The Effectiveness of a Self-Management Support Program on Knowledge, Self-Management Behaviors, and Satisfaction of HIV-Infected Individuals at Kud Chap Hospital, Udon Thani Province.

Abstract

      This quasi-experimental study aimed to evaluate the effectiveness of a self-management support program on knowledge, self-management behavior, and satisfaction among people living with HIV (PLHIV) at Kut Chap Hospital, Udon Thani Province, grounded in Kanfer and Gaelick-Buys' theoretical framework of self-management. The study sample comprised HIV-infected individuals and AIDS patients receiving antiretroviral therapy, of both sexes, aged between 18 and 60 years, who were receiving services at the Napha Clinic, Outpatient Department, Kut Chap Hospital, Mueang Phia Subdistrict, Kut Chap District, Udon Thani Province. Participants were purposively recruited in accordance with predetermined eligibility criteria and voluntarily consented to participate, yielding a final sample of 45 individuals. Data collection was conducted between March and August 2026. The self-management support program encompassed individualized health education and self-management skills training, delivered through instructional media, and was supplemented by a self-management handbook for PLHIV, a home-based self-management log, and educational pamphlets addressing disease-related knowledge and appropriate self-care practices, all of which participants retained for continued use at home. Data were gathered using a personal and health information record form, a knowledge assessment questionnaire, a self-management behavior questionnaire, and a satisfaction questionnaire. Statistical analysis was performed using descriptive statistics, the Dependent Paired t-test, and the Wilcoxon Signed Ranks Test.

      Findings revealed that, following completion of the self-management support program, participants demonstrated statistically significant improvements in mean scores for disease-related knowledge and self-care practices, self-management behavior, and satisfaction relative to baseline measurements obtained prior to program participation (p < 0.001).