Addressing Stigma Through a Virtual Community for People Living with HIV: A Mixed Methods Study of the PositiveLinks Mobile Health Intervention
| Autor: | Wendy F. Cohn, Claire DeBolt, Alice Xie, Alison Kosmacki, Ava Lena Waldman, Karen S. Ingersoll, Marika Grabowski, George Reynolds, Rebecca Dillingham, Tabor E. Flickinger, Mark R. Conaway |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Social Psychology Social Stigma Stigma (botany) HIV Infections Pilot Projects Interpersonal communication Ambulatory Care Facilities Health intervention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Acquired immunodeficiency syndrome (AIDS) medicine Humans Mobile health 030212 general & internal medicine Original Paper 030505 public health Public health Public Health Environmental and Occupational Health Smartphone app Middle Aged medicine.disease Mobile Applications Telemedicine Stigma Health psychology Infectious Diseases Quality of Life HIV/AIDS Female Smartphone 0305 other medical science Psychology PositiveLinks Clinical psychology Intrapersonal communication |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-018-2174-6 |
| Popis: | Stigma has negative consequences for quality of life and HIV care outcomes. PositiveLinks is a mobile health intervention that includes a secure anonymous community message board (CMB). We investigated discussion of stigma and changes in stigma scores. Of 77 participants in our pilot, 63% were male, 49% Black, and 72% had incomes below the federal poverty level. Twenty-one percent of CMB posts (394/1834) contained stigma-related content including negative (experiencing stigma) and positive (overcoming stigma) posts addressing intrapersonal and interpersonal stigma. Higher baseline stigma was positively correlated with stress and negatively correlated with HIV care self-efficacy. 12-month data showed a trend toward more improved stigma scores for posters on the CMB versus non-posters (− 4.5 vs − 0.63) and for posters of stigma-related content versus other content (− 5.1 vs − 3.3). Preliminary evidence suggests that a supportive virtual community, accessed through a clinic-affiliated smartphone app, can help people living with HIV to address stigma. |
| Databáze: | OpenAIRE |
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