Cited 3 times in
Implementation of a Nurse-Delivered Cognitive Behavioral Therapy for Adherence and Depression of People Living with HIV in Korea
DC Field | Value | Language |
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dc.contributor.author | 김정호 | - |
dc.contributor.author | 이영준 | - |
dc.contributor.author | 최준용 | - |
dc.date.accessioned | 2023-03-10T01:29:12Z | - |
dc.date.available | 2023-03-10T01:29:12Z | - |
dc.date.issued | 2022-12 | - |
dc.identifier.issn | 2093-2340 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193186 | - |
dc.description.abstract | Background: Cognitive behavioral therapy for adherence and depression (CBT-AD) performed by clinical psychologists is an effective treatment for improving the depression in people living with HIV (PLWH). However, because access to clinical psychologists is limited in most clinics, CBT-AD is rarely performed for PLWH in Korea. This pilot study evaluates whether CBT-AD can be effectively performed by a nurse trained and supervised by a clinical psychologist, with a view to the wider provision of CBT-AD. Materials and methods: One clinical psychologist developed manuals, educated and supervised one nurse. PLWH with depression or adherence to self-reported antiretroviral therapy <90% were enrolled, and CBT-AD was conducted once weekly for 12 sessions. PLWH were assessed for adherence by visual analog scale, Beck depression inventory (BDI) for depression, PozQoL for quality of life, and Berger's 40-item stigma scale for stigma at baseline, after the 6th, 12th session, at 4-, and 8-months after CBT-AD. Acceptability for PLWH and feasibility for providers were evaluated through surveys. Results: Five male PLWH have completed the study protocols (mean age 29.2 years). All study participants showed improving depression (mean BDI at baseline 33.0 ± 7.0, and after the 12th session 13.4 ± 3.5), and the effect was maintained at the 8-month follow-up (BDI 15.4 ± 6.4). Quality of life showed a tendency to improve (mean PozQoL at baseline 28.0 ± 7.7, after 12th session 36.8 ± 4.4, and at the 8-month follow-up 38.2 ± 7.9), but stigma did not show clear improvement (Berger's 40-item stigma scale at baseline 121.0 ± 3.9, after 12th session 107.6 ± 8.8. and at the 8-month follow-up 107.6 ± 5.0). All study participants received great help from CBT-AD and expressed their desire to continue. All providers agreed that nurse-delivered CBT-AD could be implemented in routine clinical practice. Conclusion: Our findings suggest that a nurse-delivered CBT-AD could be feasible and acceptable for PLWH through structured interventions. It has been shown to have the potential to help PLWH, especially for their depression and quality of life. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean, English | - |
dc.publisher | 대한감염학회 | - |
dc.relation.isPartOf | INFECTION AND CHEMOTHERAPY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Implementation of a Nurse-Delivered Cognitive Behavioral Therapy for Adherence and Depression of People Living with HIV in Korea | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Jung Ho Kim | - |
dc.contributor.googleauthor | Ji Min Kim | - |
dc.contributor.googleauthor | Misuk Ye | - |
dc.contributor.googleauthor | Jung In Lee | - |
dc.contributor.googleauthor | Seungmi Na | - |
dc.contributor.googleauthor | Youngjoon Lee | - |
dc.contributor.googleauthor | Duncan Short | - |
dc.contributor.googleauthor | Jun Yong Choi | - |
dc.identifier.doi | 10.3947/ic.2022.0118 | - |
dc.contributor.localId | A00902 | - |
dc.contributor.localId | A02962 | - |
dc.contributor.localId | A04191 | - |
dc.relation.journalcode | J01053 | - |
dc.identifier.eissn | 2092-6448 | - |
dc.identifier.pmid | 36450289 | - |
dc.subject.keyword | Cognitive behavioral therapy | - |
dc.subject.keyword | Depression | - |
dc.subject.keyword | People living with HIV | - |
dc.subject.keyword | Quality of life | - |
dc.subject.keyword | Stigma | - |
dc.contributor.alternativeName | Kim, Jung Ho | - |
dc.contributor.affiliatedAuthor | 김정호 | - |
dc.contributor.affiliatedAuthor | 이영준 | - |
dc.contributor.affiliatedAuthor | 최준용 | - |
dc.citation.volume | 54 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 733 | - |
dc.citation.endPage | 743 | - |
dc.identifier.bibliographicCitation | INFECTION AND CHEMOTHERAPY, Vol.54(4) : 733-743, 2022-12 | - |
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