Effectiveness of HIV Intervention Package (HIP) on HIV Infected Adolescents: Pilot Study Report
Background: Adolescents are the fulcrum of the population. HIV affects this precious population, which faces many barriers in achieving optimal adherence to Anti Retroviral Therapy (ART) as compared to the children and adults living with HIV. The aim of the study is to evaluate the effectiveness of HIV Intervention Package (HIP) on HIV infected adolescents.
Methods: Randomised controlled trial was conducted in the ART Centre, Institute of Child Health and Hospital for Children, Egmore. By simple random technique, 40 (10% from total sample size) samples were selected and divided equally into experimental and control groups. Relevant structured questionnaires were used to collect the data through face-to-face interview methods. The experimental group received HIP including asana demonstration along with routine care and the control group received only the routine care as conventional management.
Results: At the end of the 6th month after the intervention, data were interpreted in the improvement of HIP components in the experimental and control groups and the results were recorded as follows: adherence rate: 6.4% in the experimental group and 2.2% in the control group, and Quality of life (QOL) 7.2% in the experimental group and 0.4% in the control group; it was significant at 95% Confidence Interval (CI). The other component of nutritional gain score increased by 4.5% in the experimental group and by 0.8% in the control group.
Conclusion: Our study report revealed that HIP is more effective in achieving the targets of optimal adherence, increasing nutritional status, and enhancing QOL among HIV infected adolescents.
How to cite this article:
Sakthivel R. Effectiveness of HIV Intervention Package (HIP) on HIV Infected Adolescents: Pilot Study Report. Ind J Holist Nurs. 2021;12(2):7-14.
Lorenz R, Grant E, Muyindike W, Maling S, Card C, Henry C, Nazarali AJ. Caregivers’ Attitudes towards HIV Testing and Disclosure of HIV Status to At-Risk Children in Rural Uganda. PLoS One. 2016;11(2):e0148950. [PubMed] [Google Scholar]
Cruz ML, Cardoso CA, Darmont MQ, Souza E, Andrade SD, Fabbro MM, Fonseca R, Bellido JG, Monteiro SS, Bastos FI. Viral suppression and adherence among HIV-infected children and adolescents on antiretroviral therapy: results of a multicenter study. J Pediatr (Rio J). 2014;90(6):563-71. [PubMed] [Google Scholar]
Sengupta P. Health Impacts of Yoga and Pranayama: A State-of-the-Art Review. Int J Prev Med. 2012;3(7):444-58. [PubMed] [Google Scholar]
Koerich C, dos Santos FC, Meirelles BH, Erdmann AL. Management of nursing care of the adolescent living with HIV/AIDS. Esc Anna Nery. 2015;19(1). [Google Scholar]
Mofenson LM, Cotton MF. The challenges of success: adolescents with perinatal HIV infection. J Int AIDS Soc. 2013;16(1):18650. [PubMed] [Google Scholar]
Lwanga F, Wanyenze RK, Matovu JK, Chimulwa T, Orach CG. Nutritional Status of HIV infected Adolescents Enrolled into an HIV-care Program in Urban and Rural Uganda: A Cross-sectional Study. World J Nutr Health. 2015;3(2):35-40. [Google Scholar]
Chaiyachati KH, Ogbuoji O, Price M, Suthar AB, Negussie EK, Barnighausen T. Interventions to improve adherence to antiretroviral therapy: a rapid systematic review. AIDS. 2014;28(2):S187-S204. [PubMed] [Google Scholar]
UNAIDS [Internet]. 2011-2015 strategy. Getting to Zero; 2010 [cited 2015 Mar]. Available from: http://www.unaids.org/sites/default/files/sub_landing/files/JC2034_UNAIDS_Strategy_en.pdf
Knobel H, Carmona A, López JL, Gimeno JL, Saballs P, Gonzalez A, Guelar A, Diez A. Adherence to very active antiretroviral treatment: impact of individualized assessment. Enferm Infecc Microbiol Clin. 1999;17(2):78-81. [PubMed] [Google Scholar]
Tang AM, Quick T, Chung M, Wanke CA. Nutrition assessment, counseling, and support interventions to improve health-related outcomes in people living with HIV/AIDS: a systematic review of the literature. J Acquir Immune Defic Syndr. 2015;68:S340-9. [PubMed] [Google Scholar]
Liu E, Spiegelman D, Semu H, Hawkins C, Chalamilla G, Aveika A, Nyamsangia S, Mehta S, Mtasiwa D, Fawzi W. Nutritional status and mortality among HIV-infected patients receiving antiretroviral therapy in Tanzania. J Infect Dis. 2011;204(2):282-90. [PubMed] [Google Scholar]
Gupta R, Shringi S, Mahajan V, Venkatesh G, Srivastava K. A study of psychological impact of diagnosis of HIV in Children and Adolescents in Indian population. HIV/AIDS Res Treat. 2015;1(1):16-20. [Google Scholar]
Tuldrà A, Fumaz CR, Ferrer MJ, Bayes R, Arno A, Balague M, Bonjoch A, Jou A, Negredo E, Paredes R, Ruiz L, Romeu J, Sirera G, Tural C, Burger D, Clotet B. Prospective randomized two-arm controlled study to determine the efficacy of a specific intervention to improve long-term adherence to highly active antiretroviral therapy. J Acquir Immune Defic Syndr. 2000 Nov;25(3):221-8. [PubMed] [Google Scholar]
Modlin CE, Naburi H, Hendricks KM, Lyatuu G, Kimaro J, Adams LV, Palumbo PE, von Reyn CF. Nutritional deficiencies and food insecurity among HIV-infected children in Tanzania. Int J MCH AIDS. 2014;2(2):220-8. [PubMed] [Google Scholar]
Gowda S, Channabasappa AN, Dhar M, Krishna D. Quality of life in HIV/AIDS patients in relation to CD4 count: A cross-sectional study in Mysore district. Int J Health Allied Sci. 2012;1(4):263-7. [Google Scholar]
Swaminathan S, Padmapriyadarshini C, Yoojin L, Sukumar B, iliayas S, Karthipriya J, Sakthivel R, Gomathy P, Thomas BE, Mathew M, Wanke CA, Narayanan PR. Nutritional supplementation in HIV-infected individuals in South India: a prospective interventional study. Clin Infect Dis. 2010;51(1):51-7. [PubMed] [Google Scholar]
Mannheimer SB, Matts J, Telzak E, Chesney M, Child C, Wu AW, Friedland G; Terry Beirn Community Programs for Clinical Research on AIDS. Quality of life in HIV infected individuals receiving antiretroviral therapy is related to adherence. AIDS Care. 2005;17(1):10-22. [PubMed] [Google Scholar]
Joseph B, Nair PM, Nanda A. Effects of naturopathy and yoga intervention on CD4 count of the individuals receiving antiretroviral therapy - report from a human immunodeficiency virus sanatorium, Pune. Int J Yoga. 2015;8(2):122-7. [PubMed] [Google Scholar]