Self-efficacy Promotion Model of AIDS Patients Receiving Antiretroviral Therapy

Abstract

This action research aimed to develop a model for improving self-effcacy of AIDS patients receiving Antiretroviral therapy (ART) based on Bandura’s Self-effcacy Theory. It was conducted between October, 2008 and September, 2009. Eleven staff and 51 people living with HIV/AIDS of Khon Kaen Regional Hospital and 9 staff and 32 people living with HIV/AIDs of Banpai Hospital were participated. Quantitative data were collected using questionnaires. Qualitative data were gathered by observation, in-depth interview, focus group discussion and document review. Quantitative data were analyzed using descriptive statistics and presented as percentage, mean and standard deviation. Paired t-test was performed to compare self effcacy scores between before and after implementation. Content analysis was performed for qualitative data. It was found that a self-effcacy promotion model for AIDS patients receiving ART consisted of 10 components: Policy, Multidisciplinary team, A one - stop service, Counseling, Hotline, Home visit, Peer group meetings, Caregivers, Special training and Evaluation. Comparing means of self-effcacy score between before and after implementation indicated that there were statistically signifcant increased (p<0.001) from 52.69 to 83.41 at Khon Kaen Regional Hospital and from 39.96 to 84.88 at Banphai Hospital. So, this model should
be implemented in other ARV health care facilities.