IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v96y2023ics014971892200129x.html

A process and impact evaluation of a peer-led HIV self-management program

Author

Listed:
  • Feldman, Matthew B.
  • Tran, Trang T.
  • Boucher, Lisa M.
  • Abdelqader, Faisal
  • Raker, Amanda R.
  • Hile, Stephen J.

Abstract

There is evidence that people with HIV (PWH) receive health-related benefits from having peer support and learning self-management skills. This evaluation assessed the effect of The Positive Life Workshop (TPLW)—a 7-session peer-led HIV self-management program—on psychosocial and HIV treatment outcomes. The overall sample included 1360 PWH who completed TPLW during 3/2015–2/2019. Surveys were administered before and after the program, and three months following program completion. Analyses examined changes in outcomes from pre-test to both post-test and 3-month follow-up using non-parametric tests. Subgroup analyses were conducted for 406 participants with ≥ 1 characteristic of the priority population for TPLW (i.e., recent HIV diagnosis, not taking antiretroviral therapy (ART), suboptimal ART adherence, unsuppressed viral load). In the overall sample, there were statistically significant improvements in HIV-related knowledge, social support, patient self-advocacy, and confidence in self-management between pre-test and post-test/3-month follow-up assessment. Analyses for the priority population showed significant increases from pre-test to 3-month follow-up in the proportion of participants who were ≥ 90 % adherent to ART (59–83 %, p < 0.01) and virally suppressed (42 % to 66 %, p < 0.01). The findings suggest the importance of ensuring HIV self-management interventions reach vulnerable populations of PWH who struggle with initiating and maintaining HIV-related health-promoting behaviors.

