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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
PubMed
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.

Keywords:
HIVImpact evaluationProcess evaluationProgramSelf-management

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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.