Social self-value intervention for empowerment of HIV infected people using antiretroviral treatment: a randomized controlled trial
Identifieur interne : 003825 ( Ncbi/Curation ); précédent : 003824; suivant : 003826Social 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
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<affiliation wicri:level="1"><nlm:aff id="Aff2">Faculty of Medicine, Epidemiology Unit, Prince of Songkla University, Songkhla, Thailand</nlm:aff>
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<author><name sortKey="Liabsuetrakul, Tippawan" sort="Liabsuetrakul, Tippawan" uniqKey="Liabsuetrakul T" first="Tippawan" last="Liabsuetrakul">Tippawan Liabsuetrakul</name>
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<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>
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<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>
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<author><name sortKey="Liabsuetrakul, Tippawan" sort="Liabsuetrakul, Tippawan" uniqKey="Liabsuetrakul T" first="Tippawan" last="Liabsuetrakul">Tippawan Liabsuetrakul</name>
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<series><title level="j">BMC Infectious Diseases</title>
<idno type="eISSN">1471-2334</idno>
<imprint><date when="2016">2016</date>
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<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>
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