Methods: The overall sample included 1620 PLWH who registered to participate in TPLW between 3/2015 and 2/2018. Attendance data were used to measure indicators of workshop participation including initial engagement (completing the first session) and graduation (completing six out of the seven sessions). Outcome surveys were administered before and after the program and at three months following program completion. Outcome analyses examined changes from pre-test to both post-test (n=1020) and 3-month follow-up (n=775) using non-parametric tests. Subgroup analyses were conducted for 298 participants with ≥1 characteristics of the priority population for TPLW (i.e., PLWH with recent HIV diagnosis, no ART prescription, suboptimal ART adherence, and/or recent unsuppressed viral load).
Results: Of the individuals who registered to participate in TPLW, most were male (63%), Latino/a or Black (94%), age 50 or older (52%), and educated at or below high school level (59%). Only 26% (n=418) of registered individuals had ≥1 characteristics of the priority population for TPLW at intake. Among those, the most common characteristic was unsuppressed viral load (65%, n=273), followed by a recent HIV diagnosis (35%, n=148), and not being prescribed ART (21%, n=88). Of the registered participants, 74% (n=1200) attended the first session, and of these, 85% (n=1020) graduated from at least one workshop cycle. In the overall and priority population samples, there were statistically significant improvements in HIV-related knowledge, social support, confidence for self-management, and ART adherence between pre-test and both the post-test and 3-month follow-up assessments. Analyses for both the overall and the priority populations showed statistically significant increases from pre-test to 3-month follow-up in the proportion of participants who were virally suppressed (82.9% to 88.3%, p=0.0055, and 37.7% to 73.2%, p<0.0001, respectively).
Conclusions and Implications: Results demonstrated that TPLW participants experience short-term knowledge, psychosocial, and health outcome improvements. Compared to the overall sample, the priority population sample showed a greater magnitude of change from pre-test to 3-month follow-up in both ART adherence and viral suppression. These findings suggest the importance of ensuring HIV self-management interventions reach PLWH who struggle with initiating and maintaining HIV-related health-promoting behaviors.