Spirituality and Optimism: A Holistic Approach to Component-Based, Self-management Treatment for HIV

Brown, Jayne; Hanson, Jan E.; Schmotzer, Brian; Webel, Allison R.

doi:10.1007/s10943-013-9722-1

Cited by 21 publications

(27 citation statements)

References 44 publications

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“…Similar to Ridgeway et al (2014), self-management of health and reliance on spiritual support were noted by our participants. Such positive coping strategies have been identified previously in long-term survivors of HIV (Brown, Hanson, Schmotzer, & Webel, 2014; Slomka, Lim, Gripshover, & Daly, 2013) as well as in HIV-uninfected elderly (Bayliss, Edwards, Steiner, & Main, 2008) and may be essential to improving quality and quantity of life for patients with multimorbidity.…”

Section: Discussionmentioning

confidence: 78%

Multimorbidity With HIV: Views of Community-Based People Living With HIV and Other Chronic Conditions

Slomka¹,

Prince-Paul²,

Webel³

et al. 2017

Journal of the Association of Nurses in AIDS Care

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People living with HIV (PLWH) experience an increase in chronic conditions with aging, but little is known about experiences of living with multimorbidity with HIV. Because early palliative care services may improve well-being for individuals with multimorbidity, we planned to test an intervention to provide these services to community-dwelling PLWH with other chronic conditions. To tailor our intervention to the target population, we conducted 4 focus groups (n = 22) that elicited health-related needs, experiences, and views regarding palliative and other health services. We identified 4 themes related to patients’ needs and experiences: views of HIV as background to other chronic conditions, challenges managing medications and provider interactions, concerns about coping with future health needs, and persistence of HIV stigma. In addressing multimorbidity with HIV, providers and patients may benefit from enhanced attention to communication when crossing specialty areas and from additional support to decrease stressors associated with HIV stigma.

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Section: Discussionmentioning

confidence: 78%

Multimorbidity With HIV: Views of Community-Based People Living With HIV and Other Chronic Conditions

