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Efficacy of a peer-led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaXhosa women living with HIV/AIDS compared to a therapeutic relationship alone
Background: Pain is the one of the most prevalent symptoms in people living with Human Immunodeficiency Virus/Acquired Immune Disease Syndrome (HIV/AIDS) and is largely undermanaged. In urban amaXhosa women living with HIV/AIDS (LWHA), the 'Positive Living' (PL) programme has been identified as an e...
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| Format: | Thesis |
| Language: | English |
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Division of Physiotherapy
2017
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| _version_ | 1867613216739164160 |
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| access_status_str | Open Access |
| author | Jackson, Kirsty Nontsikelelo |
| author2 | Parker, Romy |
| author_browse | Jackson, Kirsty Nontsikelelo Parker, Romy |
| author_facet | Parker, Romy Jackson, Kirsty Nontsikelelo |
| author_sort | Jackson, Kirsty Nontsikelelo |
| collection | Thesis |
| description | Background: Pain is the one of the most prevalent symptoms in people living with Human Immunodeficiency Virus/Acquired Immune Disease Syndrome (HIV/AIDS) and is largely undermanaged. In urban amaXhosa women living with HIV/AIDS (LWHA), the 'Positive Living' (PL) programme has been identified as an effective non-pharmacological intervention for managing pain and may be affected by an empathetic therapeutic relationship. As a high prevalence of pain is likely to exist in rural amaXhosa women LWHA in South Africa, research is warranted on these two interventions amongst this population. Aim: To determine the effect of the combined PL programme and therapeutic relationship intervention (PL intervention), in comparison to a therapeutic relationship intervention (TR intervention) alone on pain severity, pain interference, symptoms of depression, health-related quality of life (HRQoL), self-efficacy and physical function in rural amaXhosa women LWHA. Method: A single-blind randomised trial was conducted using a sample of convenience. Interviewer administered questionnaires and functional tests at Baseline and at Weeks 4, 8, 12 and 24 were collected for the PL and TR intervention groups. Regression analysis determined the change of the primary outcomes, pain severity and interference, and secondary outcomes over the 24 weeks of the study. Results: Forty-nine amaXhosa women LWHA participated in the study. The PL programme and the data collection points were poorly attended by both groups. The pain severity and pain interference scores improved significantly in the PL (n = 26) and TR (n = 23) intervention groups over the 24 weeks of the study, with no significant differences between intervention groups. Symptoms of depression, HRQoL, self-efficacy and six of eight physical function tests were also significantly improved in the PL and TR intervention groups and, with the exception of self-efficacy, no significant differences existed between intervention groups. Conclusion: The therapeutic relationship appears to be sufficient to manage pain in rural amaXhosa women LWHA and should therefore be recognised as a necessary intervention to provide effective and adequate pain management. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/24897 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:37.404Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Division of Physiotherapy |
| publisherStr | Division of Physiotherapy |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/24897 Efficacy of a peer-led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaXhosa women living with HIV/AIDS compared to a therapeutic relationship alone Jackson, Kirsty Nontsikelelo Parker, Romy Wadley, Antonia Physiotherapy Background: Pain is the one of the most prevalent symptoms in people living with Human Immunodeficiency Virus/Acquired Immune Disease Syndrome (HIV/AIDS) and is largely undermanaged. In urban amaXhosa women living with HIV/AIDS (LWHA), the 'Positive Living' (PL) programme has been identified as an effective non-pharmacological intervention for managing pain and may be affected by an empathetic therapeutic relationship. As a high prevalence of pain is likely to exist in rural amaXhosa women LWHA in South Africa, research is warranted on these two interventions amongst this population. Aim: To determine the effect of the combined PL programme and therapeutic relationship intervention (PL intervention), in comparison to a therapeutic relationship intervention (TR intervention) alone on pain severity, pain interference, symptoms of depression, health-related quality of life (HRQoL), self-efficacy and physical function in rural amaXhosa women LWHA. Method: A single-blind randomised trial was conducted using a sample of convenience. Interviewer administered questionnaires and functional tests at Baseline and at Weeks 4, 8, 12 and 24 were collected for the PL and TR intervention groups. Regression analysis determined the change of the primary outcomes, pain severity and interference, and secondary outcomes over the 24 weeks of the study. Results: Forty-nine amaXhosa women LWHA participated in the study. The PL programme and the data collection points were poorly attended by both groups. The pain severity and pain interference scores improved significantly in the PL (n = 26) and TR (n = 23) intervention groups over the 24 weeks of the study, with no significant differences between intervention groups. Symptoms of depression, HRQoL, self-efficacy and six of eight physical function tests were also significantly improved in the PL and TR intervention groups and, with the exception of self-efficacy, no significant differences existed between intervention groups. Conclusion: The therapeutic relationship appears to be sufficient to manage pain in rural amaXhosa women LWHA and should therefore be recognised as a necessary intervention to provide effective and adequate pain management. 2017-08-18T14:14:25Z 2017-08-18T14:14:25Z 2017 Master Thesis Masters MSc (Med) http://hdl.handle.net/11427/24897 eng application/pdf Division of Physiotherapy Faculty of Health Sciences University of Cape Town |
| spellingShingle | Physiotherapy Jackson, Kirsty Nontsikelelo Efficacy of a peer-led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaXhosa women living with HIV/AIDS compared to a therapeutic relationship alone |
| thesis_degree_str | Master's |
| title | Efficacy of a peer-led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaXhosa women living with HIV/AIDS compared to a therapeutic relationship alone |
| title_full | Efficacy of a peer-led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaXhosa women living with HIV/AIDS compared to a therapeutic relationship alone |
| title_fullStr | Efficacy of a peer-led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaXhosa women living with HIV/AIDS compared to a therapeutic relationship alone |
| title_full_unstemmed | Efficacy of a peer-led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaXhosa women living with HIV/AIDS compared to a therapeutic relationship alone |
| title_short | Efficacy of a peer-led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaXhosa women living with HIV/AIDS compared to a therapeutic relationship alone |
| title_sort | efficacy of a peer led exercise and education programme combined with a therapeutic relationship to manage pain in rural amaxhosa women living with hiv aids compared to a therapeutic relationship alone |
| topic | Physiotherapy |
| url | http://hdl.handle.net/11427/24897 |
| work_keys_str_mv | AT jacksonkirstynontsikelelo efficacyofapeerledexerciseandeducationprogrammecombinedwithatherapeuticrelationshiptomanagepaininruralamaxhosawomenlivingwithhivaidscomparedtoatherapeuticrelationshipalone |