The Effectiveness of Peer Group Support Model Based on Chronic Care Model on Antiretroviral Compliance, Increasing Immunity (CD4, Viral Load, Opportunistic Infections), and Quality of Life of People with HIV (PLHIV)

Abstract

Introduction: The role of peer groups is very important in the treatment process for HIV/AIDS patients which determines the health condition and quality of life of HIV/AIDS patients, however, peer group support has not been integrated with health services. Aim: This study aims to analyze the effectiveness of peer group support based on the chronic care model (CCM) on ARV treatment adherence, level of immunity, and quality of life for HIV/AIDS patients. Method: This research used a quasi-experimental design (pre-post test with control group design). The research population was patients with HIV/AIDS with a sample of 30 people in each control and intervention group. Data was collected using questionnaires and blood samples from PLHIV, then analyzed using the Chi-Square test, Wilcoxon Signed Rank Test, and Mann Whitney. Results: Effect test results show that there is a significant influence of chronic care model-based peer group support on ARV treatment adherence (0.000), CD4 count (0.000), Viral Load (0.000), Opportunistic Infections (0.000) and quality of life (0.000) in HIV patients /AIDS. Conclusion: Peer group support based on the chronic care model affects ARV treatment adherence, level of immunity, and quality of life for HIV/AIDS patients. Peer group support based on the chronic care model increases adherence to ARV treatment, increases CD4 counts, increases viral load, reduces the incidence of opportunistic infections, and improves quality of life in HIV/AIDS patients.