Assessing the Effectiveness of Multilevel Intervention Sequences on "Tension" Among Men Living with HIV: A Randomized-Control Trial.

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Toan Ha, Hui Shi, Bang Nguyen Pham, Aidan Dsouza, Roman Shrestha, Suresh V Kuchipudi, Hung N Luu, Ngoan Tran Le, Stephen L Schensul
{"title":"Assessing the Effectiveness of Multilevel Intervention Sequences on \"Tension\" Among Men Living with HIV: A Randomized-Control Trial.","authors":"Toan Ha, Hui Shi, Bang Nguyen Pham, Aidan Dsouza, Roman Shrestha, Suresh V Kuchipudi, Hung N Luu, Ngoan Tran Le, Stephen L Schensul","doi":"10.1007/s12529-024-10310-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Tension (often times called \"Tenshun\" in Hindi) is a cultural expression used to convey feelings of distress and common mental disorders in India and among South Asia communities. This study compared the effectiveness of different intervention sequences in reducing tension among alcohol-consuming men living with HIV in India.</p><p><strong>Method: </strong>This secondary data analysis paper utilized data from a randomized trial study titled \"Alcohol and Antiretroviral Therapy (ART) Adherence: Assessment, Intervention, and Modeling in India.\" The multilevel interventions, including individual counseling (IC), group intervention (GI), and collective advocacy (CA), were conducted sequentially over three cycles at three ART centers. Additionally, another ART center, serving as a pilot site, received all three interventions simultaneously in the final cycle. Participants completed surveys assessing demographic characteristics, tension, and other variables including HIV stigma, a 4-day ART adherence, HIV symptoms, and depressive symptoms at four time points: baseline, 9 months, 18 months, and 24 months. General linear mixed models were employed to assess the intervention effects on tension.</p><p><strong>Results: </strong>Out of 940 participants, 666 reported experiencing tension, including 54% reporting high tension. At site 1, the GI-CA-IC sequence resulted in a slope of -0.06, indicating that this sequence reduced tension from T1 to T4 compared to the control group (p < 0.01). Additionally, the pilot site where the intervention package was conducted simultaneously had a slope of -0.06, indicating that the intervention package also reduced tension compared to the control group (p < 0.01). Conversely, the CA-IC-GI sequence resulted in a slope of 0.07, indicating that this sequence resulted in significantly higher tension levels than the control group (p = 0.008) contrary to the expectation that the sequence would reduce tension.</p><p><strong>Conclusion: </strong>This study contributes valuable insights on the issue of tension among alcohol-consuming men living with HIV. The significant reduction in tension observed at the site using the GI-CA-IC sequence, which began with a group intervention, underscores the importance of intervention order and the importance of group intervention within multilevel intervention programs for tension reduction. Further research is needed to validate these observations and broaden our understanding of effective tension management strategies among people living with HIV in diverse settings.</p><p><strong>Trial registration: </strong>URL: clinicaltrials.gov.</p><p><strong>Registration number: </strong>NCT03746457.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Behavioral Medicine","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s12529-024-10310-5","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Tension (often times called "Tenshun" in Hindi) is a cultural expression used to convey feelings of distress and common mental disorders in India and among South Asia communities. This study compared the effectiveness of different intervention sequences in reducing tension among alcohol-consuming men living with HIV in India.

Method: This secondary data analysis paper utilized data from a randomized trial study titled "Alcohol and Antiretroviral Therapy (ART) Adherence: Assessment, Intervention, and Modeling in India." The multilevel interventions, including individual counseling (IC), group intervention (GI), and collective advocacy (CA), were conducted sequentially over three cycles at three ART centers. Additionally, another ART center, serving as a pilot site, received all three interventions simultaneously in the final cycle. Participants completed surveys assessing demographic characteristics, tension, and other variables including HIV stigma, a 4-day ART adherence, HIV symptoms, and depressive symptoms at four time points: baseline, 9 months, 18 months, and 24 months. General linear mixed models were employed to assess the intervention effects on tension.

Results: Out of 940 participants, 666 reported experiencing tension, including 54% reporting high tension. At site 1, the GI-CA-IC sequence resulted in a slope of -0.06, indicating that this sequence reduced tension from T1 to T4 compared to the control group (p < 0.01). Additionally, the pilot site where the intervention package was conducted simultaneously had a slope of -0.06, indicating that the intervention package also reduced tension compared to the control group (p < 0.01). Conversely, the CA-IC-GI sequence resulted in a slope of 0.07, indicating that this sequence resulted in significantly higher tension levels than the control group (p = 0.008) contrary to the expectation that the sequence would reduce tension.

Conclusion: This study contributes valuable insights on the issue of tension among alcohol-consuming men living with HIV. The significant reduction in tension observed at the site using the GI-CA-IC sequence, which began with a group intervention, underscores the importance of intervention order and the importance of group intervention within multilevel intervention programs for tension reduction. Further research is needed to validate these observations and broaden our understanding of effective tension management strategies among people living with HIV in diverse settings.

Trial registration: URL: clinicaltrials.gov.

Registration number: NCT03746457.

Abstract Image

评估多层次干预序列对男性艾滋病感染者 "紧张 "情绪的影响:随机对照试验。
背景:在印度和南亚社区,紧张(印地语通常称为 "Tenshun")是一种文化表达方式,用于表达痛苦的感觉和常见的精神障碍。本研究比较了不同干预顺序对减轻印度感染艾滋病的饮酒男性紧张情绪的效果:这篇二手数据分析论文利用了一项名为 "酒精与抗逆转录病毒疗法(ART)依从性 "的随机试验研究中的数据:印度的评估、干预和建模 "的随机试验研究数据。多层次干预包括个人咨询(IC)、小组干预(GI)和集体倡导(CA),在三个抗逆转录病毒疗法中心的三个周期内依次进行。此外,另一个抗逆转录病毒疗法中心作为试点,在最后一个周期同时接受所有三种干预。参与者在四个时间点(基线、9 个月、18 个月和 24 个月)完成了调查,评估人口统计学特征、紧张度和其他变量,包括 HIV 耻辱感、4 天抗逆转录病毒疗法坚持率、HIV 症状和抑郁症状。采用一般线性混合模型来评估干预对紧张情绪的影响:结果:在 940 名参与者中,有 666 人报告说经历过紧张,其中 54% 的人报告说高度紧张。在第 1 地点,GI-CA-IC 序列的斜率为-0.06,表明与对照组相比,该序列降低了从 T1 到 T4 的紧张度(p 结论:该研究为治疗紧张症提供了有价值的见解:这项研究为了解感染艾滋病毒的男性饮酒者的紧张问题提供了宝贵的见解。在使用 GI-CA-IC 顺序(以小组干预开始)的地点观察到的紧张度明显降低,强调了干预顺序的重要性,以及在多层次干预计划中小组干预对降低紧张度的重要性。我们需要进一步的研究来验证这些观察结果,并拓宽我们对不同环境中艾滋病病毒感染者的有效紧张管理策略的理解:URL: clinicaltrials.gov.Registration number:NCT03746457.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信