Self-management interventions for people living with HIV/AIDS

Martin, Faith; Caramlau, Isabela; Sutcliffe, Paul; Martin, Steven; Bayley, Jake; Choudhry, Kubra

doi:10.1002/14651858.cd008731

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…22 Behaviors include taking medication, ensuring access to food and water to take medication, attending medical appointments, managing changes to sense of self, changing activities, and challenges of stigma and disclosure. 12,21,23 A complex set of behaviors is required, which varies by condition and context.…”

Section: Aids Patient Care and Stdsmentioning

confidence: 99%

Tasks and Strategies of Self-Management of Living with Antiretroviral Therapy in Uganda

Martin

Kiwanuka

Kawuma

et al. 2013

AIDS Patient Care and STDs

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There is increasing interest in promoting and supporting self-management of HIV and antiretroviral treatment (ART), including in resource-limited settings. Although the impact of HIV and ART on people in Uganda has been explored, little attention has been paid to how people self-manage. This qualitative study collected data from 20 participants on ART in Wakiso district, Uganda, using in-depth interviews, life histories, and observations to explore the tasks and strategies of living with ART. The identified strategies were compared to two existing self-management frameworks. Results highlighted a range of tasks including obtaining, taking, and adhering to ART medication, monitoring their condition, living with stigma and managing disclosure, maintaining general health, and adjusting to new roles. Participants described a range of strategies or behaviors to manage, which they actively created and used, tailored to their needs and environment. Comparison with existing frameworks revealed many similarities, with some local differences in enactment, and greater emphasis in our sample on obtaining the medication. Interventions to support people with self-management in Uganda, and possibly other resource-limited settings, require careful adaptation to local settings. The degree to which each of these strategies may improve health and quality of life requires further investigation.

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Section: Aids Patient Care and Stdsmentioning

confidence: 99%

Tasks and Strategies of Self-Management of Living with Antiretroviral Therapy in Uganda

Martin

Kiwanuka

Kawuma

et al. 2013

AIDS Patient Care and STDs

Self Cite

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Discussing HIV Status: Is It Easier After 10 Years of Antiretroviral Treatment? The ANRS CO8 APROCO-COPILOTE Cohort

Préau¹,

Laguette²,

March³

et al. 2016

AIDS Behav

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This study's objective was to explore the factors associated with the belief (or not) by people living with HIV that it is easier to talk about their seropositivity 10 years after initiating a protease inhibitor-containing ART. All patients in the ANRS CO8 APROCO-COPILOTE cohort who completed a self-administered questionnaire at 10 years of follow-up were included in this study. Forty-four percent of patients declared that discussing their seropositivity with their family was easier 10 years later, while 28 % declared this was true for discussing their status with a new sexual partner. Having a low socioeconomic status, not receiving social support from a steady partner and declaring a low number of discomforting symptoms 12 months after PI initiation were all independently associated with less difficulty in discussing seropositivity. This study highlights the difficulties in disclosing HIV 10 years after PI initiation, and the important influence of psychosocial factors and patients' daily-life experience on disclosure.

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Self-management interventions for people living with HIV/AIDS

Cited by 2 publications

References 27 publications

Tasks and Strategies of Self-Management of Living with Antiretroviral Therapy in Uganda

Tasks and Strategies of Self-Management of Living with Antiretroviral Therapy in Uganda

Discussing HIV Status: Is It Easier After 10 Years of Antiretroviral Treatment? The ANRS CO8 APROCO-COPILOTE Cohort

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