Journal article
Can lay health workers promote better medical self-management by persons living with HIV? An evaluation of the Positive Choices program
Patient education and counseling, v 89(1), pp 184-190
01 Oct 2012
PMID: 22770948
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To evaluate Positive Choices (PC), a program that employed lay health workers to motivate antiretroviral adherence among persons living with HIV with coverage from Indiana's high-risk insurance pool.
Four hundred and forty nine participants living in the greater Indianapolis area were randomly allocated to treatment (n=91) or control (n=358) groups and followed for one year.
Compared to control subjects, PC subjects were more likely to adhere to HIV medications (medication possession ratio adherence ≥0.95, OR=1.83, p=0.046), and to achieve undetectable viral load (<50copies/mL, OR=2.01, p=0.011) in the 12 months following introduction of PC. There were no significant differences observed between groups in any of self-reported health status indicators.
Estimates suggest that PC clients were 16% more likely to have undetectable viral loads than clients in standard care. The incremental program cost was approximately $10,000 for each additional person who achieved an undetectable viral load.
As persons living with HIV experience greater longevity and healthcare reform expands coverage to these high-risk populations, greater demands will be placed on the HIV-care workforce. Results suggest lay health workers may serve as effective adjuncts to professional care providers.
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Details
- Title
- Can lay health workers promote better medical self-management by persons living with HIV? An evaluation of the Positive Choices program
- Creators
- Alexis M. Roth - Indiana University – Purdue University IndianapolisAnn M. Holmes - Indiana University – Purdue University IndianapolisTimothy E. Stump - Indiana University – Purdue University IndianapolisMatthew C. Aalsma - Indiana University – Purdue University IndianapolisRonald T. Ackermann - Northwestern UniversityTheodore S. Carney - Indiana State Department of HealthBarry P. Katz - Indiana University – Purdue University IndianapolisJoseph Kesterson - Regenstrief InstituteSharon M. Erdman - Sidney & Lois Eskenazi HospitalChristine A. Balt - Indiana University – Purdue University IndianapolisThomas S. Inui - Regenstrief Institute
- Publication Details
- Patient education and counseling, v 89(1), pp 184-190
- Publisher
- Elsevier Ireland Ltd
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000310420900030
- Scopus ID
- 2-s2.0-84866600969
- Other Identifier
- 991021894605104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health
- Social Sciences, Interdisciplinary