Journal Title
Title of Journal: AIDS Behav
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Abbravation: AIDS and Behavior
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Authors: Tanya Millard Paul A Agius Karalyn McDonald Sean Slavin Sonya Girdler Julian H Elliott
Publish Date: 2016/02/20
Volume: 20, Issue: 9, Pages: 1907-1918
Abstract
The aim of this paper was to evaluate the effectiveness of an online selfmanagement program in improving health outcomes and wellbeing for gay men living with HIV in Australia The online Positive Outlook Program was based on selfefficacy theory and used a selfmanagement approach to enhance HIVpositive gay men’s skills confidence and abilities to manage the psychosocial issues associated with HIV in daily life The 7week program was delivered in closed groups and comprised information modules actionplanning activities moderated discussion boards and weekly peerfacilitated ‘live chats’ A randomised controlled trial was conducted to establish the effectiveness of the Positive Outlook program compared to a ‘usual care’ control Participants were HIVpositive gay men 18 years or older living in Australia Primary outcomes were evaluated at three timepoints baseline postintervention and 12week’s postintervention followup and included HIVrelated quality of life PROQOLHIV outcomes of health education HeiQ and HIV specific selfefficacy Positive Outlook SelfEfficacy Scale A total of 132 gay men with HIV in Australia were randomly allocated to the intervention n = 68 or usual care control n = 64 groups Maximum likelihood marginallinear modelling indicated significant improvement in the intervention group on the PROQOLHIV subscales of body change p = 0036 social relationships p = 0035 and emotional distress p = 0031 the HeiQ subscales of healthdirected activity p = 0048 constructive attitudes and approaches p = 0015 skill and technique acquisition p = 0046 and health service navigation p = 0008 and the Positive Outlook SelfEfficacy Scale on the subscales of relationships p = 0019 social participation p = 0006 and emotions p = 0041 Online delivery of selfmanagement programs is feasible and has the potential to improve quality of life selfmanagement skills and domain specific selfefficacy for gay men with HIVWe acknowledge the support provided by many organisations and individuals who assisted with recruitment We would like to thank the participants consumers and service providers who took part in the focus group discussions which were used to inform the program development We would also like to acknowledge participants who took part in the pilot studies and the RCT the facilitators who assisted in the delivery of the program and our recruitment partners This research was supported by a scholarship from the Western Australian Sexual Health and Blood Borne Virus Program and an Australian Postgraduate Award APA Financial support for the randomised trial was generously provided by the WatsonBrowne Bequest and the National Association for People With HIV Australia NAPWHATM PA KM SS SG and JE contributed to the design of the study PA helped conceive the idea for the analysis of the trial devised a statistical plan and formulated statistical code for the analysis TM drafted the manuscript TM PA KM SS SG and JE assisted with interpreting the results and reviewed the manuscript The manuscript has been read and approved by all authors
Keywords:
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- Attitude Mismatching: Discrepancies in the Sexual Attitudes of African American Mothers and their Pre-adolescent Children
- Attitude Mismatching: Discrepancies in the Sexual Attitudes of African American Mothers and their Pre-adolescent Children
- Differences Between Seven Measures of Self-Reported Numbers of Clients of Female Sex Workers in Southern India: Implications for Individual- and Population-Level Analysis
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- The Use of Mystery Shopping for Quality Assurance Evaluations of HIV/STI Testing Sites Offering Services to Young Gay and Bisexual Men
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