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
Jazyk: angličtina
Rok vydání: 2018
Předmět:
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