Health literacy for people living with HIV/Aids: an integrative review

Cunha, Gilmara Holanda da; Galvão, Marli Teresinha Gimeniz; Pinheiro, Patrícia Neyva da Costa; Vieira, Neiva Francenely Cunha

doi:10.1590/0034-7167-2015-0052

Cited by 35 publications

(34 citation statements)

References 20 publications

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“…Inadequate descriptions of the CHW competency verification and monitoring in the interventions make it difficult to explain why this approach was not effective. Without sufficient monitoring, the utility of CHW intervention is unclear because the content and frequency of interactions between the CHW and the participant can vary widely, at the discretion of the CHW [ 31 ]. The lack of significant positive effect in the studies may suggest the need for more rigorous CHW training and monitoring plans to improve the efficacy of CHW interventions focusing on psychosocial outcomes among PLWH.…”

Section: Discussionmentioning

confidence: 99%

Community health worker interventions to promote psychosocial outcomes among people living with HIV—A systematic review

et al. 2018

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BackgroundCommunity health worker (CHW) interventions are a successful strategy to promote health among HIV-negative and persons living with HIV (PLWH). Psychosocial factors are critical dimensions of HIV/AIDS care contributing to prognosis of the disease, yet it is unclear how CHW interventions improve psychosocial outcomes in PLWH. The purpose of this study was to critically appraise the types, scope, and nature of CHW interventions designed to address psychosocial outcomes in PLWH.MethodsWe performed database searches—PubMed, EMBASE, CINAHL, and Cochrane—to identify randomized controlled trials published in English before April 2017. Fourteen articles met the eligibility criteria.ResultsHalf of the studies were conducted in the United States. Social cognitive theory was used more than once in nine theory-guided studies. CHW interventions were largely focused on reducing depression (n = 6) or stigma related to HIV (n = 4), or promoting quality of life (n = 4), social support (n = 4), and self-efficacy (n = 4). Didactic methods and role-playing were used to train CHWs. CHWs played multiple roles in delivering intervention, including a counselor and a supporter (n = 10), educator (n = 5), or a navigator (n = 3). CHW intervention fidelity was assessed in 4 studies. Five studies found positive changes in six psychosocial outcomes including quality of life (2 of 4) and self-efficacy (2 of 4). CHW interventions had no effect on social support in 2 of 4 studies, and stigma in 3 of 4 studies. None of the CHW interventions were successful in reducing depressive symptoms among PLWH.ConclusionsEvidence partially supported the use of CHWs in promoting psychosocial outcomes in PLWH. Future CHW intervention should be expanded in scope to address key psychosocial determinants of HIV/AIDS outcomes such as health literacy. Further, fidelity measures should be incorporated into intervention delivery.

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Section: Discussionmentioning

confidence: 99%

Community health worker interventions to promote psychosocial outcomes among people living with HIV—A systematic review

et al. 2018

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“…In relation to the Brazilian overview of functional health literacy, studies on this subject have only recently been published by national researchers more frequently (15)(16)(17)(18)(19)(20)(21) . In these articles, adequate functional health literacy may allow a prospective learning facilitator to play a role in the caring process of cardiac pacemaker patients (15) .…”

Section: Introductionmentioning

confidence: 99%

“…In these articles, adequate functional health literacy may allow a prospective learning facilitator to play a role in the caring process of cardiac pacemaker patients (15) . However, in people living with HIV, functional health literacy can influence educational technologies, and adherence to antiretroviral treatment (16) .…”

Section: Introductionmentioning

confidence: 99%

Functional health literacy in hypertensive elders at primary health care

Costa

Nakano

et al. 2019

Rev. Bras. Enferm.

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Objective: to assess the relationship between inadequate functional health literacy and inadequate blood pressure control in older people with hypertension in Primary Health Care. Method: a cross-sectional study with sample calculated at 392. SAHLPA-18 tool was used for functional health literacy; blood pressure was measured; sociodemographic and clinical data were collected. Hierarchical logistic regression was used. Results: (high) inadequate blood pressure and (low) functional inadequate health literacy were present in 41.6% and 54.6% of the people, respectively. Factors associated with inadequate blood pressure were: inadequate functional health literacy, black-brown skin color, overweight-obesity, hypertension diagnosis time, non-adherence to exercise/diet, drug treatment. Schooling had no association with inadequate blood pressure Conclusion: hypertensive elderly people with inadequate health literacy were more likely to have inadequate blood pressure. Thus, health professionals need to value functional health literacy as a possible component to control blood pressure.

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“…Besides, in view of the need to adequately prepare discharge, it is necessary to educate patients and their families, facilitating self-management of the chronic condition (18) . In countries such as South Africa, community-based palliative care models, for example, are particularly needed to deal with the growing burden of HIV in formal health systems.…”

Section: Management Of Nursing Care In Hiv/aids From a Palliative Andmentioning

confidence: 99%

Management of nursing care in HIV/AIDS from a palliative and hospital perspective

et al. 2019

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Objectives: To understand the meaning attributed by the nurse to the management of nursing care to the person hospitalized due to clinical complications caused by AIDS; to analyze actions related to palliative care; and to construct a theoretical matrix regarding the management of nursing care. Method: Qualitative, exploratory research, guided by the Grounded Theory. Seven nurses and ten nursing technicians were interviewed between May and September 2015, in a university hospital, located in Rio de Janeiro State, Brazil. Results: Five categories that covered the profile of the hospitalized person, palliative care, intervening conditions for care management, the need for professional qualification, and other aspects to better organize and manage care, including conflict management arose. Final considerations: The theoretical matrix values the quality of life, the need to understand the flow of care to avoid readmissions and not adherence to medications, requiring new research in the area, such as implementation.

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Health literacy for people living with HIV/Aids: an integrative review

Cited by 35 publications

References 20 publications

Community health worker interventions to promote psychosocial outcomes among people living with HIV—A systematic review

Community health worker interventions to promote psychosocial outcomes among people living with HIV—A systematic review

Functional health literacy in hypertensive elders at primary health care

Management of nursing care in HIV/AIDS from a palliative and hospital perspective

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