Positive health, dignity and prevention: Supporting people living with HIV to be experts in their own care

Advances in HIV treatment have transformed a nearly universally fatal disease into a manageable long-term medical condition. Treatment, however, requires long-term, active engagement and self-directed adherence to HIV medications, which can be challenging to manage. Factors influencing HIV management are multilevel and best understood from an interdisciplinary framework. This chapter reviews the interdisciplinary care model for HIV management, discusses barriers interfering with positive health outcomes in people living with HIV (PLWH), and positions motivational interviewing (MI) as particularly well suited to optimizing outcomes in an interdisciplinary context. This chapter advocates for the integration of MI into the care of PLWH throughout the HIV care continuum.

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Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325957414539195 ◽

2016 ◽

Vol 16 (2) ◽

pp. 140-148 ◽

Cited By ~ 6

Author(s):

Hellen Siril ◽

Mary C. Smith Fawzi ◽

Jim Todd ◽

Monique Wyatt ◽

Japheth Kilewo ◽

...

Keyword(s):

Positive Emotions ◽

Dar Es Salaam ◽

Hiv Care ◽

People Living With Hiv ◽

Health Seeking ◽

Positive Health ◽

Group Discussions ◽

Health Seeking Behaviors ◽

Care And Treatment ◽

Living With Hiv

The aims of this study were to describe how people living with HIV (PLWH) perceive hope and illustrate implications for HIV care and treatment. This is a qualitative study done to explore perceptions and meanings of hope among PLWH attending care and treatment clinics in Dar es Salaam, Tanzania. In all, 10 focus group discussions and 9 in-depth interviews were conducted. People living with HIV described the following 3 dimensions of hope: cognitive, positive emotions, and normalization. Being cognizant of the effectiveness of antiretroviral treatment (ART) often led to positive emotions, such as feeling comforted or strengthened, which in turn was related to positive actions toward normalizing life. Improved treatment outcomes facilitated hope, while persistent health problems, such as ART side effects, were sources of negative emotions contributing to loss of hope among PLWH. Hope motivated positive health-seeking behaviors, including adherence to ART, and this may guide interventions to help PLWH cope and live positively with HIV.

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Effectiveness of Mobile Positive Health Dignity and Prevention Messages on the Attitude of HIV Positive Young Adults receiving Antiretroviral Treatment in Yola, Nigeria

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.09.01.art016 ◽

2021 ◽

Vol 9 (1) ◽

pp. 143-153

Author(s):

S O Adeyemi

Keyword(s):

Young Adults ◽

Intervention Group ◽

Text Messages ◽

Hiv Positive ◽

Control Group ◽

People Living With Hiv ◽

Positive Health ◽

Prevention Messages ◽

Living With Hiv

Positive Health, Dignity, and Prevention (PHDP) is a term for HIV prevention interventions with people living with HIV. Negative attitudes toward HIV medications may restrict utilization of antiretroviral therapy. Young adults with HIV are less likely to be adherent to ART. We investigated the effectiveness of mobile Positive Health Dignity and Prevention messages on the attitudes of HIV positive young adults (18-30 years) enrolled in care in the ART comprehensive sites in Yola, Nigeria. This was a randomized controlled trials study consisting of 371 young people living with HIV enrolled into antiretroviral treatment (ART) in 6 comprehensive sites in Yola. In addition to the routine care received during ART refill, the intervention group (186) received a total of 48 daily mobile PHDP text messages for the duration of 48 days while the control group (185) also received 48 daily mobile personal hygiene text messages for the duration of 48 days as placebo. A pre- validated structured questionnaire was used for data collected. Data was collected at baseline, two, four and six months respectively. Data was analyzed using SPSS version 24. Test of significance was at α level 0.05. Mean ± SD attitude scores at baseline and 6-month follow-up were 38.46±4.657 and 40.04±4.943 respectively in the intervention group. The control group had mean ± SD attitude score of 35.92±4.677 at baseline and 35.88±4.704 at 6-month follow-up period. A repeated measures ANOVA with a Greenhouse-Geisser correction showed a significant increase in the mean attitude scores from based line to 6 months follow up differed statistically significantly between the time points (F (1.162, 210.381) = 155.479 p<0.001) in intervention group. The repeated ANOVA measures for the control group from baseline to 6 months follow up did not show a statistical difference between the time points (F (1.906, 343.144) = 0.950 p=0.384), and indicate no statistically significance was seen. Mobile positive health dignity and prevention text messages were effective in improving the attitude of young PLWHA towards ART in Nigeria.

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