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A process and impact evaluation of a peer-led HIV self-management program
Matthew B Feldman1, Trang T Tran1, Lisa M Boucher2
1The New York City Department of Health and Mental Hygiene, Division of Disease Control, Bureau of Hepatitis, HIV, and Sexually Transmitted Infections, 42-09 28th Street, Queens, NY 11101, United States.
Evaluation and Program Planning
|December 2, 2022
Summary
The Positive Life Workshop, a peer-led HIV self-management program, improved knowledge, support, and confidence for people with HIV (PWH). It significantly boosted antiretroviral therapy (ART) adherence and viral suppression in priority populations.
Area of Science:
- Public Health
- Behavioral Science
- HIV/AIDS Research
Background:
- Peer support and self-management skills offer health benefits to people with HIV (PWH).
- The Positive Life Workshop (TPLW) is a peer-led, 7-session HIV self-management program.
- Evaluating TPLW's impact on psychosocial and treatment outcomes is crucial for vulnerable PWH.
Purpose of the Study:
- To assess the effectiveness of The Positive Life Workshop (TPLW) on psychosocial and HIV treatment outcomes.
- To examine changes in HIV self-management, adherence, and viral suppression.
- To identify benefits for priority populations of PWH.
Main Methods:
- A total of 1360 PWH completed TPLW between March 2015 and February 2019.
- Surveys were administered pre-program, post-program, and at 3-month follow-up.
- Non-parametric tests analyzed outcome changes; subgroup analyses focused on priority populations.
Main Results:
- Statistically significant improvements were observed in HIV knowledge, social support, self-advocacy, and self-management confidence overall.
- For priority populations, adherence to antiretroviral therapy (ART) increased from 59% to 83% (p < 0.01).
- Viral suppression rates in priority populations rose from 42% to 66% (p < 0.01) by 3-month follow-up.
Conclusions:
- HIV self-management interventions like TPLW are vital for improving health outcomes.
- Targeting vulnerable PWH populations with these programs is essential for sustained health behaviors.
- TPLW demonstrates significant positive effects on ART adherence and viral suppression.
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