Randomized clinical trial of a community navigation intervention to improve well-being in persons living with HIV and other co-morbidities.

ABSTRACT: Long-term survival of people living with HIV (PLWH) is associated with the development of co-morbid conditions and need for symptom management and other efforts to enhance quality of life. We conducted a longitudinal, randomized trial over 36 months to evaluate the effect of a community-based navigator intervention to provide early palliative care to 179 PLWH and other chronic conditions. Outcomes included quality of life, symptom management, coping ability, social support, self-management, and completion of advance directives. Data were analyzed using SAS mixed effects model repeat measurement. Our navigator program showed variable improvement over time of three outcome variables, self-blame, symptom distress, and HIV self-management. However, the program did not improve overall quality o

SUBMITTER: Webel A 

PROVIDER: S-EPMC6408262 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature