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Feasibility of a Telephone Intervention for HIV Patients and Their Informal Caregivers
Authors:Debra S. Herman  Duane Bishop  Jennifer L. Anthony  William Chase  Elizabeth Trisvan  Rosalie Lopez  Michael D. Stein
Affiliation:(1) Division of General Internal Medicine, Rhode Island Hospital, Providence, Rhode Island, U.S.;(2) Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island, U.S.;(3) Brown Medical School, Providence, Rhode Island, U.S.;(4) DGIM–MPB 1, Rhode Island Hospital, 593 Eddy Street, Providence, Rhode Island, 02903, U.S.
Abstract:Objectives: To assess the feasibility of a telephone intervention for HIV-positive patients and their caregivers. Methods: HIV-positive participants, some co-enrolled with their informal caregiver, enrolled in this randomized study. Intervention-arm participants (124 patients and 76 caregivers; dyads assigned to same arm) received up to 12 scheduled calls from an interventionist over 6 months. Results: An average of 7.6 (SD = 3.0) calls to each participant was completed; 66.5% received at least 6 calls; 43.0% received more than 75% of the intervention (defined as ‘study adherent’). Having a higher T-cell count was associated with call adherence (p = .014); cocaine use was associated with reduced call adherence for both patients (p = .019) and caregivers (p = .083). Common telephone themes included problems with mood, relationships, finances, housing, and work; interventions (e.g., referral for mental health care) were initiated in response to these. Participant satisfaction was high, and many reported benefits from the intervention. Conclusions: Using a telephone intervention with HIV-positive patients and their caregivers is a feasible and potentially beneficial intervention.
Keywords:caregiver  telephone intervention  HIV  telehealth
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