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Improving the Health and Mental Health of People Living With HIV/AIDS: 12-Month Assessment of a Behavioral Intervention in Thailand
- Li, Li;
- Lee, Sung-Jae;
- Jiraphongsa, Chuleeporn;
- Khumtong, Siwaporn;
- Iamsirithaworn, Sopon;
- Thammawijaya, Panithee;
- Rotheram-Borus, Mary Jane
Published Web Location
https://doi.org/10.2105/ajph.2009.185462Abstract
OBJECTIVES: We examined findings from a randomized controlled intervention trial designed to improve the quality of life of people living with HIV in Thailand. METHODS: A total of 507 people living with HIV were recruited from 4 district hospitals in northern and northeastern Thailand and were randomized to an intervention group (n = 260) or a standard care group (n = 247). Computer-assisted personal interviews were administered at baseline and at 6 and 12 months. RESULTS: At baseline, the characteristics of participants in the intervention and standard care conditions were comparable. The mixed-effects models used to assess the impact of the intervention revealed significant improvements in general health (B = 2.51; P = .001) and mental health (B = 1.57; P = .02) among participants in the intervention condition over 12 months and declines among those in the standard care condition. CONCLUSIONS: Our results demonstrate that a behavioral intervention was successful in improving the quality of life of people living with HIV. Such interventions must be performed in a systematic, collaborative manner to ensure their cultural relevance, sustainability, and overall success.
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