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Surge in Senior HIV Survivors Prompts New Treatment StudiesSurge in Senior HIV Survivors Prompts New Treatment Studies

Monday Apr 23, 2007
by LISA FORSTER

Ohio University health psychologist Tim Heckman examines the effectiveness of a telephone support group for older people with HIV. photo by: Rick Fatica

Contact: Timothy Heckman (740) 597-1744, heckmant@ohio.edu
Media Contact: Andrea Gibson (740) 597-2166, gibsona@ohio.edu

Ohio University health psychologist explores effectiveness of telephone support group

ATHENS , Ohio ( April 23, 2007 ) — Many patients diagnosed with HIV in the 1980s and 1990s have survived and now are entering their golden years. AIDs cases among the over-50 crowd reached 90,000 in 2003, and according to the Centers for Disease Control and Prevention, will account for half of all HIV/AIDS cases in the United States by 2015.

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Consequently, health care providers and social service workers are pioneering new ground to treat the growing number of HIV-positive older adults. Timothy Heckman, an Ohio University health psychologist, has been on the forefront of research involving HIV-infected older adults.  

Heckman recently received a $1.5 million, four-year grant from the National Institute of Mental Health and the National Institute of Nursing Research to nationally test the effectiveness of a telephone support group for older adults with HIV.

Seniors often feel embarrassment or out-of-place among what is usually a gathering of young people at traditional AIDS support groups. The seniors have different needs, which may not be met, or they may be uncomfortable talking about issues, such as sex, among younger people.

“The telephone, as a tool for delivering support, is financially and psychologically easier for many older adults,” said Heckman, who has spent the past eight years conducting AIDs research among the elderly and in rural populations.

A project four years ago found that a telephone support program reduced depression for rural seniors. The results of that study were published in the Annals of Behavioral Medicine last year. Now Heckman plans to expand the geographical scope of the study and increase the number of participants.  

“A separate study we conducted of older adults found that support groups which are designed to teach them skills to handle stress, obtain social support and cope more adaptively are more effective than brief therapy sessions initiated by the person or support groups where participants only discuss problems but do not receive what is called coping intervention treatment,” Heckman said.

He will further test that concept through the telephone support group study.  Nearly 400 participants of the project will be divided among three therapy models, ranging from a 12-week telephone-delivered support group with sessions designed to improve the participants’ coping skills to less active therapy sessions in which participants receive individual guidance only upon request.  

Other Ohio University research, led by Heckman, has found that seniors living with HIV also report problems such as suicidal thoughts, depression, stress and ignoring other age-related health issues. He and two graduate students presented these and other related findings at the annual conference of the Society of Behavioral Medicine, held in Washington , D.C. , last month.

 

source:

http://news.research.ohiou.edu/news/index.php?item=360

http://www.medicalnewstoday.com/medicalnews.php?newsid=68717

 

 
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Surge in Senior HIV Survivors Prompts New Treatment Studies

Ohio University health psychologist explores effectiveness of telephone support group

ATHENS, Ohio (April 23, 2007) — Many patients diagnosed with HIV in the 1980s and 1990s have survived and now are entering their golden years. AIDs cases among the over-50 crowd reached 90,000 in 2003, and according to the Centers for Disease Control and Prevention, will account for half of all HIV/AIDS cases in the United States by 2015.

Consequently, health care providers and social service workers are pioneering new ground to treat the growing number of HIV-positive older adults. Timothy Heckman, an Ohio University health psychologist, has been on the forefront of research involving HIV-infected older adults.  

Heckman recently received a $1.5 million, four-year grant from the National Institute of Mental Health and the National Institute of Nursing Research to nationally test the effectiveness of a telephone support group for older adults with HIV.

Seniors often feel embarrassment or out-of-place among what is usually a gathering of young people at traditional AIDS support groups. The seniors have different needs, which may not be met, or they may be uncomfortable talking about issues, such as sex, among younger people.

“The telephone, as a tool for delivering support, is financially and psychologically easier for many older adults,” said Heckman, who has spent the past eight years conducting AIDs research among the elderly and in rural populations.

A project four years ago found that a telephone support program reduced depression for rural seniors. The results of that study were published in the Annals of Behavioral Medicine last year. Now Heckman plans to expand the geographical scope of the study and increase the number of participants.  

“A separate study we conducted of older adults found that support groups which are designed to teach them skills to handle stress, obtain social support and cope more adaptively are more effective than brief therapy sessions initiated by the person or support groups where participants only discuss problems but do not receive what is called coping intervention treatment,” Heckman said.

He will further test that concept through the telephone support group study.  Nearly 400 participants of the project will be divided among three therapy models, ranging from a 12-week telephone-delivered support group with sessions designed to improve the participants’ coping skills to less active therapy sessions in which participants receive individual guidance only upon request.  

Other Ohio University research, led by Heckman, has found that seniors living with HIV also report problems such as suicidal thoughts, depression, stress and ignoring other age-related health issues. He and two graduate students presented these and other related findings at the annual conference of the Society of Behavioral Medicine, held in Washington, D.C., last month.
 

One-Third of Sexually Active Older Adults with HIV/AIDs Has Unprotected Sex

Wednesday Apr 25, 2007
by LISA FORSTER

Contacts: Travis Lovejoy, (503) 314-1182, tl399805@ohio.edu; Timothy Heckman, (740) 597-1744, heckmant@ohio.edu; Director of Research Communications Andrea Gibson, (740) 597-2166, gibsona@ohio.edu.

