Worldwide, the number of HIV-positive people over the age of 50 is increasing. In Switzerland, nearly 50 percent of people living with HIV (PLWH) are 50 years and older. Given the increase in age-related comorbidities among older PLWH, facilities for the elderly will increasingly need to address this population. However, awareness of the needs and concerns of older PLWH appears to be lacking among elder care and work professionals. This can lead to negative attitudes and prejudices towards older PLWH. The aim of our project was to sensitize professionals in elderly care and work to the needs of older PLWH and to make them reconsider their own attitudes towards older PLWH. Therefore, together with a local NGO, we produced an educational film about the needs of PLWH regarding their life in old age.
Methods:
We used 14 video interviews from a previous research project with PLWH aged 51 to 83 and added three additional interviews with medical, nursing, and social work professionals. Informed consent was obtained. The final version of the educational film consists of three chapters: HIV diagnosis and life afterwards, experiences of multiple discrimination, and living arrangements in old age. For evaluation of the film, we used a self-administered paper-pencil questionnaire that included an adapted HIV Stigma Scale and statements about the needs of older PLWH. We showed the film to a class of 55 social work students. In a quasi-experimental design, we randomly divided students into two groups. One group completed the questionnaire before the film screening (control group, N=24), and the other group completed the questionnaire after the film screening (intervention group, N=24). Participation was voluntary. We analyzed the data by using descriptive and inferential statistics (T-test).
Results:
Among the participants, 69% were women and 31% were men. The mean age was 24 years (IQR=5.00). Both the intervention and the control group estimated that the film improved their knowledge of older PLWH and reduced their prejudice. However, the intervention group perceived greater discrimination against older PLWH (M=5.55, SD=0.92 vs. M=4.46, SD=1.09, t(45)=-3.71, p<0.001, d=-1.08) and knew their needs better (M=6.40, SD=0.55 vs. M=5.69, SD=0.49, t(45)=-4.61, p<0.001, d=-1.35) than the control group participants. These effects were independent of age and gender.
Implications:
The evaluation showed that the film was able to raise awareness of the needs of PLWH in old age and encouraged students to reconsider their own attitudes toward older PLWH. For use in education and training of care and social work professionals, we strongly recommend that the film be accompanied by facts and figures on HIV and current research data to achieve lasting learning effects.