Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania
The aims of this study were to describe how people living with HIV (PLWH) perceive hope and illustrate implications for HIV care and treatment. This is a qualitative study done to explore perceptions and meanings of hope among PLWH attending care and treatment clinics in Dar es Salaam, Tanzania. In...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-03-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325957414539195 |
| _version_ | 1818161679476719616 |
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| author | Hellen Siril MD, MPH Mary C. Smith Fawzi PhD Jim Todd PhD Monique Wyatt MS Japheth Kilewo MD, PhD Norma Ware PhD Sylvia Kaaya MD, PhD |
| author_facet | Hellen Siril MD, MPH Mary C. Smith Fawzi PhD Jim Todd PhD Monique Wyatt MS Japheth Kilewo MD, PhD Norma Ware PhD Sylvia Kaaya MD, PhD |
| author_sort | Hellen Siril MD, MPH |
| collection | DOAJ |
| description | The aims of this study were to describe how people living with HIV (PLWH) perceive hope and illustrate implications for HIV care and treatment. This is a qualitative study done to explore perceptions and meanings of hope among PLWH attending care and treatment clinics in Dar es Salaam, Tanzania. In all, 10 focus group discussions and 9 in-depth interviews were conducted. People living with HIV described the following 3 dimensions of hope: cognitive, positive emotions, and normalization. Being cognizant of the effectiveness of antiretroviral treatment (ART) often led to positive emotions, such as feeling comforted or strengthened, which in turn was related to positive actions toward normalizing life. Improved treatment outcomes facilitated hope, while persistent health problems, such as ART side effects, were sources of negative emotions contributing to loss of hope among PLWH. Hope motivated positive health-seeking behaviors, including adherence to ART, and this may guide interventions to help PLWH cope and live positively with HIV. |
| first_indexed | 2024-12-11T16:21:36Z |
| format | Article |
| id | doaj.art-69705f3b987a4f5f9cc917d22d901ea5 |
| institution | Directory Open Access Journal |
| issn | 2325-9574 2325-9582 |
| language | English |
| last_indexed | 2024-12-11T16:21:36Z |
| publishDate | 2017-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-69705f3b987a4f5f9cc917d22d901ea52022-12-22T00:58:49ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95742325-95822017-03-011610.1177/2325957414539195Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, TanzaniaHellen Siril MD, MPH0Mary C. Smith Fawzi PhD1Jim Todd PhD2Monique Wyatt MS3Japheth Kilewo MD, PhD4Norma Ware PhD5Sylvia Kaaya MD, PhD6 Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania Department of Global Health and Population, Harvard Medical School, Boston, MA, USA National Institute for Health Research, Mwanza, Tanzania Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA Department of Epidemiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TanzaniaThe aims of this study were to describe how people living with HIV (PLWH) perceive hope and illustrate implications for HIV care and treatment. This is a qualitative study done to explore perceptions and meanings of hope among PLWH attending care and treatment clinics in Dar es Salaam, Tanzania. In all, 10 focus group discussions and 9 in-depth interviews were conducted. People living with HIV described the following 3 dimensions of hope: cognitive, positive emotions, and normalization. Being cognizant of the effectiveness of antiretroviral treatment (ART) often led to positive emotions, such as feeling comforted or strengthened, which in turn was related to positive actions toward normalizing life. Improved treatment outcomes facilitated hope, while persistent health problems, such as ART side effects, were sources of negative emotions contributing to loss of hope among PLWH. Hope motivated positive health-seeking behaviors, including adherence to ART, and this may guide interventions to help PLWH cope and live positively with HIV.https://doi.org/10.1177/2325957414539195 |
| spellingShingle | Hellen Siril MD, MPH Mary C. Smith Fawzi PhD Jim Todd PhD Monique Wyatt MS Japheth Kilewo MD, PhD Norma Ware PhD Sylvia Kaaya MD, PhD Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania Journal of the International Association of Providers of AIDS Care |
| title | Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania |
| title_full | Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania |
| title_fullStr | Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania |
| title_full_unstemmed | Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania |
| title_short | Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania |
| title_sort | hopefulness fosters affective and cognitive constructs for actions to cope and enhance quality of life among people living with hiv in dar es salaam tanzania |
| url | https://doi.org/10.1177/2325957414539195 |
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