Social self-value intervention for empowerment of HIV infected people using antiretroviral treatment: a randomized controlled trial
Identifieur interne : 000D96 ( Main/Exploration ); précédent : 000D95; suivant : 000D97Social self-value intervention for empowerment of HIV infected people using antiretroviral treatment: a randomized controlled trial
Auteurs : Dharma Nand Bhatta [Népal, Thaïlande] ; Tippawan Liabsuetrakul [Thaïlande]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2016.
Abstract
Prevention and antiretroviral therapy (ART) management for human immunodeficiency virus (HIV) infected people need to have long-term health care. An empowerment focused intervention is a procedure by which HIV infected people obtain combined possession of programs to attain mainly cost-effective HIV outcomes and deal with social and structural difficulties related to their universal health access and human rights. Empowerment is a key approach for addressing HIV related issues that focuses on addressing a broader context. However, the practices of empowerment based approaches are sparse. We assessed the effect of an intervention to empower HIV infected people receiving ART.
In this open-label randomized controlled trial, HIV infected people from Nepal who were using ART from 6 to 24 months and were aged 18 years and above were randomly assigned to receive either the intervention or routine care. The intervention was led by two counselors for a period lasting six weeks. Participants were followed up at three and six months after the baseline. The primary outcome was change in empowerment scores, analyzed by using Difference-in-Difference (DiD).
Between September and November 2014, 1447 HIV infected people were screened, of whom 132 were randomly assigned to the intervention (
Social self-value intervention provided to HIV infected people during ART increased their empowerment. This intervention can be expanded to be utilized in routine services.
Thai Clinical Trials Registry, number
Url:
DOI: 10.1186/s12879-016-1634-8
PubMed: 27287712
PubMed Central: 4902994
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Social self-value intervention for empowerment of HIV infected people using antiretroviral treatment: a randomized controlled trial</title><author><name sortKey="Bhatta, Dharma Nand" sort="Bhatta, Dharma Nand" uniqKey="Bhatta D" first="Dharma Nand" last="Bhatta">Dharma Nand Bhatta</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Public Health, Pokhara University, Nobel College, Kathmandu, Nepal</nlm:aff><country xml:lang="fr">Népal</country><wicri:regionArea>Department of Public Health, Pokhara University, Nobel College, Kathmandu</wicri:regionArea><wicri:noRegion>Kathmandu</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla</wicri:regionArea><wicri:noRegion>Songkhla</wicri:noRegion></affiliation></author><author><name sortKey="Liabsuetrakul, Tippawan" sort="Liabsuetrakul, Tippawan" uniqKey="Liabsuetrakul T" first="Tippawan" last="Liabsuetrakul">Tippawan Liabsuetrakul</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla</wicri:regionArea><wicri:noRegion>Songkhla</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27287712</idno><idno type="pmc">4902994</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902994</idno><idno type="RBID">PMC:4902994</idno><idno type="doi">10.1186/s12879-016-1634-8</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000612</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000612</idno><idno type="wicri:Area/Pmc/Curation">000611</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000611</idno><idno type="wicri:Area/Pmc/Checkpoint">000477</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000477</idno><idno type="wicri:Area/Ncbi/Merge">003825</idno><idno type="wicri:Area/Ncbi/Curation">003825</idno><idno type="wicri:Area/Ncbi/Checkpoint">003825</idno><idno type="wicri:Area/Main/Merge">000D96</idno><idno type="wicri:Area/Main/Curation">000D96</idno><idno type="wicri:Area/Main/Exploration">000D96</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Social self-value intervention for empowerment of HIV infected people using antiretroviral treatment: a randomized controlled trial</title><author><name sortKey="Bhatta, Dharma Nand" sort="Bhatta, Dharma Nand" uniqKey="Bhatta D" first="Dharma Nand" last="Bhatta">Dharma Nand Bhatta</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Public Health, Pokhara University, Nobel College, Kathmandu, Nepal</nlm:aff><country xml:lang="fr">Népal</country><wicri:regionArea>Department of Public Health, Pokhara University, Nobel College, Kathmandu</wicri:regionArea><wicri:noRegion>Kathmandu</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla</wicri:regionArea><wicri:noRegion>Songkhla</wicri:noRegion></affiliation></author><author><name sortKey="Liabsuetrakul, Tippawan" sort="Liabsuetrakul, Tippawan" uniqKey="Liabsuetrakul T" first="Tippawan" last="Liabsuetrakul">Tippawan Liabsuetrakul</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla</wicri:regionArea><wicri:noRegion>Songkhla</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Prevention and antiretroviral therapy (ART) management for human immunodeficiency virus (HIV) infected people need to have long-term health care. An empowerment focused intervention is a procedure by which HIV infected people obtain combined possession of programs to attain mainly cost-effective HIV outcomes and deal with social and structural difficulties related to their universal health access and human rights. Empowerment is a key approach for addressing HIV related issues that focuses on addressing a broader context. However, the practices of empowerment based approaches are sparse. We assessed the effect of an intervention to empower HIV infected people receiving ART.