Issues: Our randomized clinical trial uses a peer model to improve adherence to HAART, including a comprehensive plan for recruiting, training and supervising peer workers (PWs). We provide PWs with supports they need to deal with the stresses of being individuals living with HIV/AIDS.
Description: Seven PWs are currently working after completing a 6-week training course. To recruit candidates as PWs we used physicians' referrals and recommendations from other peers, and advertised with community-based organizations. Candidates were required to be adherent with HAART, a Harlem resident, and drug-free. The initial training include sessions on HIV 101, prevention of opportunistic infections, ART medications, informal counseling techniques, the PW's role, and use of the Prochaska's Stages of Change model. With caseloads of 10-15 clients each, the PW's functions include counseling (particularly around adherence), system navigation, acting as a liaison with providers, and advocacy. The program offers on-going training on adherence and HIV/AIDS related issues. A social worker supervises PWs bi-weekly, ensuring communication between case workers and PWs, service integration and client follow-up. Supports for PWs include biweekly group case reviews, bi-weekly individual supervision, and a support group organized by PWs themselves.
Conclusion: PWs have proven effective in managing their caseloads and providing social support to clients. They show evidence of increased self-esteem and improvements in health. Challenges in using PWs in an HIV/AIDS project include an on-going need for training without "professionalizing" them, facing health crises, and addressing PWs' personal issues as persons living with HIV/AIDS.
Learning Objectives: To describe an innovative approach using peer workers to facilitate adherence to HIV & TB treatment in Harlem
Keywords: Community Health Promoters, Adherence
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Harlem Hospital
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: employment