Randomized Clinical Trial of a Community Navigation Intervention to Improve Well-being in Persons Living with HIV and Other Co-morbidities
Autor: | Stephen J. Ganocy, Jacquelyn Slomka, Charles Wellman, Ann Avery, Allison R. Webel, Barbara J. Daly, Maryjo Prince-Paul, Evelina DiFranco |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Gerontology
Adult Male Coping (psychology) Community-Based Participatory Research Health (social science) Palliative care Social Psychology Navigator Program Human immunodeficiency virus (HIV) HIV Infections Comorbidity medicine.disease_cause Article law.invention 03 medical and health sciences Social support 0302 clinical medicine Randomized controlled trial Acquired immunodeficiency syndrome (AIDS) law Adaptation Psychological Medicine Humans Patient Navigation 030212 general & internal medicine 030505 public health business.industry Self-Management Palliative Care Public Health Environmental and Occupational Health Social Support Middle Aged medicine.disease Outcome and Process Assessment Health Care Well-being Chronic Disease Quality of Life Female 0305 other medical science business |
Zdroj: | AIDS Care |
Popis: | Long-term survival of people living with HIV (PLWH) is associated with the development of co-morbid conditions and need for symptom management and other efforts to enhance quality of life. We conducted a longitudinal, randomized trial over 36 months to evaluate the effect of a community-based navigator intervention to provide early palliative care to 179 PLWH and other chronic conditions. Outcomes included quality of life, symptom management, coping ability, social support, self-management, and completion of advance directives. Data were analyzed using SAS mixed effects model repeat measurement. Our navigator program showed variable improvement over time of three outcome variables, self-blame, symptom distress, and HIV self-management. However, the program did not improve overall quality of life, social support, or completion of advance directives. |
Databáze: | OpenAIRE |
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