Positive and Healthy Living Program Manual Development for Young People Living With HIV at the Comprehensive Care Center at the Kenyatta National Hospital

An Open Pilot Implementation Trial

Bibliographic Data

ID15530011
AuthorsJudy Machuka (Kenyatta National Hospital), G Nduku Wambua (0000-0003-1795-6634, Vrije Universiteit Amsterdam), Otsetswe Musindo (0000-0002-6777-9069, Vrije Universiteit Amsterdam), David Bukusi (0000-0003-1910-4179, Kenyatta National Hospital), Violet Okech (Kenyatta National Hospital), Peter Muiruri (0000-0003-4856-9805, Kenyatta National Hospital), Rachel Maina (0000-0002-6038-1357, Kenyatta National Hospital), Nelly Opiyo (Kenyatta National Hospital), Pauline Ng'ang'a (University of Nairobi), Manasi Kumar (0000-0002-9773-8014, University College London, corresponding author)
Year2020
Volume11
Pages487648-487648
Publication date2020-11-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.487648
PMID33281632
OpenAlexW3102236038
LanguageEN
Citations received8
References cited14

Background: Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) remains a great challenge among young people in Kenya. Young people living with HIV are faced with a lot of challenges that are often overlooked and may have an impact on their treatment adherence and overall well-being. This calls for interventions that are age-appropriate and which tap into the psychosocial problems they experience. This is a protocol of a proposed study aimed at developing a facilitator-led peer support manual called the "Positive and Healthy Living Program" that will be the basis for running support groups with young people at the Comprehensive Care Center (CCC) at the Kenyatta National Hospital (KNH). Methods: We will carry out our study in two phases. The first phase will focus on the development of the manual and training of peer-facilitators. The second phase will make use of a pilot trial research design using both qualitative and quantitative approaches. It will be carried out among 10-24 year-olds attending CCC at KNH, and will consist of three groups: Tumaini Group (10-14 years), Amani Group (15-19 years), and Hodari Group (20-24 years). The groups will participate in an eight-session support group, whose activities will focus on four domains: social-recreation, psychotherapy, peer-modeling, and psychoeducation. Quantitative data will be collected using laboratory measures of Viral Load and CD4 as well as socio-psychological assessment tools. Qualitative data will be collected through interviews with the young people and peer facilitators. We will conduct a descriptive analysis which will describe the key features of the dataset and bivariate analyses will examine the association between variables. The change will be measured at baseline and post-treatment. The interviews will be coded into themes and we will generate experiential categories from the data around the effectiveness of the program, the peer facilitators' experience of providing support, how the young people respond to the program, and its influence on their overall well-being. Discussion: We expect that the peer facilitators will find this manualized treatment acceptable and the eight-sessions group intervention will be feasible for the three age groups. We hypothesize that there will be improvements detected with regards to reported adherence and viral load, self-esteem, depression, and psychological functioning

Center (category theory · Family medicine · Human immunodeficiency virus (HIV · Physical therapy · Adolescent and Pediatric Healthcare · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Gerontology