Self-Management in HIV-Positive Women in China: A Pilot Randomized Controlled Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/616318
Category:
Full-text
Type:
Presentation
Title:
Self-Management in HIV-Positive Women in China: A Pilot Randomized Controlled Trial
Other Titles:
Effects of HIV/AIDS on Women
Author(s):
Chen, Wei-Ti
Lead Author STTI Affiliation:
Delta Mu
Author Details:
Wei-Ti Chen, CNM, RN, wei-ti.chen@yale.edu
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.
Keywords:
HIV; self-managment; Chinese
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16E04; INRC16E04
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleSelf-Management in HIV-Positive Women in China: A Pilot Randomized Controlled Trialen
dc.title.alternativeEffects of HIV/AIDS on Womenen
dc.contributor.authorChen, Wei-Tien
dc.contributor.departmentDelta Muen
dc.author.detailsWei-Ti Chen, CNM, RN, wei-ti.chen@yale.eduen
dc.identifier.urihttp://hdl.handle.net/10755/616318-
dc.description.abstractSession 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.en
dc.subjectHIVen
dc.subjectself-managmenten
dc.subjectChineseen
dc.date.available2016-07-13T11:09:47Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:09:47Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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