Suggested Citation

  • Feldman, Matthew B. & Tran, Trang T. & Boucher, Lisa M. & Abdelqader, Faisal & Raker, Amanda R. & Hile, Stephen J., 2023. "A process and impact evaluation of a peer-led HIV self-management program," Evaluation and Program Planning, Elsevier, vol. 96(C).
    • Handle: RePEc:eee:epplan:v:96:y:2023:i:c:s014971892200129x
    DOI: 10.1016/j.evalprogplan.2022.102175
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S014971892200129X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2022.102175?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Kim Engler & David Lessard & Bertrand Lebouché, 2017. "A Review of HIV-Specific Patient-Reported Outcome Measures," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 10(2), pages 187-202, April.
    2. Victora, C.G. & Habicht, J.-P. & Bryce, J., 2004. "Evidence-Based Public Health: Moving Beyond Randomized Trials," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 400-405.
    3. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
    4. Sokol, R. & Fisher, E., 2016. "Peer Support for the Hardly Reached: A Systematic Review," American Journal of Public Health, American Public Health Association, vol. 106(7), pages 1-8.
    5. Sokol, R. & Fisher, E., 2016. "Peer support for the hardly reached: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(7), pages 1-8.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kia, Hannah & MacKinnon, Kinnon Ross & Abramovich, Alex & Bonato, Sarah, 2021. "Peer support as a protective factor against suicide in trans populations: A scoping review," Social Science & Medicine, Elsevier, vol. 279(C).
    2. Anna Price & Siân de Bell & Naomi Shaw & Alison Bethel & Rob Anderson & Jo Thompson Coon, 2022. "What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(3), September.
    3. Laura K. Bech & Camilla Borch Jacobsen & Anne Sophie Mathiesen & Thordis Thomsen, 2019. "Preferring to manage by myself: A qualitative study of the perspectives of hardly reached people with type 2 diabetes on social support for diabetes management," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1889-1898, May.
    4. Wallace, Carolyn & Farmer, Jane & McCosker, Anthony, 2019. "Boundary spanning practices of community connectors for engaging ‘hardly reached’ people in health services," Social Science & Medicine, Elsevier, vol. 232(C), pages 366-373.
    5. Tricia K Gatlin & Reimund Serafica & Michael Johnson, 2017. "Systematic review of peer education intervention programmes among individuals with type 2 diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4212-4222, December.
    6. Reham Shalaby & Pamela Spurvey & Michelle Knox & Rebecca Rathwell & Wesley Vuong & Shireen Surood & Liana Urichuk & Mark Snaterse & Andrew J. Greenshaw & Xin-Min Li & Vincent I. O. Agyapong, 2022. "Clinical Outcomes in Routine Evaluation Measures for Patients Discharged from Acute Psychiatric Care: Four-Arm Peer and Text Messaging Support Controlled Observational Study," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    7. Mullard, Jordan C.R. & Kawalek, Jessica & Parkin, Amy & Rayner, Clare & Mir, Ghazala & Sivan, Manoj & Greenhalgh, Trisha, 2023. "Towards evidence-based and inclusive models of peer support for long covid: A hermeneutic systematic review," Social Science & Medicine, Elsevier, vol. 320(C).
    8. Bourke, Lisa & Mitchell, Olivia & Mohamed Shaburdin, Zubaidah & Malatzky, Christina & Anam, Mujibul & Farmer, Jane, 2021. "Building readiness for inclusive practice in mainstream health services: A pre-inclusion framework to deconstruct exclusion," Social Science & Medicine, Elsevier, vol. 289(C).
    9. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    10. repec:plo:pone00:0135879 is not listed on IDEAS
    11. Drescher, Larissa S. & Hasselbach, Johanna, 2014. "Food Choices under Stress: Considering Internet Usage and Social Support," 2014 AAEA/EAAE/CAES Joint Symposium: Social Networks, Social Media and the Economics of Food, May 29-30, 2014, Montreal, Canada 166097, Agricultural and Applied Economics Association.
    12. Rhodes, Tim & Lancaster, Kari, 2019. "Evidence-making interventions in health: A conceptual framing," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    13. Tan, Micah & Straughan, Paulin Tay & Cheong, Grace, 2022. "Information trust and COVID-19 vaccine hesitancy amongst middle-aged and older adults in Singapore: A latent class analysis Approach," Social Science & Medicine, Elsevier, vol. 296(C).
    14. Ya-Ting Tseng & Chia-Hsun Hsieh & Chien-Wei Hung & Chia-Chia Chen & Shu-Hui Lee & Li-Yun Lee & Shu-Ching Chen, 2021. "Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
    15. Denise Catalano & Linda Holloway & Elias Mpofu, 2018. "Mental Health Interventions for Parent Carers of Children with Autistic Spectrum Disorder: Practice Guidelines from a Critical Interpretive Synthesis (CIS) Systematic Review," IJERPH, MDPI, vol. 15(2), pages 1-23, February.
    16. Dan Song & Doris S.F. Yu & Polly W.C. Li & Qiuhua Sun, 2019. "Identifying the Factors Related to Depressive Symptoms Amongst Community-Dwelling Older Adults with Mild Cognitive Impairment," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    17. repec:plo:pone00:0155434 is not listed on IDEAS
    18. Valéria Teresa Saraiva Lino & Nádia Cristina Pinheiro Rodrigues & Mônica Kramer de Noronha Andrade & Inês Nascimento de Carvalho Reis & Lucília Almeida Elias Lopes & Soraya Atie, 2019. "Association between visual problems, insufficient emotional support and urinary incontinence with disability in elderly people living in a poor district in Rio de Janeiro, Brazil: A six-year follow-up study," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-12, May.
    19. Jerant, Anthony F. & Azari, Rahman S. & Nesbitt, Thomas S. & Edwards-Goodbee, Adrienne & Meyers, Frederick J., 2006. "The palliative care in assisted living (PCAL) pilot study: Successes, shortfalls, and methodological implications," Social Science & Medicine, Elsevier, vol. 62(1), pages 199-207, January.
    20. K. Thoonen & L. van Osch & H. de Vries & S. Jongen & F. Schneider, 2020. "Are Environmental Interventions Targeting Skin Cancer Prevention among Children and Adolescents Effective? A Systematic Review," IJERPH, MDPI, vol. 17(2), pages 1-29, January.
    21. Eugenio Zucchelli & Andrew M Jones & Nigel Rice, 2012. "The evaluation of health policies through dynamic microsimulation methods," International Journal of Microsimulation, International Microsimulation Association, vol. 5(1), pages 2-20.
    22. Mélanie Levasseur & Daniel Naud & Jean-François Bruneau & Mélissa Généreux, 2020. "Environmental Characteristics Associated with Older Adults’ Social Participation: The Contribution of Sociodemography and Transportation in Metropolitan, Urban, and Rural Areas," IJERPH, MDPI, vol. 17(22), pages 1-15, November.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:96:y:2023:i:c:s014971892200129x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.