Community-based Self-management of HIV and Chronic Disease

基于社区的艾滋病毒和慢性病自我管理

基本信息

批准号：
7363666
负责人：
SHERYL L CATZ
金额：
$ 67.62万
依托单位：
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-03-01 至 2012-02-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7363666
关键词：
AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Adherence Adopted Age Aging American Anti-Retroviral Agents Arthritis Attention Behavior Books Characteristics Chronic Chronic Disease Chronic Hepatitis C Chronically Ill Communities Complex Condition Consultations Counseling Development Diabetes Mellitus Disease Management Disease Progression Education Elderly Enrollment Evidence based intervention HIV Health Heart Diseases Hypertension Intervention Intervention Studies Life Literature Lung diseases Medical Mental Depression Mental Health Modeling Motivation NIH Program Announcements Numbers Outcome Measure Participant Personal Satisfaction Persons Pharmaceutical Preparations Phase Physical Function Population Problem Solving Protocols documentation Quality of life Randomized Randomized Controlled Trials Range Readiness Recruitment Activity Research Research Personnel Resources Self Efficacy Self Management Services Site Social Functioning Social isolation Stigmata Stress Telephone Testing Training Transportation Upper arm Work age group aged aging population base chronic pain comparison group coping cost desire disability follow-up health related quality of life improved medication compliance member programs response self help skills skills training social stigma symptom management treatment program

项目摘要

DESCRIPTION (provided by applicant): A growing number of Americans living with HIV/ AIDS are aged 50 or older. The majority of HIV+ older persons must manage multiple chronic health conditions, which increases the challenge of self-managing their health. However, little work has addressed this issue. Pilot research showed this population desires assistance with HIV management and adherence, chronic disease management, and quality of life. Prior research has also shown telephone counseling to be acceptable, feasible, and efficacious in improving coping among older HIV+ persons. We are therefore seeking to test the efficacy of an individualized telephone counseling intervention focused on HIV treatment adherence and chronic disease self- management. A telephone format has potential to increase access to self-management support services among older adults who may be isolated or in poor health. Primary aims are to conduct a randomized controlled trial with 450 persons recruited from community-based AIDS Service Organizations (ASOs) who are aged 50+ years and living with HIV/AIDS and other chronic conditions. We will evaluate the efficacy of an experimental 10-session individually-tailored telephone counseling intervention, as compared to a 10- session attention-matched didactic telephone group comparison arm, and an information-matched book only control arm. Primary outcome measures are HIV treatment adherence and health-related quality of life at baseline, 6, 9, and 12-month follow-ups. Secondary aims are to evaluate between group differences in: (a) overall chronic disease treatment adherence; (b) problem-solving skills, self-efficacy, and readiness to change; and (c) perceived stress and depression. Development of an individualized intervention to enhance HIV-specific and general chronic illness self-management skills and motivation among persons aged 50 and older living with HIV/AIDS and other comorbid chronic conditions will help to address the broad needs of this population. Our proposed intervention and recruitment plan capitalizes on the strengths of existing community-based organizations, and in the long-term may have the potential to help build their capacity to serve older persons with HIV. The proposed intervention model and format could also be generalizable to other populations of persons with multiple chronic conditions..

描述（由申请人提供）：越来越多的美国人感染艾滋病毒/艾滋病，年龄在 50 岁或以上。大多数艾滋病病毒感染者老年人必须应对多种慢性健康状况，这增加了自我管理健康的挑战。然而，很少有工作解决这个问题。试点研究表明，该人群希望在艾滋病毒管理和依从性、慢性病管理和生活质量方面获得帮助。先前的研究还表明，电话咨询在改善老年艾滋病病毒感染者的应对方面是可接受的、可行的且有效的。因此，我们正在寻求测试针对艾滋病毒治疗依从性和慢性病自我管理的个性化电话咨询干预措施的有效性。电话形式有可能增加可能被孤立或健康状况不佳的老年人获得自我管理支持服务的机会。主要目的是对从社区艾滋病服务组织 (ASO) 招募的 450 名年龄在 50 岁以上、患有艾滋病毒/艾滋病和其他慢性病的人进行一项随机对照试验。我们将评估实验性 10 次单独定制的电话咨询干预的效果，与 10 次注意力匹配的教学电话组比较臂和仅信息匹配的书籍对照臂相比。主要结局指标是基线、6、9 和 12 个月随访时的 HIV 治疗依从性和健康相关生活质量。次要目标是评估各组之间在以下方面的差异： (a) 总体慢性病治疗依从性； (b) 解决问题的能力、自我效能和改变的意愿； (c) 感知到的压力和抑郁。制定个性化干预措施，以提高 50 岁及以上艾滋病毒/艾滋病和其他合并慢性病患者的艾滋病毒特异性和一般慢性病自我管理技能和积极性，将有助于满足该人群的广泛需求。我们提出的干预和招募计划利用了现有社区组织的优势，从长远来看，可能有潜力帮助他们建设为感染艾滋病毒的老年人提供服务的能力。拟议的干预模式和形式也可以推广到患有多种慢性病的其他人群。