RNQualitativeThe Journal of the Association of Nurses in AIDS Care : JANAC2016

The Daily Lives of People With HIV Infection: A Qualitative Study of the Control Group in an Expressive Writing Intervention.

Maria Metaweh, Gail Ironson, Julie Barroso

PMID 27426408

WHAT IT FOUND

People living with HIV described daily life shaped by money, self-care, faith, and support.

In 114 essays they described positive self-care, including medications, hygiene, meals, and appointments; poverty, poor sleep, stigma, and strained relationships were also described.

Key findings

01114 essays described positive self-care, including taking medications or vitamins, personal hygiene, eating well, exercising, and swimming.

02Fifty essays described disordered sleep, including several daytime naps, staying up late, trouble falling or staying asleep, and oversleeping.

03Seventy-four essays described abundant social support from family, pets, significant others, roommates, co-workers, community organizations, support groups, friends, neighbors, therapists, and health care providers.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This is a secondary analysis of control-group essays from one time point only, so it does not test the expressive writing intervention or use the other control time points. Participants were asked to write about daily activities and to avoid emotions or opinions, which may have limited what they reported. The sample was limited to adults aged 18 to 70 with mid-range HIV illness; people with severely symptomatic AIDS-defining conditions, current alcohol or substance dependence, psychotic symptoms, active systemic disease, or reading below an eighth-grade level were excluded. The findings are self-reported essay themes, not observed behavior, randomized comparison, or measured health outcomes. The study did not compare the control essays with the intervention essays or with a no-writing condition.

Declared interests

The supplied text does not include a conflicts of interest declaration. The publication type indicates NIH extramural research support.

The easy way to misread this

Do not conclude that writing about daily life improved self-care or health. This analysis used control-group essays from one time point and did not test the expressive writing intervention or measure health outcomes.

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