Self-Management Education Programs for People Living with HIV/AIDS: A Systematic Review

The effectiveness of self-management programs to improve physical, psychosocial, health knowledge, and behavioral outcomes for adults living with HIV has not been well established. This article reviews the effectiveness of self-management education programs to improve physical, psychosocial, health...

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Main Authors: Millard, T., Elliott, J., Girdler, Sonya
Format: Journal Article
Published: Mary Ann Liebert, Inc. Publishers 2013
Online Access:http://hdl.handle.net/20.500.11937/30623
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author Millard, T.
Elliott, J.
Girdler, Sonya
author_facet Millard, T.
Elliott, J.
Girdler, Sonya
author_sort Millard, T.
building Curtin Institutional Repository
collection Online Access
description The effectiveness of self-management programs to improve physical, psychosocial, health knowledge, and behavioral outcomes for adults living with HIV has not been well established. This article reviews the effectiveness of self-management education programs to improve physical, psychosocial, health knowledge, and behavior outcomes for adults living with HIV/AIDS. A systematic review of English articles using CINAHL, MEDLINE, and PsycINFO were used to identify and retrieve relevant studies. Each database was searched from its earliest record to October 2010. Search terms included HIV/AIDS, self-management, self-care, patient education, and education programs. Only studies that (1) reported on a HIV-specific intervention that aimed to increase participants HIV-related knowledge through a self-management component, (2) included a control group, (3) provided skills training or targeted behavior change, and (4) reported clinical outcomes were included. Independent data extraction by one author using the methods described in the Cochrane Handbook for Systematic Reviews. A second reviewer checked the data extraction. Six protocols were reported in eight publications (n=1178), all contained elements of self-management interventions. Effect size calculations were not conducted due to limitations in the available data. The review found randomized controlled trials (RCT) evidence sufficient to infer that self-management programs for people living with HIV/AIDS result in short-term improvements in physical, psychosocial, and health knowledge and behavioral outcomes. Statistically significant improvements were reported for intervention participants compared to control participants across most outcomes. There is insufficient evidence to provide conclusions regarding the long-term outcomes of HIV-specific self-management interventions.
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publishDate 2013
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spelling curtin-20.500.11937-306232017-09-13T15:06:01Z Self-Management Education Programs for People Living with HIV/AIDS: A Systematic Review Millard, T. Elliott, J. Girdler, Sonya The effectiveness of self-management programs to improve physical, psychosocial, health knowledge, and behavioral outcomes for adults living with HIV has not been well established. This article reviews the effectiveness of self-management education programs to improve physical, psychosocial, health knowledge, and behavior outcomes for adults living with HIV/AIDS. A systematic review of English articles using CINAHL, MEDLINE, and PsycINFO were used to identify and retrieve relevant studies. Each database was searched from its earliest record to October 2010. Search terms included HIV/AIDS, self-management, self-care, patient education, and education programs. Only studies that (1) reported on a HIV-specific intervention that aimed to increase participants HIV-related knowledge through a self-management component, (2) included a control group, (3) provided skills training or targeted behavior change, and (4) reported clinical outcomes were included. Independent data extraction by one author using the methods described in the Cochrane Handbook for Systematic Reviews. A second reviewer checked the data extraction. Six protocols were reported in eight publications (n=1178), all contained elements of self-management interventions. Effect size calculations were not conducted due to limitations in the available data. The review found randomized controlled trials (RCT) evidence sufficient to infer that self-management programs for people living with HIV/AIDS result in short-term improvements in physical, psychosocial, and health knowledge and behavioral outcomes. Statistically significant improvements were reported for intervention participants compared to control participants across most outcomes. There is insufficient evidence to provide conclusions regarding the long-term outcomes of HIV-specific self-management interventions. 2013 Journal Article http://hdl.handle.net/20.500.11937/30623 10.1089/apc.2012.0294 Mary Ann Liebert, Inc. Publishers restricted
spellingShingle Millard, T.
Elliott, J.
Girdler, Sonya
Self-Management Education Programs for People Living with HIV/AIDS: A Systematic Review
title Self-Management Education Programs for People Living with HIV/AIDS: A Systematic Review
title_full Self-Management Education Programs for People Living with HIV/AIDS: A Systematic Review
title_fullStr Self-Management Education Programs for People Living with HIV/AIDS: A Systematic Review
title_full_unstemmed Self-Management Education Programs for People Living with HIV/AIDS: A Systematic Review
title_short Self-Management Education Programs for People Living with HIV/AIDS: A Systematic Review
title_sort self-management education programs for people living with hiv/aids: a systematic review
url http://hdl.handle.net/20.500.11937/30623