Slomka¹,

Prince-Paul²,

Webel³

et al. 2017

Journal of the Association of Nurses in AIDS Care

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“…Cognitive behavioral psychotherapist 2. Postgraduate psychotherapy trainee4 to 102 h, 12 session121,6,1244.1 (10.1)8915QoL: MOS-HIV, Anxiety: HADS-A, Depression: HADS-D, CD4, HIV1-RNA, adherence to ARTBlank et al, 2014 [25], USALongitudinal randomized trial, community54Preventing AIDS through Health for HIV positive persons (PATH+), Psycho-education along with pillboxex and beeping watchesStandard careAdvanced practice nurse12 to 20/visit1visit/week483, 6, 12, 2443.0 (7.25)128110QoL: SF-12, Viral load, CD4Bormann et al, 2006 [26], USARCT, mixed repeated measure, clinic12Mantram interventionAttention groupPsychiatric mental health nurse8 to 151.5 h, 6 session, with phone call 4 time101.1, 2.2, 5.242.9 (6.84)7518Qol: Q-LES-Q, Anxiety: STAI, Depression: CES-D, Distress: HIV- IES, Stress: PSS, Anger: STAI-SF, Spiritual well being: FACIT-SpExBrown et al, 2014 [27], USARCT, clinic (secondary analysis)System CHANGETM-HIV intervention, self-management, spiritual and optimismStandard care and symptom management materialsTrained female interventionist8 to 101 h, 10 session102.248.4 (6.9)2518Spirituality: SWBS, Optimism: LOTRCade et al, 2010 [28], USARCT, prospective, clinicYoga interventionStandard careCertified yoga instructorIndividual and group1 h, 40–60 session20545.0 (7.9)1050QoL: MOS-SF-36, Nutritant intakeChhatre et al, 2013 [29], USARCT, single blinded; community6Transcendental meditation ™Healthy eating (HE) educationCertified instructorIndividual and group2 h, 32 session & 20 min twice a day24649.9 (5.8)184QoL: MOS-SF-36, Depression: CESD, Stress: PSS, HIV-QoL: FAHI, Quality of well being: QWB-SA, Hormonal outcomeDuncan et al, 2012 [30], USARandomized, wait-list controlled trial; clinic6Mindfulness-based stress reduction (MBSR)Standard care (WLC)…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies provided information related to participant and personnel or outcome assessment blinding [ 24 – 26 , 29 , 32 – 34 , 37 , 39 , 46 ]. Eleven studies did not mention the reasons for participants’ withdrawals [ 25 , 27 , 29 , 35 , 39 – 41 , 43 , 44 , 50 , 51 ] and 13 studies described an intention-to-treat analysis approach [ 24 , 26 , 27 , 29 , 30 , 32 – 34 , 38 , 41 , 46 , 47 , 50 ]. Table 5 shows the key quality of evidence and impact of the individual study.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies mentioned quality of life as the primary outcome [ 26 , 33 , 45 , 47 – 51 ], three studies mentioned quality of life as the secondary outcome [ 24 , 32 , 46 ] and 17 studies did not provide the information that quality of life was measured either primary or secondary outcome. Quality of life was measured using different tools: MOS-HIV health survey (MOS-HIV or MOS-HIV-35 or MOS-HIV-30) [ 24 , 32 , 33 , 37 , 38 , 41 , 46 , 51 ], SF-36 health survey [ 28 , 29 , 39 , 44 , 45 ], SF-12 health survey [ 25 ], quality of life enjoyment and satisfaction questionnaire (Q-LES-Q) [ 26 ], HIV-46 [ 35 ], functional assessment of cancer therapy (FACT-G) [ 40 , 47 ], WHOQOLBREF [ 42 , 49 ], WHOQOL-HIV [ 43 , 48 ], HIV/AIDS targeted quality of life instrument [ 50 ], positive and negative affects schedule (PANAS) [ 30 , 34 ], and spiritual well-being scale (SWBS) [ 27 ]. Different studies used different instruments to assess quality of life and different instruments cover different dimensions of quality of life.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-one studies reported a better improvement in quality of life scores among the intervention group compared to the control group. Of these, six studies reported an improvement in all the domains: two out of two domains [ 24 , 25 , 27 , 40 ], three out of three domains [ 48 ], and four out of four domains [ 49 ]. The remaining studies reported that four out of five [ 41 , 43 ], five out of nine [ 28 ], five out of eight [ 29 ], seven out of 10 [ 32 ], four out of 11 [ 37 ], two out of three [ 38 ], nine out of 10 [ 39 ], two out of four [ 42 ], six out of eight [ 44 ], and four out of six [ 47 ], domains improved among the intervention group.…”

Section: Resultsmentioning

confidence: 99%

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Social and behavioral interventions for improving quality of life of HIV infected people receiving antiretroviral therapy: a systematic review and meta-analysis

Bhatta

Liabsuetrakul

McNeil

2017

Health Qual Life Outcomes

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BackgroundImprovement in quality of life is crucial for HIV infected people. Social and behavioral interventions have been implemented in different contexts to improve the quality of life among HIV infected people. This review appraises the evidence for available interventions that focused on quality of life of HIV infected people receiving antiretroviral therapy (ART).MethodsWe searched electronic databases for randomized controlled trials of interventions to improve the quality of life of HIV infected people receiving ART. We searched PUBMED and the Cochrane Centre Register of Controlled Trials (CENTRAL) with the terms “social”, “behavioral”, “educational”, “quality of life”, “HIV”, and “RCT”. Searches were conducted for articles published from 1980 to December 16, 2015. Standardized data abstraction methods and searching steps were applied.ResultsTwenty-eight studies reported the impact of social or behavioral interventions in quality of life among HIV infected people, of which 15 were conducted in United States of America. A total of 4136 participants were enrolled. Of the 28 studies, four studies included females, two studies included males and remaining studies excluded both males and females. The overall reported methodological quality of the studies was subject to a high risk of bias and the study criteria were unclear in most studies. Twenty-one studies reported a significant intervention effect on at least one quality of life domain. Meta-analyses showed significant improvement in general health, mental health, physical function and environment domains of quality of life among intervention groups. However, the expected impact of the intervention was low to moderate because the rigorousness of the studies was low, information was limited, the sample sizes were small and other the quality of the study designs were poor.ConclusionsAlthough the available evidence suggests that existing social and behavioral interventions can improve some quality of life domains, the quality of evidence was insufficient to support the notion that these interventions can improve the overall quality of life of HIV infected people receiving ART. Well-designed and rigorous randomized controlled trials with high methodological quality are required.

