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Abstract
Despite other investigations into the impact on the quality of life (QoL) of people living with HIV, the effects of HIV/AIDS case management services have not been directly investigated in the professional literature. A small HIV/AIDS case management program conducted an analysis of the services provided over a 6-month period with preassessments and postassessments of client QoL. A convenience sample of 78 clients completed the Multidimensional Quality of Life questionnaire for people with HIV. Demographics and QoL scores show expected relationships, such as higher QoL scores among clients with higher income, which are consistent with prior research. The study found significant relationships between elements of case management and specific domains of client QoL. Direct case manager interventions, such as counseling clients about coping with depression, had the strongest relationship with client QoL.
KEYWORDS:
At the time of this project, the author was employed at the University of Washington Medical Center, Virology Clinic, HIV/AIDS Case Management Program in Seattle, WA.
The author would like to thank the other members of the Virology Case Management Team—Page Baldwin, MSW, and Brian Myatt, BA—for all of their hard work on this project and Blair Beadnell, PhD, for his invaluable assistance with statistical analyses.
A previous version of this paper was presented at the 17th Annual National Conference on Social Work and HIV/AIDS, Chicago, May 2005.
Notes
Note. EMA = eligible metropolitan area (WADOH, 2004, p. 5); IDU = intravenous drug use; MSM = men who have sex with men.
a Percentages may not sum to or may exceed 100 due to rounding.
Note. ARV = antiretroviral medication; CM = case management; T1–T2 time = 6 months.
Note. Func. = Functioning.
a two-tailed independent samples t-test comparing change scores between received and not received groups.
b Received: n = 27, Not Received: n = 50.