</p></sec><sec><title>Methods</title><p>In this open-label randomized controlled trial, HIV infected people from Nepal who were using ART from 6 to 24 months and were aged 18 years and above were randomly assigned to receive either the intervention or routine care. The intervention was led by two counselors for a period lasting six weeks. Participants were followed up at three and six months after the baseline. The primary outcome was change in empowerment scores, analyzed by using Difference-in-Difference (DiD).</p></sec><sec><title>Results</title><p>Between September and November 2014, 1447 HIV infected people were screened, of whom 132 were randomly assigned to the intervention (<italic>n</italic> = 66) or control (<italic>n</italic> = 66) group. All the participants completed the 3- and 6- months follow up. A significant difference in mean empowerment score was found between the groups at 3- (46.77, <italic>p</italic>-value <0.001) and 6- (49.71, <italic>p</italic>-value <0.001) months follow up. The average treatment effect (after matching intervention and control individuals) showed that the participants who received the intervention increased their mean empowerment scores from baseline by 47.05 (<italic>p</italic>-value <0.001, at three months) and 49.87 (<italic>p</italic>-value <0.001, at six months) than those who did not receive the intervention. No adverse events were reported.</p></sec><sec><title>Conclusion</title><p>Social self-value intervention provided to HIV infected people during ART increased their empowerment. This intervention can be expanded to be utilized in routine services.</p></sec><sec><title>Trial registration</title><p>Thai Clinical Trials Registry, number <ext-link ext-link-type="uri" xlink:href="http://www.clinicaltrials.in.th">TCTR20140814002</ext-link>.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Naghavi, M" uniqKey="Naghavi M">M Naghavi</name></author><author><name sortKey="Wang, H" uniqKey="Wang H">H Wang</name></author><author><name sortKey="Lozano, R" uniqKey="Lozano R">R Lozano</name></author><author><name sortKey="Davis, A" uniqKey="Davis A">A Davis</name></author><author><name sortKey="Liang, X" uniqKey="Liang X">X Liang</name></author><author><name sortKey="Zhou, M" uniqKey="Zhou M">M Zhou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vos, T" uniqKey="Vos T">T Vos</name></author><author><name sortKey="Barber, Rm" uniqKey="Barber R">RM 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Higa</name></author><author><name sortKey="Vosburgh, W" uniqKey="Vosburgh W">W Vosburgh</name></author><author><name sortKey="Mullins, Mm" uniqKey="Mullins M">MM Mullins</name></author><author><name sortKey="Barham, T" uniqKey="Barham T">T Barham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kerrigan, D" uniqKey="Kerrigan D">D Kerrigan</name></author><author><name sortKey="Kennedy, Ce" uniqKey="Kennedy C">CE Kennedy</name></author><author><name sortKey="Morgan Thomas, R" uniqKey="Morgan Thomas R">R Morgan-Thomas</name></author><author><name sortKey="Reza Paul, S" uniqKey="Reza Paul S">S Reza-Paul</name></author><author><name sortKey="Mwangi, P" uniqKey="Mwangi P">P Mwangi</name></author><author><name sortKey="Win, Kt" uniqKey="Win K">KT Win</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaihin, R" uniqKey="Kaihin R">R Kaihin</name></author><author><name sortKey="Kasatpibal, N" uniqKey="Kasatpibal N">N Kasatpibal</name></author><author><name sortKey="Chitreechuer, J" uniqKey="Chitreechuer J">J Chitreechuer</name></author><author><name sortKey="Grimes, Rm" uniqKey="Grimes R">RM Grimes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mayfield Arnold, E" uniqKey="Mayfield Arnold E">E Mayfield Arnold</name></author><author><name sortKey="Rice, E" uniqKey="Rice E">E Rice</name></author><author><name sortKey="Flannery, D" uniqKey="Flannery D">D Flannery</name></author><author><name sortKey="Rotheram Borus, Mj" uniqKey="Rotheram Borus M">MJ Rotheram-Borus</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mccambridge, J" uniqKey="Mccambridge J">J McCambridge</name></author><author><name sortKey="Witton, J" uniqKey="Witton J">J Witton</name></author><author><name sortKey="Elbourne, Dr" uniqKey="Elbourne D">DR Elbourne</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Népal</li><li>Thaïlande</li></country></list><tree><country name="Népal"><noRegion><name sortKey="Bhatta, Dharma Nand" sort="Bhatta, Dharma Nand" uniqKey="Bhatta D" first="Dharma Nand" last="Bhatta">Dharma Nand Bhatta</name></noRegion></country><country name="Thaïlande"><noRegion><name sortKey="Bhatta, Dharma Nand" sort="Bhatta, Dharma Nand" uniqKey="Bhatta D" first="Dharma Nand" last="Bhatta">Dharma Nand Bhatta</name></noRegion><name sortKey="Liabsuetrakul, Tippawan" sort="Liabsuetrakul, Tippawan" uniqKey="Liabsuetrakul T" first="Tippawan" last="Liabsuetrakul">Tippawan Liabsuetrakul</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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