title: A randomized controlled trial of the efficacy of a stigma reduction intervention for HIV-infected women in the Deep South.
abstract: The aim of this study was to compare outcomes (self-esteem, coping self-efficacy, and internalized stigma) across time in HIV-infected women living in the Deep South who received a stigma reduction intervention (n=51) with those of a control group (n=49) who received the usual care at baseline, and at 30 and 90 days. We recruited 99 women from clinics and an AIDS service organization; they were randomized by recruitment site. A video developed from the results of a qualitative metasynthesis study of women with HIV infection was loaded onto iPod Touch devices. Participants were asked to watch the video weekly for 4 weeks, and to record the number of times they viewed it over a 12-week period. We examined the trajectory model results for efficacy outcomes for the intent-to-treat and the supplemental completers groups. There was a treatment-by-time effect for improved self-esteem (intent-to-treat: p=0.0308; completers: p=0.0284) and decreases in internalized stigma (intent-to-treat: p=0.0036; completers: p=0.0060), and a treatment-by-time-by-time effect for improved coping self-efficacy (intent-to-treat: p=0.0414; completers: p=0.0321). A medium effect of the intervention in terms of improving self-esteem was observed when compared with the control condition in those who completed the study. The magnitude of the intervention effect, however, was large with regard to reducing overall stigma, improving social relationships, and decreasing stereotypes in both groups.
authors.affiliation: 1 University of Miami School of Nursing and Health Studies , Coral Gables, Florida.
authors.forename: Julie
authors.initials: J
authors.lastname: Barroso
authors.forename: Michael V
authors.initials: MV
authors.lastname: Relf
authors.forename: Megan Scull
authors.initials: MS
authors.lastname: Williams
authors.forename: Joyell
authors.initials: J
authors.lastname: Arscott
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Moore
authors.forename: Courtney
authors.initials: C
authors.lastname: Caiola
authors.forename: Susan G
authors.initials: SG
authors.lastname: Silva
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D005240:Feasibility Studies; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D011287:Prejudice; D036301:Qualitative Research; D020377:Self Efficacy; D012737:Sex Factors; D057545:Social Stigma; D015144:Southeastern United States / Q000453:epidemiology; D013240:Stereotyping; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014741:Video Recording; D055815:Young Adult
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