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Outcomes of Randomized Clinical Trials of Interventions to Enhance Social, Emotional, and Spiritual Components of Wisdom

et al. 2020

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IMPORTANCE Wisdom is a neurobiological personality trait made up of specific components, including prosocial behaviors, emotional regulation, and spirituality. It is associated with greater well-being and happiness. OBJECTIVE To evaluate the effectiveness of interventions to enhance individual components of wisdom. DATA SOURCES MEDLINE and PsycINFO databases were searched for articles published through December 31, 2018.STUDY ELIGIBILITY CRITERIA Randomized clinical trials that sought to enhance a component of wisdom, used published measures to assess that component, were published in English, had a minimum sample size of 40 participants, and presented data that enabled computation of effect sizes were included in this meta-analysis.DATA EXTRACTION AND SYNTHESIS Random-effect models were used to calculate pooled standardized mean differences (SMDs) for each wisdom component and random-effects meta-regression to assess heterogeneity of studies.MAIN OUTCOMES AND MEASURES Improvement in wisdom component using published measures.RESULTS Fifty-seven studies (N = 7096 participants) met review criteria: 29 for prosocial behaviors, 13 for emotional regulation, and 15 for spirituality. Study samples included people with psychiatric or physical illnesses and from the community. Of the studies, 27 (47%) reported significant improvement with medium to large effect sizes. Meta-analysis revealed significant pooled SMDs for prosocial behaviors (23 studies; pooled SMD, 0.43 [95% CI, 0.22-0.3]; P = .02), emotional regulation (12 studies; pooled SMD, 0.67 [95% CI, 0.21-1.12]; P = .004), and spirituality (12 studies; pooled SMD, 1.00 [95% CI, 0.41-1.60]; P = .001). Heterogeneity of studies was considerable for all wisdom components. Publication bias was present for prosocial behavior and emotional regulation studies; after adjusting for it, the pooled SMD for prosocial behavior remained significant (SMD, 0.4 [95% CI, 0.16-0.78]; P = .003). Meta-regression analysis found that effect sizes did not vary by wisdom component, although for trials on prosocial behaviors, large effect sizes were associated with older mean participant age (β, 0.08 [SE, 0.04]), and the reverse was true for spirituality trials (β, −0.13 [SE, 0.04]). For spirituality interventions, higher-quality trials had larger effect sizes (β, 4.17 [SE, 1.07]), although the reverse was true for prosocial behavior trials (β, −0.91 [SE 0.44]).CONCLUSIONS AND RELEVANCE Interventions to enhance spirituality, emotional regulation, and prosocial behaviors are effective in a proportion of people with mental or physical illnesses and from the community. The modern behavioral epidemics of loneliness, suicide, and opioid abuse point to a growing need for wisdom-enhancing interventions to promote individual and societal well-being.

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Spirituality and Optimism: A Holistic Approach to Component-Based, Self-management Treatment for HIV

Cited by 21 publications

References 44 publications

Multimorbidity With HIV: Views of Community-Based People Living With HIV and Other Chronic Conditions

Multimorbidity With HIV: Views of Community-Based People Living With HIV and Other Chronic Conditions

Social and behavioral interventions for improving quality of life of HIV infected people receiving antiretroviral therapy: a systematic review and meta-analysis

Outcomes of Randomized Clinical Trials of Interventions to Enhance Social, Emotional, and Spiritual Components of Wisdom

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