Evidence Synthesis Research

Experiences of people living with HIV participating in peer support:a qualitative meta-synthesis

  • CHANG Keyi ,
  • WU Yangfeng ,
  • SHAN Sikai ,
  • HAN Shuyu ,
  • QUAN Xiaoli ,
  • HAN Jianing ,
  • WU Dongxia ,
  • ZHANG Lili
Expand

Received date: 2023-04-28

  Online published: 2024-01-03

Abstract

Objective To systematically evaluate and integrate the experiences of people living with HIV in peer support,and to provide references and suggestions for improving peer support for HIV patients in clinical practice. Methods The computer retrieval was performed in PubMed,CINAHL(EBSCO),Web of Science,ProQuest,CNKI and Wanfang Data from January 1,1996 to September 30,2022,to collect qualitative studies in the experience of people living with HIV participating in peer support. This qualitative systematic review was conducted under the Joanna Briggs Institute guideline. This paper was written according to the enhancing transparency in reporting the synthesis of qualitative research(ENTREQ). Results A total of 7 qualitative studies were included,and 26 findings were extracted,which were summarized into 12 categories and integrated into 4 synthesized findings. Findings included that peer support provides patients with information and help them establish and maintain a healthy lifestyle;patients receive emotional support in peer support;patients receive instrumental support in peer support;the objective requirements and scenarios of peer support. Conclusion AIDS peer support has a positive effect on AIDS prevention and treatment,and it is important to address the practical needs of people living with HIV/AIDS. The practice of HIV peer support needs further theoretical support and scientific guidance. Building an HIV peer support model,providing systematic training and professional guidance to HIV peers is conducive to improving the accuracy of HIV peer support behaviors,the development of HIV peer support activities,and optimizing the effectiveness and sustainability of peer support for people living with HIV/AIDS.

Cite this article

CHANG Keyi , WU Yangfeng , SHAN Sikai , HAN Shuyu , QUAN Xiaoli , HAN Jianing , WU Dongxia , ZHANG Lili . Experiences of people living with HIV participating in peer support:a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2024 , 59(1) : 108 -116 . DOI: 10.3761/j.issn.0254-1769.2024.01.015