Findings suggest more prevention efforts are needed

ATHENS , Ohio ( April 25, 2007 ) – One out of three sexually active older adults infected with HIV has unprotected sex, according to a study by Ohio University researchers. A survey of 260 HIV-positive older adults found that of those having sex, most were male, took Viagra and were in a relationship.

AIDs cases among the over-50 crowd reached 90,000 in 2003. According to the Centers for Disease Control and Prevention, they will account for half of all HIV/AIDS cases in the United States by 2015 because medical intervention has extended the lifespan of those infected with HIV. Additionally, drugs such as Viagra have made it possible for older adults to remain sexually active longer.

Past studies have shown that up to 65 percent of older adults ages 60 to 71 have sexual intercourse. Among older adults who are HIV-positive, according to the Ohio University findings, 38 percent are sexually active.

“Those who are more likely to engage in riskier behavior – for example, those who are using drugs – are more likely to have unprotected sex,” said graduate student Travis Lovejoy, who led the study along with Ohio University health psychologist Timothy Heckman. “What we don’t know yet is whether these individuals are in a monogamous relationship with someone else who is HIV positive and believe there is no risk of infection.”

The study also found that sexual activity was more prevalent among HIV-positive older adults who were not cognitively impaired, were younger and who considered their overall health to be good.  

Because many older adults with HIV are not sexually active, those who do have unprotected sex account for just 13 percent of the overall number of infected people who are aged 50 or older.  However, one-third of those who are sexually active have unprotected sex, which suggests that prevention efforts may need to be more highly targeted toward these individuals.  

The behavioral information was pulled from a survey of 260 HIV-positive older adults who were participating in a study examining support groups. The study was funded by a three-year, $1.8 million grant from the National Institute of Mental Health and the National Institute of Nursing Research.

Lovejoy presented the findings at the annual conference of the Society of Behavioral Medicine in March.

Phone Support Group Helps Older People with HIV/AIDS Develop Coping Skills, New Study Finds

ATHENS, Ohio – More than 90,000 people in the United States are over the age of 50 at the time they are diagnosed with AIDS and at least 25 percent of them suffer from depression. But a new Ohio University study suggests that a telephone support group can lessen stress and improve the coping skills of older adults living with the disease.

In the pilot study, which will be presented this Saturday at the National Association of HIV Over Fifty Conference in Scottsdale, Az., 23 older adults who had been diagnosed with depression participated in a 12-week telephone support group. The participants, who were recruited through AIDS service organizations in Ohio, New York, Pennsylvania and Arizona, discussed life stressors and issues related to aging with HIV/AIDS. Licensed social workers offered advice about coping mechanisms and ways to seek support for health problems.

Those involved in the 12-session program reported greater reductions in stress and suicidal thoughts and an increase in coping skills, compared to a control group of 21 people who did not participate in the support group, said Timothy Heckman, an Ohio University health psychologist and lead author of the study.

The telephone intervention program appealed to participants who were too geographically remote from or physically unable to drive to standard support groups or counseling services, as well as those who were concerned about confidentiality issues. The telephone is one way to circumvent some or all of those barriers, Heckman said.

“Many of our participants noted that they don’t have to dress up, drive in and try to present a good image when everything is not well,” he said. “The telephone is financially and psychologically easier.”

The study is funded by a two-year, $435,000 grant from the National Institute on Aging to evaluate the ability of the telephone-delivered mental health intervention to improve the quality of life of older persons living with HIV/AIDS who have been diagnosed with depression. In a previous study supported by the National Institute of Mental Health, Heckman found that the phone support group was successful in reducing depression and increasing social support for rural Americans living with HIV/AIDS who don’t have access to the range of mental health services available in urban areas.

Older adults with HIV/AIDS face a unique situation: They not only must cope with the disease, but grapple with the mental, physical and social changes that come with aging, such as retirement and the loss of family and friends, Heckman noted.

“A lot is happening all at once, and it’s very difficult to cope with,” he said.

The telephone support group allowed older adults with HIV/AIDS to connect with people with similar experiences, said Lori Brown, a licensed social worker who moderated several of the phone sessions from the project’s home base in Athens, Ohio. Some older women, for example, discussed issues such as menopause, lack of a romantic partner and relationships with children with other women. In another support group, three participants who successfully underwent psychiatric treatment encouraged a fourth caller to seek professional counseling. And those who have lived with HIV/AIDS for many years offer hope to adults recently diagnosed with the disease, Brown noted.

“They often don’t have people in their own communities who have these same problems,” she said. “They find comfort in having someone to talk to.”

Participants in the phone intervention also sought to establish relationships outside of the group – exchanging cards, letters and e-mails and meeting in person, Heckman and Brown said.

“I was surprised how well they responded, never having met face to face,” Brown said. “I think it was because of the safety of the telephone.”

Heckman and his colleagues plan to continue the project using a larger, more geographically diverse sample of older adults with HIV/AIDS.

Collaborators on the study are Monica Silverthorn, the project coordinator and a licensed social worker, and Ohio University students Andrea Waltje, Melissa Meyers, David Cosio and Dana Mitchell.

 


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