Clinical trial NCT05021653: HIV Resilience Qualitative Study Hong Kong
Official title: Exploration of the Role of Resilience and Its Development in Later Life Among HIV Infected Older Adults: a Qualitative Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: HIV Infections
Elderly Infection
Keywords: HIV
resilience
qualitative research
elderly
Lead sponsor: Chinese University of Hong Kong
Sponsor class: OTHER
First posted: 2021-08-25
Enrollment: 20
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Older adults living with HIV infection in Hong Kong

Brief summary: This qualitative study aims to explore lived experiences of older adults living with HIV in Hong Kong. Twenty older Chinese adults of age 50 or above will be recruited from an HIV specialist clinic providing HIV care in the public service. Qualitative, semi-structured interview will be conducted to explore risk factors contributing to life stress and adversity, and protective factors associated with resilience. The qualitative data will be delineated to propose a typology of older adults living with HIV as characterized by their unmet needs, barriers and facilitators of resilience-building.

Detailed description: Objectives: The intersection of HIV and ageing has important implications for health and psychosocial wellbeing, which are complex in nature. In a setting with growing number of older adults living with HIV in Hong Kong, as in many other regions in the world, addressing their unmet healthcare needs is paramount. Failure to understand and recognise their needs will impede healthy ageing. This study aims to explore lived experiences of older adults living with HIV in regards their complex needs and resilience-building, with the specific objectives of examining associated factors of resilience development at individual-social- and structural level.

Design: A qualitative study targeting 20 older Chinese adults of age 50 or above who are living with HIV who are divided under the following groups: Group A: Chinese men who have sex with men and Group B: Chinese heterosexual males and females

Settings: Clinic providing HIV care in the public service

Methods: Participants will be recruited through purposive sampling based on their age (50-64; 65 and above of age), gender and sexual orientation. Qualitative, semi-structured interview will be conducted to explore: (1) risk factors contributing to life stress and adversity, and (2) protective factors associated with resilience. Interviews will be digitally recorded, transcribed verbatim and managed using "NVivo" software. Themes will be developed, constantly compared within and between targeted groups, using Grounded Theory approach.

Anticipated outcomes:

The qualitative data will be delineated to propose a typology of older adults living with HIV as characterized by their (1) unmet needs, (2) barriers of resilience-building, and (3) facilitators of resilience-building.

Eligibility criteria: Inclusion Criteria:

* Known and confirmed HIV infection
* age of 50 or above
* normally living in Hong Kong
* permanent residents of Hong Kong
* able to communicate in Cantonese

Exclusion Criteria:

* Active psychiatric disorder
* prisoners or under institutionalized care
* unable to give consent

Primary outcomes:
measure: risk items
timeFrame: 1 year
measure: protective factors
timeFrame: 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: Hong Kong
country: Hong Kong
facility: Prince of Wales Hospital
Study officials:
affiliation: Chinese University of Hong Kong
name: Shui Shan Lee
role: PRINCIPAL_INVESTIGATOR
References: