Adults Attending an Antiretroviral Community Clinic at Ekurhuleni District, South Africa

Cited by 5 publications

References 22 publications

Do peer support groups have an effect on medication adherence? A study among people living with HIV/AIDS in Enugu State, Nigeria

Do peer support groups have an effect on medication adherence? A study among people living with HIV/AIDS in Enugu State, Nigeria

Utility of HIV support groups in advancing implementation research in resource-limited settings: experiences from an urban-setting HIV support group in Zimbabwe

Factors influencing HIV group counseling participation at a referral hospital in Jakarta, Indonesia

Contact Info

Product

Resources

About