Telemed J E Health - Effectiveness of healthy relationships video-group-A videoconferencing group intervention for women living with HIV: preliminary findings from a randomized controlled trial.

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Resumo

TRODUCTION: Expanded access to efficacious interventions is needed for women living with human immunodeficiency virus (WLH) in the United States. Availability of "prevention with (human immunodeficiency virus [HIV)] positives" interventions in rural/remote and low HIV prevalence areas remains limited, leaving WLH in these communities few options for receiving effective behavioral interventions such as Healthy Relationships (HR). Offering such programs via videoconferencing groups (VGs) may expand access. This analysis tests the effectiveness of HR-VG (versus wait-list control) for reducing sexual risk behavior among WLH and explores intervention satisfaction.SUBJECTS AND METHODS: In this randomized controlled trial unprotected vaginal/anal sex occasions over the prior 3 months reported at the 6-month follow-up were compared across randomization groups through zero-inflated Poisson regression modeling, controlling for unprotected sex at baseline. Seventy-one WLH were randomized and completed the baseline assessment (n=36 intervention and n=35 control); 59 (83% in each group) had follow-up data.RESULTS: Among those who engaged in unprotected sex at 6-month follow-up, intervention participants had approximately seven fewer unprotected occasions than control participants (95% confidence interval 5.43-7.43). Intervention participants reported high levels of satisfaction with HR-VG; 84% reported being "very satisfied" overall.CONCLUSIONS: This study found promising evidence for effective dissemination of HIV risk reduction interventions via VGs. Important next steps will be to determine whether VGs are effective with other subpopulations of people living with HIV (i.e., men and non-English speakers) and to assess cost-effectiveness. Possibilities for using VGs to expand access to other psychosocial and behavioral interventions and reduce stigma are discussed.

Resumo Limpo

troduct expand access efficaci intervent need women live human immunodefici virus wlh unit state avail prevent human immunodefici virus hiv posit intervent ruralremot low hiv preval area remain limit leav wlh communiti option receiv effect behavior intervent healthi relationship hr offer program via videoconferenc group vgs may expand access analysi test effect hrvg versus waitlist control reduc sexual risk behavior among wlh explor intervent satisfactionsubject method random control trial unprotect vaginalan sex occas prior month report month followup compar across random group zeroinfl poisson regress model control unprotect sex baselin seventyon wlh random complet baselin assess n intervent n control group followup dataresult among engag unprotect sex month followup intervent particip approxim seven fewer unprotect occas control particip confid interv intervent particip report high level satisfact hrvg report satisfi overallconclus studi found promis evid effect dissemin hiv risk reduct intervent via vgs import next step will determin whether vgs effect subpopul peopl live hiv ie men nonenglish speaker assess costeffect possibl use vgs expand access psychosoci behavior intervent reduc stigma discuss

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