26^th World Nursing Healthcare Conference

Biography

Biography: Natawan Khumsaen

Abstract

Background: Systematic adaptation of evidence-informed interventions that increase HIV/AIDS self-management and improve medical adherence are essential to people living with HIV (PLWH) in Thailand. We selected and adapted an HIV/AIDS self-management education program for use with HIV-positive Thai men who have sex with men (MSM). This formative research aimed to describe the use of the ADAPT-ITT framework to modify the HIV/AIDS self-management education program (HASMEP) for use with HIV-positive Thai MSM.

Methods: We selected, adapted, and tested the acceptability and feasibility of the HASMEP intervention for delivery in an HIV clinic in Thailand. We conducted four focus groups (n=40) to assess the feasibility and acceptability of the HASMEP with HIV-positive Thai MSM. We used findings to develop a needs-based and contextually appropriate intervention. In addition to four focus groups, eight healthcare providers were selected to explore potential healthcare providers’ views of this intervention and recommendations for improving feasibility and acceptability. Expert stakeholders were also consulted.

Results: Findings indicate that the HASMEP is feasible and acceptable when administered to the participants. Proposed changes to the intervention included modifications to treatment for HIV and drug regimen, incorporated self-management strategies to overcome stigma, added rights of access to HIV/AIDS treatment and health benefits provided to PLWH, combined practical knowledge about HIV/AIDS, incorporated gastrointestinal discomfort and anal health issues, added family support and social/spiritual support groups.

Conclusions: This study provides a strong foundation for further research on HIV/AIDS self-management in HIV-positive MSM. It also enhanced the feasibility and acceptability of the intervention.