Symptoms and Self-care Strategies in HIV/AIDS: Application of Web-based Survey
Review TypeNone: Degree-based Submission
Review StatusNot Applicable (See Review Type)
Repository Posting Date2020-02-04T18:48:45Z
Author DetailsDr. Fang-Yu Chou, PhD, RN
Level of EvidenceDescriptive/Correlational
Research ApproachQuantitative Research
Background. Efforts to understand the patterns of self-care strategies that are used by people living with HIV/AIDS are imperative in planning effective symptom management. Because the World Wide Web has been increasingly used as a tool for surveying patients' self-reported responses, discussing its use in health care research would help to integrate technology in research. Purposes. The purposes of this study are to categorize self-care strategies and self-care information resources, determine predictors of self-care strategies reported by people living with HIV/AIDS, and compare how web-based surveys and interview surveys may generate different results. Methods. A descriptive, correlational design was used and secondary analysis was applied from a study with both web-based surveys and interview surveys (422 valid surveys). Results. The surveys were completed by 359 participants recruited from a web site and five clinical sites. The results from content analysis revealed eight categories of self-care strategies (n = 776): medications (23.45%), self-comforting (15.21%), complementary treatments (14.69%), daily thoughts/activities (12.89%), changing diet (10.95%), help seeking (9.28%), spiritual care (6.83%), and exercise (6.70%). Four sources of self-care information were identified (n = 526): self (34.41%), health care provider (27.95%), personal network (19.20%), and community (18.44%). The coding schemes of these categories had moderate to high inter-rater reliability. There were significant differences in the proportions of most self-care strategies across different information resources and six most commonly reported symptoms. People who completed the web-based surveys (n = 122) were younger, better educated, and more frequently identified themselves as white. There were also significant differences between web-based and interview subjects in terms of the use of self-care strategies and information resources. Logistic regression analysis demonstrated that race was a significant predictor for medications (OR = .55, 95% CI = .33–.92), self-comforting (OR = 2.17, 95% CI = 1.24–3.79), help seeking (OR = 5.71, 95% CI = 2.57–12.70), and spiritual care (OR = 5.09, 95% CI = 1.81–14.30). In addition, symptom intensity significantly predicted the use of medications (OR = 1.22, 95% CI = 1.05–1.40) and gender significantly predicted the use of spiritual care (OR = 3.76, 95% CI = 1.71–8.25). Discussion. Health care professionals should pay attention to these variations in symptom management and incorporate them into the care planning. The cultural differences in the use of self-care strategies should also be considered.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3051038; ProQuest document ID: 304803482. The author still retains copyright.
Advisor(s)Holzemer, William L.
Degree GrantorUniversity of California, San Francisco
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Chou, Fang-Yu by View
Popular Works for Chou, Fang-Yu by Download
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.