NICHE - a needs informed model of care for people living with HIV
Research type
Research Study
Full title
A person-centred Needs Informed model of Care for people with HIV (NICHE), to improve wellbeing, mental health and reduce socio-economic disadvantages and stigma.
IRAS ID
322555
Contact name
Alison Rodger
Contact email
Sponsor organisation
University College London
Clinicaltrials.gov Identifier
Z6364106/2022/10/62, UCL Data protection; RA068507/1, UCL Data risk assessment
Duration of Study in the UK
0 years, 6 months, 30 days
Research summary
Background:
Although HIV can be well controlled by treatment and not itself cause problems, many people living with HIV (PLWH) are affected by issues like depression, anxiety, stigma, or difficult financial or housing circumstances. This qualitative study is part of the formative work for the NICHE (Needs Informed model of Care for people living with HIV) programme of research. It aims to improve mental and physical wellbeing in PLWH, through developing and evaluating a needs-based model of care with a health coaching and social prescribing intervention.Key research question:
(i) What are the current psychosocial needs and key drivers of poor mental health among PLWH, and can an intervention be co-developed with PLWH to improve wellbeing?Design: (i) focus group discussions with people living with HIV to explore experiences of living with HIV, social, physical and mental health needs, and preferences around a health coaching intervention aimed at providing support for health and wellbeing. (ii) one to one interviews with key stakeholders such as health care workers to explore experiences of HIV and HIV services that shape interactions between PLWH and service providers; social, physical and mental health needs and factors that could promote or inhibit the implementation of a health coaching intervention.
This study will benefit patients and their clinical teams across the UK by providing a better understanding of the mental health and wellbeing needs in PLWH. Results from this study will be utilised in a Theory of Change workshop to refine the design of a health coaching intervention that will be tested in a randomised controlled trial (RCT). The RCT will aim to explore whether introducing a health coaching intervention into the model of care for PLWH can improve health and wellbeing, reduce inequalities and improve use of NHS resources.
REC name
Social Care REC
REC reference
23/IEC08/0008
Date of REC Opinion
30 Mar 2023
REC opinion
Further Information Favourable Opinion