Peer-Group support based on the chronic care model for improving HIV patients’ caring ability

Abstract

Background: The caring ability of HIV patients toward a condition is still relatively low, especially during a pandemic, which makes the patient’s immune condition more susceptible to decline. Purpose: This study aims to develop peer-group support based on a chronic care model (CCM) to improve the caring ability of HIV patients. Methods: An explanatory study with a cross-sectional approach was employed. A total of 375 respondents were recruited with convenience sampling. The exposure included individual characteristic factors, health system factors, support system factors, environmental factors, and peer group support based on the chronic care model. Meanwhile, the outcome was an improvement in the patients’ caring ability. Statistical analyses were performed using SPSS version 21 and SEM-PLS. Results: Outer model analysis showed valid (λ >0.5 and T-value >1.96) and reliable (Cronbach’s alpha > 0.6), all hypotheses showed significant effect to dependent variable exclude individual characteristic factors to peer group support based on chronic care model (p<0.05). Model development is reasonably fit as indicated by the research data (RMS Theta = 0.080 < 0.102; NFI value 0.901 > 0.9; Standardized Root Mean Square = 0.079 < 0.10). The model had predictive relevance and can be applied in other research settings (Q2 = 0.230; 0.518). Conclusion: The development of the model shows that the variables are pretty good in forming a peer group support model based on the chronic care model to improve the ability of PLWH.