The Positive Outlook Study

A Randomised Controlled Trial Evaluating Online Self-Management for HIV Positive Gay Men

Tanya Millard, Paul A. Agius, Karalyn McDonald, Sean Slavin, Sonya Girdler, Julian H. Elliott

Research output: Contribution to journalArticleResearchpeer-review

11 Citations (Scopus)

Abstract

The aim of this paper was to evaluate the effectiveness of an online self-management program in improving health outcomes and well-being for gay men living with HIV in Australia. The online Positive Outlook Program was based on self-efficacy theory and used a self-management approach to enhance HIV-positive gay men’s skills, confidence and abilities to manage the psychosocial issues associated with HIV in daily life. The 7-week program was delivered in closed groups and comprised information modules, action-planning activities, moderated discussion boards, and weekly peer-facilitated ‘live chats’. A randomised controlled trial was conducted to establish the effectiveness of the Positive Outlook program compared to a ‘usual care’ control. Participants were HIV-positive gay men 18 years or older living in Australia. Primary outcomes were evaluated at three time-points (baseline, post-intervention and 12-week’s post-intervention follow-up) and included HIV-related quality of life (PROQOL-HIV), outcomes of health education (HeiQ) and HIV specific self-efficacy (Positive Outlook Self-Efficacy Scale). A total of 132 gay men with HIV in Australia were randomly allocated to the intervention (n = 68) or usual care control (n = 64) groups. Maximum likelihood marginal-linear modelling indicated significant improvement in the intervention group on the PROQOL-HIV subscales of body change (p = 0.036), social relationships (p = 0.035) and emotional distress (p = 0.031); the HeiQ subscales of health-directed activity (p = 0.048); constructive attitudes and approaches (p = 0.015); skill and technique acquisition (p = 0.046) and health service navigation (p = 0.008); and the Positive Outlook Self-Efficacy Scale on the subscales of relationships (p = 0.019); social participation (p = 0.006); and emotions (p = 0.041). Online delivery of self-management programs is feasible and has the potential to improve quality of life, self-management skills and domain specific self-efficacy for gay men with HIV.
Original languageEnglish
Pages (from-to)1907–1918
Number of pages12
JournalAIDS and Behavior
Volume20
Issue number9
DOIs
Publication statusPublished - Sep 2016

Keywords

  • HIV
  • Quality of life
  • Self-management
  • Randomised controlled trial
  • Positive Outlook Program
  • Internet
  • Online
  • Web-based

Cite this

Millard, Tanya ; Agius, Paul A. ; McDonald, Karalyn ; Slavin, Sean ; Girdler, Sonya ; Elliott, Julian H. / The Positive Outlook Study : A Randomised Controlled Trial Evaluating Online Self-Management for HIV Positive Gay Men. In: AIDS and Behavior. 2016 ; Vol. 20, No. 9. pp. 1907–1918.
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abstract = "The aim of this paper was to evaluate the effectiveness of an online self-management program in improving health outcomes and well-being for gay men living with HIV in Australia. The online Positive Outlook Program was based on self-efficacy theory and used a self-management approach to enhance HIV-positive gay men’s skills, confidence and abilities to manage the psychosocial issues associated with HIV in daily life. The 7-week program was delivered in closed groups and comprised information modules, action-planning activities, moderated discussion boards, and weekly peer-facilitated ‘live chats’. A randomised controlled trial was conducted to establish the effectiveness of the Positive Outlook program compared to a ‘usual care’ control. Participants were HIV-positive gay men 18 years or older living in Australia. Primary outcomes were evaluated at three time-points (baseline, post-intervention and 12-week’s post-intervention follow-up) and included HIV-related quality of life (PROQOL-HIV), outcomes of health education (HeiQ) and HIV specific self-efficacy (Positive Outlook Self-Efficacy Scale). A total of 132 gay men with HIV in Australia were randomly allocated to the intervention (n = 68) or usual care control (n = 64) groups. Maximum likelihood marginal-linear modelling indicated significant improvement in the intervention group on the PROQOL-HIV subscales of body change (p = 0.036), social relationships (p = 0.035) and emotional distress (p = 0.031); the HeiQ subscales of health-directed activity (p = 0.048); constructive attitudes and approaches (p = 0.015); skill and technique acquisition (p = 0.046) and health service navigation (p = 0.008); and the Positive Outlook Self-Efficacy Scale on the subscales of relationships (p = 0.019); social participation (p = 0.006); and emotions (p = 0.041). Online delivery of self-management programs is feasible and has the potential to improve quality of life, self-management skills and domain specific self-efficacy for gay men with HIV.",
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The Positive Outlook Study : A Randomised Controlled Trial Evaluating Online Self-Management for HIV Positive Gay Men. / Millard, Tanya; Agius, Paul A.; McDonald, Karalyn; Slavin, Sean; Girdler, Sonya; Elliott, Julian H.

In: AIDS and Behavior, Vol. 20, No. 9, 09.2016, p. 1907–1918.

Research output: Contribution to journalArticleResearchpeer-review

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KW - Quality of life

KW - Self-management

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KW - Positive Outlook Program

KW - Internet

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