| Title |
Community-Based Accompaniment and Psychosocial Health Outcomes in HIV-Infected Adults in Rwanda: A Prospective Study
|
|---|---|
| Published in |
AIDS and Behavior, February 2013
|
| DOI | 10.1007/s10461-013-0431-2 |
| Pubmed ID | |
| Authors |
Dana R. Thomson, Michael L. Rich, Felix Kaigamba, Adrienne R. Socci, Massudi Hakizamungu, Emmanuel Bagiruwigize, Agnes Binagwaho, Molly F. Franke |
| Abstract |
We examined whether the addition of community-based accompaniment to Rwanda's national model for antiretroviral treatment (ART) was associated with greater improvements in patients' psychosocial health outcomes during the first year of therapy. We enrolled 610 HIV-infected adults with CD4 cell counts under 350 cells/μL initiating ART in one of two programs. Both programs provided ART and required patients to identify a treatment buddy per national protocols. Patients in one program additionally received nutritional and socioeconomic supplements, and daily home-visits by a community health worker ("accompagnateur") who provided social support and directly-observed ingestion of medication. The addition of community-based accompaniment was associated with an additional 44.3 % reduction in prevalence of depression, more than twice the gains in perceived physical and mental health quality of life, and increased perceived social support in the first year of treatment. Community-based accompaniment may represent an important intervention in HIV-infected populations with prevalent mental health morbidity. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 67% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 3 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 168 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 2% |
| Sierra Leone | 1 | <1% |
| South Africa | 1 | <1% |
| Unknown | 163 | 97% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 30 | 18% |
| Researcher | 29 | 17% |
| Student > Ph. D. Student | 21 | 13% |
| Student > Postgraduate | 12 | 7% |
| Student > Bachelor | 9 | 5% |
| Other | 28 | 17% |
| Unknown | 39 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 45 | 27% |
| Nursing and Health Professions | 20 | 12% |
| Social Sciences | 18 | 11% |
| Psychology | 10 | 6% |
| Agricultural and Biological Sciences | 6 | 4% |
| Other | 22 | 13% |
| Unknown | 47 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 February 2014.
All research outputs
#16,069,695
of 23,849,058 outputs
Outputs from AIDS and Behavior
#2,535
of 3,566 outputs
Outputs of similar age
#124,073
of 195,162 outputs
Outputs of similar age from AIDS and Behavior
#38
of 59 outputs
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