The HIV-Infected Adolescent

Ross, Alistair; Camacho-González, Andrés; Henderson, Sheryl L.; Abanyie, Francisca; Chakraborty, Rana

doi:10.1007/s11908-009-0077-4

Cited by 11 publications

(4 citation statements)

References 45 publications

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“…Earlier studies have reported that self-esteem and self-efficacy are linked with positive adaptation, promote psychological and social development in adolescents, and contribute to maximize their potential. However, fewer programs are formulated for screening and building intervention to enhance these variables [17][18][19].…”

Section: Ethical Considerationmentioning

confidence: 99%

Self-esteem and self-efficacy among HIV-positive adolescents: an intervention study

Mathew¹,

M.Y.²

2021

HIV & AIDS Review

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Introduction:The aim of the present study was to understand the impact of comprehensive intervention program on self-esteem and self-efficacy among human immunodeficiency virus (HIV)-positive adolescents. Material and methods:Participants of the research were perinatally HIV-infected adolescent boys and girls, currently living in HIV care and support center. The study adopts a quasi-experimental non-equivalent control group design. Sample consisted of 97 adolescents (47 boys and 50 girls). Selfesteem was assessed using Morris Rosenberg's (1965) self-esteem scale, and self-efficacy was assessed using general self-efficacy scale (GSE) (1995) by Ralf Schwarzer & Matthias Jerusalem. It was hypothesized that there would be a significant improvement in the level of self-esteem and self-efficacy among participants of experimental group and no such improvement would be noticed in control group. Group intervention was conducted for experimental group focusing on four domains -physi cal, cognitive, affective, and social, for 44 hours spread over 6 months. Comprehensive intervention was implemented through innovative expressive strategies. Participants were assessed pre and post-intervention. Results were analyzed using correlated t-test for self-esteem and Wilcoxon signed-rank test for self-efficacy scores.Results: There is a significant improvement in the level of self-esteem (t = 21.154; p < 0.001) and self-efficacy (z = 6.036; p < 0.001) post-intervention in the experimental group, and no such improvement was observed on both the variables in control group. Conclusions:The current study reveal that post-intervention there is a significant improvement in the level of self-esteem and self-efficacy among HIV-positive adolescents.

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Section: Ethical Considerationmentioning

confidence: 99%

Self-esteem and self-efficacy among HIV-positive adolescents: an intervention study

Mathew¹,

M.Y.²

2021

HIV & AIDS Review

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“…More than 25000 HIV-infected individuals aged 13-24 years old are currently undergoing the transition to adult outpatient care in the United States [61] . For this transition to be successful, the focus must fall on comprehensive care, including the patients' mental and reproductive health, gender identity, sexuality, stigmas, social issues, cognitive development, adherence to ART, detachment from pediatric outpatient care, and communication with the staff in charge of patient care [61][62][63] . Integral care poses a major challenge; however, it is crucial for the management of this population of patients to reduce the impact of the transition and improve their long-term follow-up.…”

Section: Transition To Adult Outpatient Carementioning

confidence: 99%

“…Integral care poses a major challenge; however, it is crucial for the management of this population of patients to reduce the impact of the transition and improve their long-term follow-up. Integral care is necessary to ensure that the therapeutic success achieved in childhood will continue during adulthood [60,62,64] .…”

Section: Transition To Adult Outpatient Carementioning

confidence: 99%

Perinatally infected adolescents living with human immunodeficiency virus (perinatally human immunodeficiency virus)

Cruz

Cardoso

2015

WJV

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“…While there are a number of socio-structural determinants associated with poor health outcomes among ALWH [11][12][13][14], previous research has identified the transition from pediatric to adult care, frequently referred to as healthcare transition (HCT), as a particularly vulnerable period that influences health outcomes among ALWH [15][16][17][18][19][20][21]. HCT coincides with a time period during which many ALWH experience treatment interruptions and are at increased risk of loss-to-followup care (LTFU) only to return when critically ill [15]. In resource-limited settings, HCT often occurs at age 15 or younger, while in high-resource settings HCT occurs between ages 17 and 24 [16].…”

Section: Introductionmentioning

confidence: 99%

Healthcare retention and clinical outcomes among adolescents living with HIV after transition from pediatric to adult care: a systematic review

et al. 2020

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Background: Adolescents living with HIV (ALWH) who transition from pediatric to adult care face several challenges that increase their risk of experiencing treatment interruptions and being lost to HIV care with resultant increased morbidity and mortality. To date, few studies have examined their outcomes post-healthcare transition (HCT), precluding the development and dissemination of evidence-based interventions aimed at retaining ALWH in HIV care both during and after HCT. We conducted a systematic review to synthesize the outcomes of ALWH post-HCT to provide suggestions for future directions. Methods: We systematically searched several electronic databases through October 2019 using keywords for HIV, HCT and ALWH. We categorized studies by target population, country (i.e., upper-high income and low-middle income), study design (i.e., descriptive, mixed methods, quantitative), outcomes measured, and follow-up period. Results: A total of 24 studies met inclusion criteria. Studies were categorized according to the following HCT outcomes: retention in HIV care post-HCT (n = 13), changes in CD4+ count and viral load post-HCT (n = 16), and mortality among ALWH post-HCT (n = 7). Most studies (n = 11) examining retention in HIV care indicated that more than 70% of ALWH were retained in care 1-2 years post-HCT while the remaining studies (n = 2) reported retention rates less than 55%. While studies indicated that CD4+ counts and viral loads tended to worsen during the first few years post-HCT, these differences were often not statistically significant. Among all ALWH who transitioned to adult care, a small proportion died within their first seven years post-HCT. Among qualitative studies, common themes included transition readiness (n = 6), provider-patient relationship in the adult clinic setting (n = 6), and concern about the adult clinic setting (n = 4). Conclusions: Transition outcomes were poorest for ALWH with unsuppressed viremia pre-HCT, suggesting that this subgroup of ALWH may need greater support from their treatment teams and caregivers during and post-HCT to improve clinical outcomes.

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The HIV-Infected Adolescent

Cited by 11 publications

References 45 publications

Self-esteem and self-efficacy among HIV-positive adolescents: an intervention study

Self-esteem and self-efficacy among HIV-positive adolescents: an intervention study

Perinatally infected adolescents living with human immunodeficiency virus (perinatally human immunodeficiency virus)

Healthcare retention and clinical outcomes among adolescents living with HIV after transition from pediatric to adult care: a systematic review

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