References

[1] Dennis CL. Peer support within a health care context:a con-cept analysis[J]. Int J Nurs Stud, 2003, 40(3):321-332.
[2] 陈庆玲, 李惠琴, 张莎, 等. 艾滋病医护人员职业倦怠调查[J]. 中国艾滋病性病, 2013, 19(9):679-682.
[2] Chen QL, Li HQ, Zhang S, et al. Study on job burnout among medical staff in caring for HIV/AIDS[J]. Chin J AIDS STD, 2013, 19(9):679-682.
[3] Kalichman SC, Katner H, Banas E, et al. Cumulative effects of stigma experiences on retention in HIV care among men and women in the rural southeastern United States[J]. AIDS Patient Care STDS, 2020, 34(11):484-490.
[4] Sakyi KS, Lartey MY, Kennedy CE, et al. Barriers to maternal retention in HIV care in Ghana:key differences during pregnancy and the postpartum period[J]. BMC Pregnancy Child-birth, 2020, 20(1):398.
[5] 孙文秀, 卢洪洲, 鲍美娟, 等. 初治HIV阳性患者同伴支持效果探讨[J]. 护理学杂志, 2018, 33(11):83-86.
[5] Sun WX, Lu HZ, Bao MJ, et al. Effect of peer support inter-ventions in HIV positive patients on initial antiretroviral therapy[J]. J Nurs Sci, 2018, 33(11):83-86.
[6] Berg RC, Page S, ?g?rd-Rep?l A. The effectiveness of peer-support for people living with HIV:a systematic review and meta-analysis[J]. PLoS One, 2021, 16(6):e0252623.
[7] Boucher LM, Liddy C, Mihan A, et al. Peer-led self-management interventions and adherence to antiretroviral therapy among people living with HIV:a systematic review[J]. AIDS Behav, 2020, 24(4):998-1022.
[8] Jackson K, Wadley AL, Parker R. Managing pain in HIV/AIDS:a therapeutic relationship is as effective as an exercise and education intervention for rural amaXhosa women in South Africa[J]. BMC Public Health, 2021, 21(1):302.
[9] Van Tam V, Larsson M, Pharris A, et al. Peer support and im-proved quality of life among persons living with HIV on antiretroviral treatment:a randomised controlled trial from north-eastern Vietnam[J]. Health Qual Life Outcomes, 2012, 10:53.
[10] 孙文秀, 卢洪洲, 鲍美娟, 等. 初治HIV感染者同伴支持体验的质性研究[J]. 中国艾滋病性病, 2020, 26(5):496-499.
[10] Sun WX, Lu HZ, Bao MJ, et al. Experience of treatment naive HIV patients receiving peer support:a qualitative study[J]. Chin J AIDS STD, 2020, 26(5):496-499.
[11] ?g?rd-Rep?l A, Berg RC, Skogen V, et al. Peer support in an outpatient clinic for people living with human immunode-ficiency virus:a qualitative study of service users’ experiences[J]. BMC Health Serv Res, 2022, 22(1):549.
[12] Hallum-Montes R, Morgan S, Rovito HM, et al. Linking peers,patients,and providers:a qualitative study of a peer integration program for hard-to-reach patients living with HIV/AIDS[J]. AIDS Care, 2013, 25(8):968-972.
[13] Tong A, Flemming K, McInnes E, et al. Enhancing transparen-cy in reporting the synthesis of qualitative research:ENTREQ[J]. BMC Med Res Methodol, 2012, 12:181.
[14] Lockwood C, Porritt K, Munn Z, et al, Stannard D. Chapter 2:Systematic reviews of qualitative evidence[EB/OL].(2022-09-28)[2023-02-14]. https://jbi-global-wiki.refined.site/space/MANUAL/4688637/Chapter+2%3A+Systematic+reviews+of+qualitative+evidence.
[15] Antiretroviral Therapy Cohort Collaboration. Survival of HIV-positive patients starting antiretroviral therapy between 1996 and 2013:a collaborative analysis of cohort studies[J]. Lancet HIV, 2017, 4(8):e349-e356.
[16] Munn Z, Porritt K, Lockwood C, et al. Establishing confidence in the output of qualitative research synthesis:the ConQual approach[J]. BMC Med Res Methodol, 2014, 14:108.
[17] Gusdal AK, Obua C, Andualem T, et al. Peer counselors’ role in supporting patients’ adherence to ART in Ethiopia and Uganda[J]. AIDS Care, 2011, 23(6):657-662.
[18] Harris GE, Larsen D. HIV peer counseling and the develop-ment of hope:perspectives from peer counselors and peer counseling recipients[J]. AIDS Patient Care STDS, 2007, 21(11):843-860.
[19] Houston E, Osborn A, Lyons T, et al. Exploring perceived social support from peer facilitators in an HIV treatment adherence intervention for African American patients:a content analysis of participant perspectives[J]. J Community Appl Soc Psy-chol, 2015, 25(6):487-501.
[20] Mantell JE, Masvawure TB, Mapingure M, et al. Engaging men in HIV programmes:a qualitative study of male engagement in community-based antiretroviral refill groups in Zimbabwe[J]. J Int AIDS Soc, 2019, 22(10):e25403.
[21] Khalpey Z, Fitzgerald L, Howard C, et al. Peer navigators’ role in supporting people living with human immunodeficiency virus in Australia:qualitative exploration of general practitio-ners’ perspectives[J]. Health Soc Care Community, 2022, 30(4):1353-1362.
[22] Han SY, Zhang YZ, Yang XX, et al. The effectiveness and sustainability of peer support interventions for persons living with HIV:a realist synthesis[J]. BMJ Glob Health, 2023, 8(2):e010966.
[23] Iryawan AR, Stoicescu C, Sjahrial F, et al. The impact of peer support on testing,linkage to and engagement in HIV care for people who inject drugs in Indonesia:qualitative perspectives from a community-led study[J]. Harm Reduct J, 2022, 19(1):16.
[24] 余静, 谢幸尔, 钱湘云, 等. 艾滋病患者积极应对疾病的真实体验研究[J]. 中华护理杂志, 2021, 56(3):399-403.
[24] Yu J, Xie XE, Qian XY, et al. Study on the real experience of AIDS patients actively coping with the disease[J]. Chin J Nurs, 2021, 56(3):399-403.
[25] Mead S, Cheryl M. Peer support:what makes it unique?[J]. Int J Psychosoc Rehabil, 2006, 10(2):29-37.
[26] ?g?rd-Rep?l A, Berg RC, Fossum M. Peer support for people living with HIV:a scoping review[J]. Health Promot Pract, 2023, 24(1):172-190.
[27] 孙文秀, 卢洪洲, 张林, 等. 同伴支持在HIV阳性患者中运用的研究进展[J]. 中华护理杂志, 2018, 53(2):238-241.
[27] Sun WX, Lu HZ, Zhang L, et al. Research progress of peer support in HIV positive patients[J]. Chin J Nurs, 2018, 53(2):238-241.
[28] 颜婵, 蔡卫平, 万秀兰, 等. 诊断披露对艾滋病患者社会支持的影响[J]. 护理学报, 2015, 22(3):38-40.
[28] Yan C, Cai WP, Wan XL, et al. Influence of disclosure of diagnosis on social support of AIDS patients[J]. J Nurs, 2015, 22(3):38-40.
[29] 廖敏, 唐杰, 王冬华. HIV感染者和AIDS患者病耻感的研究进展[J]. 中华护理杂志, 2019, 54(4):619-623.
[29] Liao M, Tang J, Wang DH. Research progress of stigma in HIV-infected and AIDS patients[J]. Chin J Nurs, 2019, 54(4):619-623.
[30] Peterson JL, Rintamaki LS, Brashers DE, et al. The forms and functions of peer social support for people living with HIV[J]. J Assoc Nurses AIDS Care, 2012, 23(4):294-305.
Outlines

/