Buddhist Understanding and Reduction of Myanmar Experiences of HIV Stigma and Exclusion
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 19
- 试验地点
- 3
- 主要终点
- Change in Stigma Score From Baseline to End of Intervention in Protocol Group
研究概览
简要总结
This project aims to explore a multi-leveled conceptualization of the effects of HIV stigma on HIV care engagement in Myanmar by conducting a mixed-method study.
详细描述
This project is to explore how Myanmar People Living With HIV (PLWH) experience and manage HIV stigma as inspired by Buddhist teaching, and to adapt an evidence-based stigma-reduction intervention to tailor treatment for the unique needs of Myanmar People Living With HIV.
A stigma-reduction intervention will be adopted to the needs of Myanmar People Living With HIV with six focus groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •HIV-Positive
- •Care by Myanmar Positive Group/CMRU
- •Living in Myanmar/Thailand
- •can stay in the period of intervention
排除标准
- •Living outside of Myanmar/Thailand
- •Not care by MPG/CMRU
- •Cannot stay for the study period
研究组 & 干预措施
Protocol group
The intervention is modularized to eight weekly sessions of 2-hour group discussions. The facilitator applies the principle of Cognitive Behavior Therapy and provides psychoeducation to promote the awareness and understanding of HIV stigma as well as training to help participants acquire alternative coping skills, such as relaxation techniques. In five sessions, participants are introduced to the general cognitive-behavioral model of HIV stigma and are encouraged to track their thoughts, feelings, and behavioral responses when encountering external stigma or adverse events. The participants further learn to differentiate helpful and non-helpful coping strategies and practice applying helpful coping skills to effectively reduce their HIV stigma. In the other three sessions, participants further discuss more specific stigma that intersects with HIV stigma, including stigma in healthcare settings, access to social support, and available resources on the society levels.
干预措施: Stigma reduction (Behavioral)
结局指标
主要结局
Change in Stigma Score From Baseline to End of Intervention in Protocol Group
时间窗: Baseline and 8 weeks
Perceived Stigma Scale (PSS). Each item is measured using a 4-point Likert scale and the scale contains four factors: personalized stigma (18 items, subscore total 18-72), disclosure concerns (12 items, subscore total 12-48), negative self-image (9 items, subscore total 9-36), and concern with public attitudes about people with HIV (12 items, subscore total 12-48). Each factor is scored separately, with total score is computed by summing all 40 items, with a minimum total PSS score of 40 and a maximum possible score of 160. Raw PSS scores were transformed into Stigma scores 1-4. Higher scores reflect higher levels of perceived stigma.
次要结局
- Change in QOL Score From Baseline to End of Intervention in the Protocol Group(Baseline and 8 weeks)
研究者
Weiti Chen, RN, CNM, PhD, FAAN
Principal Investigator
University of California, Los Angeles