Other Titles
Effects of HIV/AIDS on women
Abstract
Session presented on Friday, July 22, 2016:
Purpose: China is experiencing a rapid increase in the number of HIV infections. It is estimated that approximately 780,000 people are infected with HIV in China, 80% of whom are unaware that they are infected. The objective of this study was to conduct an intervention to assist self-management in HIV-positive women in China.
Methods: This was a pilot randomized controlled trial (RCT) with blinded assessment. Participants were randomized to intervention or treat-as-usual (TAU) arms. The study occurred at two outpatient clinics in Shanghai and Beijing, China. Participants were 33 HIV-positive women who receiving care in either clinics in Beijing or Shanghai with thirteen in the intervention arm and eighteen in the TAU arm. The nurse-delivered intervention involved three, hour-long, face-to-face sessions over 4 weeks. Intervention content included relaxation, family support, coping skills, anxiety, stress, and depression management, cognitive-behavioral management and psycho-educational classes. The primary outcome were self-reported self-efficacy, social support and quality of life.
Results: Study participants average age was 42.5 years old, range from 19-70 years old. Majority of them were Han ethnicity (80.6%), and married (64.5%). Many of them (51.6%) were still full time or part time. In addition, more than half (58.1%) of the participants did not graduate from high school. About half of them (54.8%) have enough or barely adequate income to support the family. In all cross-sectional and longitudinal analyses, at both post-intervention (4 weeks) and follow-up (13 weeks) effects were in the hypothesized directions. Despite the small sample size, most of these between-arm comparisons were marginal statistically significant.
Conclusions: Our results suggest that self-management intervention will enhance the self-management in HIV-positive Chinese women and assist them to utilize more family support to ease the disease burden. In addition, nurse interventionist can deliver a counselling intervention in a clinic setting with the potential to decrease the disease stress and increase the coping skills of the HIV-positive women. Findings warrant future trials powered for efficacy.
Sigma Membership
Unknown
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Randomized Controlled Trial
Research Approach
N/A
Keywords:
HIV, Self-Management, Chinese
Recommended Citation
Chen, Wei-Ti, "Self-management in HIV-positive women in China: A pilot randomized controlled trial" (2016). INRC (Congress). 292.
https://www.sigmarepository.org/inrc/2016/presentations_2016/292
Conference Name
27th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Cape Town, South Africa
Conference Year
2016
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Acquisition
Proxy-submission
Self-management in HIV-positive women in China: A pilot randomized controlled trial
Cape Town, South Africa
Session presented on Friday, July 22, 2016:
Purpose: China is experiencing a rapid increase in the number of HIV infections. It is estimated that approximately 780,000 people are infected with HIV in China, 80% of whom are unaware that they are infected. The objective of this study was to conduct an intervention to assist self-management in HIV-positive women in China.
Methods: This was a pilot randomized controlled trial (RCT) with blinded assessment. Participants were randomized to intervention or treat-as-usual (TAU) arms. The study occurred at two outpatient clinics in Shanghai and Beijing, China. Participants were 33 HIV-positive women who receiving care in either clinics in Beijing or Shanghai with thirteen in the intervention arm and eighteen in the TAU arm. The nurse-delivered intervention involved three, hour-long, face-to-face sessions over 4 weeks. Intervention content included relaxation, family support, coping skills, anxiety, stress, and depression management, cognitive-behavioral management and psycho-educational classes. The primary outcome were self-reported self-efficacy, social support and quality of life.
Results: Study participants average age was 42.5 years old, range from 19-70 years old. Majority of them were Han ethnicity (80.6%), and married (64.5%). Many of them (51.6%) were still full time or part time. In addition, more than half (58.1%) of the participants did not graduate from high school. About half of them (54.8%) have enough or barely adequate income to support the family. In all cross-sectional and longitudinal analyses, at both post-intervention (4 weeks) and follow-up (13 weeks) effects were in the hypothesized directions. Despite the small sample size, most of these between-arm comparisons were marginal statistically significant.
Conclusions: Our results suggest that self-management intervention will enhance the self-management in HIV-positive Chinese women and assist them to utilize more family support to ease the disease burden. In addition, nurse interventionist can deliver a counselling intervention in a clinic setting with the potential to decrease the disease stress and increase the coping skills of the HIV-positive women. Findings warrant future trials powered for efficacy.