Development and Piloting of a Home-Based Couples Intervention During Pregnancy and Postpartum in Southwestern Kenya
| Autor: | Pamela Musoke, Anna Helova, Elly Weke, George Owino, Patrick Oyaro, Anna Joy Rogers, Janet M. Turan, Elizabeth A. Bukusi, Zachary Kwena, Jami L. Anderson, Lynae A. Darbes, Abigail M. Hatcher |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Counseling Male Rural Population 0301 basic medicine medicine.medical_specialty Health Behavior Human immunodeficiency virus (HIV) HIV Infections Pilot Projects medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Pregnancy Intervention (counseling) Outcome Assessment Health Care medicine Humans Mass Screening 030212 general & internal medicine Mass screening Family health business.industry Clinical and Epidemiologic Research Postpartum Period Public Health Environmental and Occupational Health food and beverages medicine.disease Home Care Services Kenya 030112 virology Home based Infectious Disease Transmission Vertical Sexual Partners Infectious Diseases Family medicine Female Pregnant Women Health behavior business Postpartum period |
| Zdroj: | AIDS Patient Care and STDs. 32:92-103 |
| ISSN: | 1557-7449 1087-2914 |
| DOI: | 10.1089/apc.2017.0285 |
| Popis: | Engaging both partners of a pregnant couple can enhance prevention of mother-to-child transmission of HIV and promote family health. We developed and piloted an intervention to promote couple collaboration in health during pregnancy and postpartum in southwestern Kenya. We utilized formative data and stakeholder input to inform development of a home-based couples intervention. Next, we randomized pregnant women to intervention (n = 64) or standard care (n = 63) arms, subsequently contacting their male partners for enrollment. In the intervention arm, lay health workers conducted couple home visits, including health education, couple relationship and communication skills, and offers of couple HIV testing and counseling (CHTC) services. Follow-up questionnaires were conducted 3 months postpartum (n = 114 women, 86 men). Baseline characteristics and health behaviors were examined by study arm using t-tests, chi-square tests, and regression analyses. Of the 127 women randomized, 96 of their partners participated in the study. Of 52 enrolled couples in the intervention arm, 94% completed at least one couple home visit. Over 93% of participants receiving couple home visits were satisfied and no adverse social consequences were reported. At follow-up, intervention couples had a 2.78 relative risk of having participated in CHTC during the study period compared with standard care couples (95% confidence interval: 1.63–4.75), and significant associations were observed in other key perinatal health behaviors. This pilot study revealed that a home-based couples intervention for pregnant women and male partners is acceptable, feasible, and has the potential to enhance CHTC and perinatal health behaviors, leading to improved health outcomes. |
| Databáze: | OpenAIRE |
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